Cervical Cancer Screening Behaviors and Perceptions of Medical Mistrust among Rural Black and White Women

Hall, Marla B.; Vos, Paul; Bess, Jukelia J; Reburn, Kelly; Locklear, Gavin D.; McAlister, Jamila; Bell, Ronny A.

doi:10.1353/hpu.2018.0101

Cited by 18 publications

(16 citation statements)

References 2 publications

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“…Participants overall had high mistrust compared with what has been reported for women living in rural regions of the United States (non-HIV 30 ), yet similar to what was reported for urban U.S. women (non-HIV 10 ). Specifically, median GBMM for the entire cohort was 29 (IQR 11)—21.5 for Creole speakers, 28 for Spanish speakers, and 32 for English speakers ( Table 2 ).…”

Section: Resultssupporting

confidence: 54%

“… 8 , 9 A median GBMM score of 29 mirrored what was reported for another cohort of urban women (non-HIV; GBMM=29), 10 but higher than that reported for rural women (non-HIV; GBMM=19). 30 Despite a history of nonadherence, the women in this cohort were still in HIV care, perhaps explaining why mistrust was not higher than hypothesized.…”

Section: Discussionmentioning

confidence: 75%

“…One study reported that Hispanics endorsed lower mistrust, compared with black non-Hispanics 4 ; another reported that both black non-Hispanics and Hispanics endorsed higher mistrust, compared with white non-Hispanics. 30 In Miami, Hispanics are a majority-minority and Spanish is the dominant spoken language. Assuming preferred language represented some measure of acculturation 14,15 in our study, it is plausible that Creole speakers (who are a linguistic and ethnic minority group and have a shorter history of residency in Miami) were acculturated to a lesser degree, compared with the Spanish speakers, and may explain why, regarding mistrust, Spanish and English speakers are more similar to each other.…”

Section: Discussionmentioning

confidence: 99%

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Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

et al. 2021

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Purpose: To explore the relationship between medical mistrust, as measured by the Group-Based Medical Mistrust (GBMM) scale, and HIV care adherence among a cohort of minority women receiving care in a U.S. safety net clinic. Methods: English-, Spanish-, and Haitian Creole (Creole)-speaking patients with a recent history of nonadherence to care were surveyed. Results: English speakers endorsed the highest level of mistrust, followed by Spanish speakers and Creole speakers. Creole speakers endorsed lower mistrust, lower suspicion of providers, and lower levels of ''perceived health care disparities.'' Higher mistrust was associated significantly with lower medication adherence, and lower rates of viral suppression (nonsignificant). Conclusion: Understanding perceptions of medical care and the relationship to HIV care adherence is an important step to addressing negative health outcomes for ethnic minority women with HIV. Clinical Trial Registration Number: NCT03738410.

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Section: Resultssupporting

confidence: 54%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

et al. 2021

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“…As our findings suggest, within this “desert” context, static understandings of rural distance not only contribute to medical mistrust but also fail to capitalize on the close social distance that occurs in spite of—or perhaps because of—rural and remote spatiality. While there has rightly been meaningful attention to race-, gender-, and citizenship-based medical mistrust ( Jaiswal, 2019 ), there remains a critical need for a more multidimensional understanding of the role of trust among socio-ethnically diverse but spatially distinct populations, such as rural women ( Hall et al, 2018 ). Not only could this improve health care outcomes, but it might likewise inform regionally specific initiatives aimed at addressing the rural health crisis.…”

Section: Discussionmentioning

confidence: 99%

Spatial barriers as moral failings: What rural distance can teach us about women's health and medical mistrust

Statz

Evers

2020

Health & Place

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Policy attention to growing rural “health care deserts” tends to identify rural distance as a primary spatial barrier to accessing care. This paper brings together geography, health policy, and ethnographic methods to instead theorize distance as an expansive and illuminating concept that highlights place-based expertise. It specifically engages rural women's interpretations of rural distance as a multifaceted dimension of accessing health care, which includes but is not limited to women's health services and maternity care. Presenting qualitative research with 51 women in a rural region of the U.S., thematic findings reveal an interpretation of barriers to rural health care as moral failings rather than as purely spatial or operational challenges, along with wide communication of negative health care experiences owing to spatially-disparate but trusted social networks. Amid or owing to the rural crisis context, medical mistrust here emerges as a meaningful but largely unrecognized barrier to rural women's ability—and willingness—to obtain health care. This underscores how a novel interpretation of distance may inform policy efforts to address rural medical deserts.

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“…Given the disproportionate disease burden experienced by MSM, this focus is sensible and strategic, but it leaves many other communities underrepresented in innovations to prevent new infections. Notable exceptions that focus on minority women have studied outcomes related to breast cancer screening (Molina et al, 2015; Shelton et al, 2011; Thompson et al, 2004) or cervical cancer screening (M. B.…”

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confidence: 99%

Correlates of Medical Mistrust Among Minority Women at Risk for HIV and Their Networks

et al. 2021

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Background Medical mistrust is a barrier to engaging in HIV prevention and treatment, including testing and adherence to antiretroviral therapy. Research often focuses on how race and experiences of discrimination relate to medical mistrust, overlooking the role that other characteristics may play (e.g., history of physical abuse, diagnosis of mental illness). Furthermore, studies are often restricted to samples of men who have sex with men and findings may not generalize to other at-risk groups. Aims The current study explores a range of demographic, cognitive, behavioral, and social network correlates of medical mistrust. Method This study employed an egocentric network design among a racially diverse sample of at-risk women and women in their social networks ( n = 165). Results Results from multivariable linear regressions stratified by race (Black vs. others) indicate that medical mistrust is associated with both individual-level and network-level characteristics. Across both groups, age and experiences of racial discrimination were associated with higher medical mistrust. Having a regular sex partner and having a higher proportion of network members who are family was significantly associated with medical mistrust among non-Black women. Discussion Individual-level and network-level variables were significantly associated with medical mistrust. Therefore, interventions that attempt to mitigate medical mistrust as a barrier to HIV prevention and treatment should consider how mistrust may be related to characteristics of individuals and broader contexts. Conclusion Health interventions may benefit from conceiving of medical mistrust as a complex, rational response to cumulative discriminatory life experiences and a reflection of the networks within which individuals are embedded.

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Cervical Cancer Screening Behaviors and Perceptions of Medical Mistrust among Rural Black and White Women

Cited by 18 publications

References 2 publications

Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

Spatial barriers as moral failings: What rural distance can teach us about women's health and medical mistrust

Correlates of Medical Mistrust Among Minority Women at Risk for HIV and Their Networks

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