Group-based medical mistrust and care expectations among black patients seeking addiction treatment

Hall, O.; Bhadra-Heintz, Nia M.; Teater, Julie; Samiec, Jennifer; Moreno, J.L.; Dixon-Shambley, Kamilah; Rood, Kara M.; Fielin, David A.; Jordan, Ayana

doi:10.1016/j.dadr.2022.100026

Drug and Alcohol Dependence Reports

2022

DOI: 10.1016/j.dadr.2022.100026

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Group-based medical mistrust and care expectations among black patients seeking addiction treatment

O. Hall¹,

Nia M. Bhadra-Heintz²,

Julie Teater³

et al.

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2024

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Cited by 8 publications

(2 citation statements)

References 26 publications

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“…Previously, we found rates of unintentional opioid overdose mortality increasing faster among Black residents of Ohio compared with their White counterparts . We also found that experiences of racist mistreatment by health care workers are common among Black patients seeking addiction treatment and that a history of such experiences is related to medical mistrust, delay in seeking treatment for addiction, anticipation of racial discrimination during addiction treatment, and fear of discrimination-precipitated relapse . Further, it has been observed that the US addiction treatment workforce is predominantly White, and an increase in addiction treatment professionals of other races and ethnicities is needed .…”

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confidence: 71%

Race, Overdose Deaths, and Years of Lost Life—Reply

Hall

Trimble²,

Garcia

2022

JAMA Pediatr

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To the Editor In their study of fatal drug overdoses among young people aged 10 to 24 years, Hall and colleagues 1 report 21 689 deaths from 2015 to 2019, which resulted in 1.23 million years of lost life (YLL). This averages to 57 YLL per overdose death, a devastating statistic.The authors' life expectancy data source, the Social Security Administration Period Life Table, did not include information on race; therefore, race-specific YLLs were not provided. However, we can be reasonably sure that the burden of YLL is rapidly changing in ways that are closely tied to race. From 2015 to 2020, the age-adjusted drug overdose death rate for young White male individuals increased by 37%, rising from 9.1 to 12.5 per 100 000 people. By contrast, the rate quadrupled for young Black male individuals, rising from 2.7 to 10.8. Similarly, for young White female individuals, the overdose death rate increased by 41%, rising from 4.1 to 5.8. For young Black female individuals, the rate more than tripled, rising from 1.4 to 4.6. 2 Young Black individuals have experienced a staggering increase in overdose deaths and YLL since 2015, with rates now approximating those of young White individuals. A better understanding of the race-specific drivers of overdose mortality among young people is an urgent priority.

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confidence: 71%

Race, Overdose Deaths, and Years of Lost Life—Reply

Hall

Trimble²,

Garcia

2022

JAMA Pediatr

Self Cite

View full text Add to dashboard Cite

show abstract

“…2 We also found that experiences of racist mistreatment by health care workers are common among Black patients seeking addiction treatment and that a history of such experiences is related to medical mistrust, delay in seeking treatment for addiction, anticipation of racial discrimination during addiction treatment, and fear of discrimination-precipitated relapse. 3,4 Further, it has been observed that the US addiction treatment workforce is predominantly White, and an increase in addic-tion treatment professionals of other races and ethnicities is needed. 5 Taken together with Harris's observations, we see that while rates of unintentional overdose are increasing among Black youths, systemic and interpersonal racism may limit their access to lifesaving treatment.…”

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confidence: 99%

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2022

JAMA Pediatr

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The Lived Experiences of African American Women in Natural Recovery: Re-Envisioning the Role of Counselors

Blount,

Prosek,

King

et al. 2024

Int J Adv Counselling

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Recovery from substance misuse is complex and requires an individual’s desire and readiness for change. Specifically, for African Americans, additional factors such as social equity and access to culturally responsive treatments can complicate the recovery process. In this secondary analysis of a transcendental qualitative phenomenological study, researchers explored how eight African-American women navigated their change process in natural recovery. Researchers identified the following emergent themes: (a) focused on the drug; (b) engagement in risky behavior; (c) desire to be free; (d) Damascus Road experience; (e) plea to higher power; (d) geographical cure; (e) self-liberation in commitment; and (f) new associations. Findings are conceptualized through the Transtheoretical Model framework. Implications emphasize the importance of counselors’ outreach role in their communities.

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Group-based medical mistrust and care expectations among black patients seeking addiction treatment

Cited by 8 publications

References 26 publications

Race, Overdose Deaths, and Years of Lost Life—Reply

Race, Overdose Deaths, and Years of Lost Life—Reply

Change to Open Access Status

The Lived Experiences of African American Women in Natural Recovery: Re-Envisioning the Role of Counselors

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