Glynos Nicolas G, Reid Mallet R, Aday Jacob S, Kruger Daniel J, Boehnke Kevin F, Lake Stephanie, Lucas Philippe
Anesthesiology Department, University of Michigan Medical School, Ann Arbor, MI, USA.
Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, USA.
J Psychoactive Drugs. 2025 Apr 22:1-12. doi: 10.1080/02791072.2025.2491381.
People of Color have been under-included in psychedelic-assisted therapy (PAT) research. Researchers have argued that systemic issues resulting in harms to communities of color like the War on Drugs and recurrent exposure to discrimination in healthcare settings may reduce their willingness to engage in PAT research. However, there are no empirical data regarding People of Color's trust or willingness in using psychedelics with support of trained healthcare providers. Therefore, we analyzed data from a large-scale survey of people using psychedelics to explore interactions between People of Color and healthcare providers in North America. The sample included 3,547 White people, 448 People of Color, and 377 Multiracial people. A lower proportion of People of Color consumed psychedelics with the support of a trained provider but an equal proportion had disclosed psychedelic use to primary care providers. Further, People of Color were equally motivated to use psychedelics with a trained healthcare provider, used psychedelics to treat similar issues, and similarly reported psychedelics as effective with other groups. Our findings suggest that lack of trust may not fully explain the underrepresentation of People of Color in PAT research, and future studies should investigate other barriers to People of Color's inclusion in PAT research.
有色人种在迷幻剂辅助治疗（PAT）研究中的参与度一直不足。研究人员认为，诸如毒品战争以及在医疗环境中反复遭受歧视等系统性问题对有色人种社区造成了伤害，这可能会降低他们参与PAT研究的意愿。然而，目前尚无关于有色人种在受过培训的医疗服务提供者支持下使用迷幻剂的信任度或意愿的实证数据。因此，我们分析了一项针对使用迷幻剂人群的大规模调查数据，以探讨北美有色人种与医疗服务提供者之间的互动情况。样本包括3547名白人、448名有色人种和377名多种族人士。在受过培训的提供者支持下使用迷幻剂的有色人种比例较低，但向初级保健提供者披露迷幻剂使用情况的比例相同。此外，有色人种同样有动力在受过培训的医疗服务提供者的支持下使用迷幻剂，使用迷幻剂治疗类似问题，并且同样报告迷幻剂对其他群体有效。我们的研究结果表明，缺乏信任可能无法完全解释有色人种在PAT研究中代表性不足的问题，未来的研究应该调查有色人种参与PAT研究的其他障碍。
