Williamson Lillie D
Department of Communication Arts, University of Wisconsin-Madison.
Health Commun. 2022 Aug;37(9):1061-1074. doi: 10.1080/10410236.2020.1868744. Epub 2021 Jan 12.
African Americans consistently report higher levels of medical mistrust than their White counterparts. As a result, medical mistrust is considered to be a contributor to racial health disparities. Despite calls to address medical mistrust, few studies have explicitly examined it as a phenomenon of interest; those that have, tended to focus on personal experiences while neglecting vicarious experiences. The current study a) explicitly tests the effects of two types of news story content on reported levels of medical mistrust within an African American adult sample and b) examines two widely used medical mistrust measures. Participants ( = 410) were randomly assigned to view a news story based on a 2 (health care, non-health care) x 2 (racial discrimination, nonracial discrimination) experimental design. Results indicated that individually, both health care content and racial discrimination content increased race-based medical mistrust, but had no effect on general medical mistrust. However, when all four conditions were examined, exposure to health-related racial discrimination stories resulted in higher levels of race-based and general medical mistrust than non-health, nonracial discrimination stories. Findings are discussed in terms of the theoretical and practical implications for health communication scholars.
非裔美国人一直报告称，他们比白人更不信任医疗体系。因此，医疗不信任被认为是种族健康差距的一个促成因素。尽管有人呼吁解决医疗不信任问题，但很少有研究明确将其作为一个感兴趣的现象进行考察；那些进行过考察的研究，往往侧重于个人经历，而忽视了替代性经历。当前的研究：a）在一个非裔美国成年人样本中，明确测试两种类型的新闻报道内容对报告的医疗不信任水平的影响；b）检验两种广泛使用的医疗不信任测量方法。参与者（n = 410）被随机分配观看基于2（医疗保健，非医疗保健）×2（种族歧视，非种族歧视）实验设计的新闻报道。结果表明，单独来看，医疗保健内容和种族歧视内容都增加了基于种族的医疗不信任，但对一般医疗不信任没有影响。然而，当对所有四种情况进行考察时，接触与健康相关的种族歧视报道导致基于种族和一般医疗不信任的水平高于非健康、非种族歧视报道。研究结果从对健康传播学者的理论和实践意义方面进行了讨论。
