Hall O Trent, Trimble Candice, Garcia Stephanie, Grayson Sydney, Joseph Lucy, Entrup Parker, Jegede Oluwole, Martel Jose Perez, Tetrault Jeanette, Mathis Myra, Jordan Ayana
Department of Psychiatry and Behavioral Health, Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio, USA.
Ann Med. 2025 Dec;57(1):2439540. doi: 10.1080/07853890.2024.2439540. Epub 2024 Dec 19.
Racial discrimination is associated with health disparities among Black Americans, a group that has experienced an increase in rates of fatal drug overdose. Prior research has found that racial discrimination in the medical setting may be a barrier to addiction treatment. Nevertheless, it is unknown how experiences of racial discrimination might impact engagement with emergency medical services for accidental drug overdose. This study will psychometrically assess a new measure of hesitancy in seeking emergency medical services for accidental drug overdose and examine prior experiences of racial discrimination and group-based medical mistrust as potential corollaries of this hesitancy.
Cross-sectional survey of 200 Black adults seeking treatment for substance-use-related medical problems (i.e. substance use disorder, overdose, infectious complications of substance use, etc.). Participants will complete a survey including sociodemographic information, the Discrimination in Medical Settings Scale, Everyday Discrimination Scale, Group-Based Medical Mistrust Scale, and an original questionnaire measuring perceptions of and prior engagement with emergency services for accidental drug overdose. Analyses will include exploratory factor analysis, Cronbach's alpha, and non-parametric partial correlations controlling for age, gender, income, and education.
This article describes a planned cross-sectional survey of Black patients seeking treatment for substance use related health problems. Currently, there is no validated instrument to measure hesitancy in seeking emergency medical services for accidental drug overdose or how experiences of racial discrimination might relate to such hesitancy. Results of this study may provide actionable insight into medical discrimination and the rising death toll of accidental drug overdose among Black Americans.
种族歧视与美国黑人的健康差异相关，该群体的致命药物过量发生率有所上升。先前的研究发现，医疗环境中的种族歧视可能是成瘾治疗的障碍。然而，种族歧视经历如何影响因意外药物过量而寻求紧急医疗服务的情况尚不清楚。本研究将从心理测量学角度评估一种针对因意外药物过量而寻求紧急医疗服务时的犹豫程度的新测量方法，并将种族歧视的既往经历和基于群体的医疗不信任视为这种犹豫的潜在相关因素进行研究。
对200名因与物质使用相关的医疗问题（即物质使用障碍、过量用药、物质使用的感染并发症等）寻求治疗的成年黑人进行横断面调查。参与者将完成一项调查，包括社会人口统计学信息、医疗环境中的歧视量表、日常歧视量表、基于群体的医疗不信任量表，以及一份原始问卷，该问卷用于测量对因意外药物过量而寻求紧急医疗服务的看法和既往经历。分析将包括探索性因素分析、克朗巴哈系数，以及控制年龄、性别、收入和教育程度的非参数偏相关分析。
本文描述了一项针对因物质使用相关健康问题寻求治疗的黑人患者的计划横断面调查。目前，尚无经过验证的工具来测量因意外药物过量而寻求紧急医疗服务时的犹豫程度，或种族歧视经历与这种犹豫之间的关系。本研究结果可能为医疗歧视以及美国黑人中意外药物过量死亡人数不断上升的情况提供可采取行动的见解。
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