Hunt Metari, Aggad Roaa
Health Promotion and Community Health Department at School of Public Health, Texas A&M University, College Station, TX, USA.
Family and Community Medicine Department, King Abdulaziz University, Rabigh, Saudi Arabia.
J Racial Ethn Health Disparities. 2025 Aug;12(4):2496-2508. doi: 10.1007/s40615-024-02068-z. Epub 2024 Jul 11.
There is a lack of understanding of how perceived racism in Veterans Healthcare Administration (VHA) healthcare providers affects the delivery of healthcare services to African American (AA) Veterans thus leading to health disparities in this population. Specifically, there is a lack of understanding of this phenomenon from the view of AA female Veterans who sought mental health care from providers within the VHA. The aim of this study was to determine if AA female Veterans have experiences of racism in their interactions with VHA mental health providers contributing to disparities. Using a phenomenological qualitative analysis approach with five AA female Veterans, the researcher was able to identify four qualitative themes: mental health service delivery, provider belief system about AA female Veterans, and the impact of microaggressions on AA female Veterans. Based on the results of this study, the following were determined: (1) there is an existence of perceived racism from VHA mental health providers to AA female Veterans, (2) we better understand AA female Veterans' perceptions of their VHA mental health providers based on their interactions, (3) there is a shared lived experience of the phenomenon racism from VHA mental health providers, and (4) there is a failure of VHA to address the needs of AA female Veterans despite VHA policies for support.
人们对退伍军人医疗管理局(VHA)医疗服务提供者所感知到的种族主义如何影响为非裔美国(AA)退伍军人提供医疗服务从而导致该人群的健康差异缺乏了解。具体而言,从在VHA内寻求心理健康护理的非裔美国女性退伍军人的角度来看,对这一现象缺乏了解。本研究的目的是确定非裔美国女性退伍军人在与VHA心理健康提供者互动时是否有种族主义经历,这导致了差异。通过对五名非裔美国女性退伍军人采用现象学定性分析方法,研究人员能够确定四个定性主题:心理健康服务的提供、提供者对非裔美国女性退伍军人的信念体系以及微侵犯行为对非裔美国女性退伍军人的影响。基于本研究的结果,确定了以下几点:(1)VHA心理健康提供者对非裔美国女性退伍军人存在感知到的种族主义;(2)基于互动,我们更好地理解了非裔美国女性退伍军人对其VHA心理健康提供者的看法;(3)VHA心理健康提供者存在种族主义这一现象有共同的生活经历;(4)尽管VHA有支持政策,但VHA未能满足非裔美国女性退伍军人的需求。