Police brutality, medical mistrust and unmet need for medical care

Alang, Sirry; McAlpine, Donna; McClain, Malcolm

doi:10.1016/j.pmedr.2021.101361

Cited by 24 publications

(20 citation statements)

References 35 publications

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“…These findings hold several implications for public health practice. Existing evidence suggests that incarcerated populations have greater degrees of distrust of the medical system (Alang et al, 2020(Alang et al, , 2021Brayne, 2014;Howerton et al, 2007;Porter, 2019;Vandergrift & Christopher, 2021). Thus, it may be that those who have been incarcerated are less trusting of medical guidance surrounding steps to mitigate COVID-19, as well as the safety and efficacy of vaccinations.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Mitigation Compliance and Vaccination Status Among Formerly Incarcerated Individuals in the United States

Testa

Fahmy

2022

Health Educ Behav

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Background To examine the relationship between incarceration history and an individual’s compliance toward COVID-19 mitigation strategies and vaccination status/intentions. Method Data are from the Crime, Health, and Politics Survey ( N = 1,735), a national probability sample of community-dwelling adults aged 18 and above living in the United States. Data were collected from May 10, 2021 to June 1, 2021. Multinomial logistic regression models were used to assess the relationship between incarceration history and COVID-19 mitigation strategies and vaccination status/intentions. Results Individuals with a history of incarceration reported approximately twice the relative risk of rarely/never using hand sanitizer and rarely/never wearing a mask compared with always/very often. Incarceration history was associated with more than 3 times greater relative risk of reporting not being vaccinated and not planning to get vaccinated compared with currently being vaccinated. Conclusion Formerly incarcerated individuals are less likely to abide by key COVID-19 mitigation protocols and exhibit higher levels of vaccine hesitancy. These findings suggest that formerly incarcerated individuals, as well as their families and communities, may therefore be at greater risk of accelerated spread of COVID-19 because of these factors.

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Section: Discussionmentioning

confidence: 99%

COVID-19 Mitigation Compliance and Vaccination Status Among Formerly Incarcerated Individuals in the United States

Testa

Fahmy

2022

Health Educ Behav

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“…Our study results add to this literature by indicating that COVID-19-related financial hardships are associated with medical mistrust. Prior research has found that distrust in one institution, such as experiences with police, breeds distrust in other institutions including healthcare [ 23 , 31 , 59 ]. As such, one possible explanation for our finding is that financial hardships due to COVID-19 may well impact trust in government, employers, or schools to provide equitable educational and economic opportunities, and distrust in these institutions could carry over to increased distrust of healthcare institutions.…”

Section: Discussionmentioning

confidence: 99%

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

Ash

Berkley‐Patton

Christensen

et al. 2021

Translational Behavioral Medicine

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The COVID-19 pandemic has disproportionately impacted communities of color and highlighted longstanding racial health inequities. Communities of color also report higher rates of medical mistrust driven by histories of medical mistreatment and continued experiences of discrimination and systemic racism. Medical mistrust may exacerbate COVID-19 disparities. This study utilizes the Behavior Model for Vulnerable Populations to investigate predictors of medical mistrust during the COVID-19 pandemic among urban youth of color. Minority youth (N = 105) were recruited from community organizations in Kansas City, Missouri to complete an online survey between May and June 2020. Multiple linear regressions were performed to estimate the effect of personal characteristics, family and community resources, and COVID-19 need-based factors on medical mistrust. Results indicated that loneliness, financial insecurity (e.g., job loss, loss of income) due to the COVID-19 pandemic, and eligibility for free or reduced lunch predicted medical mistrust. Insurance status, neighborhood median household income, social support, and perceived COVID-19 risk were not significantly associated with medical mistrust. Future research and policies are necessary to address systemic factors that perpetuate medical mistrust among youth of color.

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“…Police brutality, as one format of structural racism, has been and continues to be a problem. Several social campaigns, including #SayHisName, #SayHerName, and #SayTheirNames, have attempted to raise awareness of the issue's scope [6,7].…”

Section: Introductionmentioning

confidence: 99%

Perspective Chapter: Cultivating Environments of Belonging in Psychiatry, Clinical Psychology and the Allied Mental Health Fields

Lazaridou¹,

Heinz²

2022

Effective Elimination of Structural Racism

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Mental health science as a field of research, education and care practices has a fundamental role to play in mitigating the costs of racism for affected communities. The development and the implementation of solutions, such as gaining perspective, encouraging mentorship and finding empowerment, can only meaningfully occur through the involvement of lived experience expertise. Notably, as a first step, the inclusion of such expertise at a structural level would require the cultivation of environments of belonging in psychiatry, clinical psychology and the allied mental health fields for students racialised as Black and Of Colour. Black Lives Matter, as a specific political movement, articulates a critique of how certain subjectivities and identities belong more naturally in spaces of knowledge and power such as universities. This chapter reflects on belonging as a ‘feeling of mattering’ and a contemporary politics. It is argued that the possibility to facilitate the effective elimination of structural racism in mental health science requires the cultivation of environments of belonging at an institutional level causing greater inclusivity and enjoyment for Black students and students Of Colour in ‘liberated learning spaces’. A clear, actionable path to create environments of belonging to help resolve structural racism is outlined.

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Police brutality, medical mistrust and unmet need for medical care

Abstract: Highlights Police brutality can shape health by limiting access to health care. Police brutality is associated with greater odds of unmet need for medical care. This association is partly explained by medical mistrust.

Cited by 24 publications

References 35 publications

COVID-19 Mitigation Compliance and Vaccination Status Among Formerly Incarcerated Individuals in the United States

COVID-19 Mitigation Compliance and Vaccination Status Among Formerly Incarcerated Individuals in the United States

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

Perspective Chapter: Cultivating Environments of Belonging in Psychiatry, Clinical Psychology and the Allied Mental Health Fields

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