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美国黑人女性中的医疗不信任问题。

Medical Mistrust Among Black Women in America.

作者信息

Gary Faye A, Thiese Suzanna, Hopps June, Hassan Mona, Still Carolyn Harmon, Brooks Latina M, Prather Susan, Yarandi Hossein

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio 44106

Case Western Reserve University, Cleveland, OH.

出版信息

J Natl Black Nurses Assoc. 2021 Dec;32(2):10-15.

PMID:35338799
Abstract

This qualitative research study highlights medical mistrust as a significant barrier to quality health care for Black women. Unraveling mistrust is essential for reducing health disparities and improving well-being for women and their families. Three research sites were included: Florida, Ohio, and the U.S. Virgin Islands. Three 90-minute focus groups were convened with 10 women in each of them. The discussions were recorded. Five themes will be discussed through the voices of women from each of the sites. Mistrust of healthcare professionals was associated with fears about being rejected, embarrassed, and misunderstood during the clinical encounter. Others reported that providers who were reluctant to make physical contact with them during the clinical visits provoked feelings that the color of their skin might seem "dirty." Finally, this research will help to inform discussions about COVID-19 vaccine hesitancy, which remains a critical health concern among Black women and healthcare providers.

摘要

这项定性研究强调了医疗不信任是黑人女性获得优质医疗保健的重大障碍。解开不信任对于减少健康差距以及改善女性及其家庭的福祉至关重要。研究包括三个地点:佛罗里达州、俄亥俄州和美属维尔京群岛。召集了三个90分钟的焦点小组,每个小组有10名女性。讨论内容进行了记录。将通过来自每个地点的女性声音来讨论五个主题。对医疗保健专业人员的不信任与担心在临床接触中被拒绝、尴尬和误解有关。其他人报告说,临床就诊时不愿与她们进行身体接触的医护人员引发了她们觉得自己的肤色可能看起来“脏”的感觉。最后,这项研究将有助于为有关新冠疫苗犹豫的讨论提供信息,新冠疫苗犹豫仍是黑人女性和医疗保健提供者之间的一个关键健康问题。

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