Review Article
Volume 4 Issue 10 - 2020
400 Years of Reasons: Medical-Mistrust by the Black-American Population (and its Adverse Effect on Healthcare Outcomes and Cost to Society)
Kevin D Pruitt1 and Nicholas A Kerna2*
1Kemet Medical Consultants, USA
2SMC–Medical Research, Thailand
*Corresponding Author: Nicholas A Kerna, POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500.
Received: September 03, 2020; Published: October 15, 2020




Abstract

The health status for Black-Americans is worse than other ethnic groups due to less seeking of medical care. Many Black-Americans refuse to seek medical care due to their mistrust of the medical establishment. Cultural-mistrust, which perpetuates medicalmistrust, was used as the theoretical framework for this study. The purpose of this quantitative, hierarchical multiple-regression research was to investigate the foundations of medical-mistrust by the Black-American population, and elucidate its connection to the underutilization of healthcare services, resulting in inferior outcomes and overall increased healthcare costs and burden to society. The study was also intended to determine if age and medical-mistrust adversely affect healthcare utilization by Black-Americans when controlling for gender, income, insurance status, and education level, using the Medical Mistrust Index and Group-Based Medical Mistrust Scale as data collection tools.

Results from 148 surveys collected from Black men (n = 57) and women (n = 91) in Orlando, Florida, USA revealed that there is a negative significant relationship between medical-mistrust and healthcare utilization (r = -.023) when controlling for gender, income, insurance status, and education level. Further, it was found that a non-significant bivariate relationship exists between age (r = .032) and healthcare utilization among Black-Americans [1,2]. However, this study’s results indicate that Black-Americans of all age groups may harbor more distrust than mistrust of healthcare. Thus, this research adds further knowledge to medical-mistrust as a cause for decreased healthcare utilization by the Black-American population. It may also aid healthcare professionals with ways to decrease health disparities between Black-Americans and other ethnic-American groups, bringing about the necessary positive social change and medical assistance Black-Americans need to overcome the underutilization of healthcare services due to medicalmistrust.

Nowhere in the medical profession is trust and mutual understanding more essential and consequential than in emergency medicine and critical care settings where immediate actions and confident decisions might mean the difference between life or death. Thus, emergency medicine and critical care personnel should be more cognizant and sensitive to the long-standing and persistent medical-mistrust embedded in the psyche of specific members of the Black-American population who may present for treatment or be guardians of those with an emergency or critical care condition.

Keywords: Black-American; Biopsychosocial; Cultural Mistrust; Cultural Paranoia; Racism; Tuskegee

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Citation: Kevin D Pruitt and Nicholas A Kerna. “400 Years of Reasons: Medical-Mistrust by the Black-American Population (and its Adverse Effect on Healthcare Outcomes and Cost to Society)”. EC Emergency Medicine and Critical Care. 2020 Oct 15; 4.11: 48-64.

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Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


April Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the April issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before April 22, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk