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Sodeke SO. Introduction. J Health Care Poor Underserved 2019; 30:vi-x. [PMID: 31735711 DOI: 10.1353/hpu.2019.0108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Abstract
Mistrust of medical advances and the medical professions continues to persist, and is perhaps increasing. The popular press has documented the growing number of parents globally whose concerns around childhood vaccination, albeit based on faulty scientific information, has led to the anti-vax movement which has already resulted in outbreaks of measles in various parts of the U.S. In recent years, the AIDS Healthcare Foundation has increased speculation and mistrust with regard to the denialism of the effectiveness of pre-exposure prophylaxis (PrEP) to avert HIV infections, again based on misinformation. However, in other cases, medical mistrust reflects the very real historical and ongoing injustices experienced by socially and economically marginalized groups. Whether the genesis of the mistrust is based on fact or fallacy, the results may be similar. There are myriad negative consequences associated with medical mistrust, including lower utilization of healthcare and poorer management of health conditions. Mistrust is thought to provide a partial explanation for staggering health disparities, particularly among Black and African American people, and much of the public health and medical literature cites the infamous Tuskegee Study as a main catalyst for this persistent health-related mistrust among people of color and other groups who experience social and economic vulnerability. While mistrust is often referred to as a phenomenon existing within an individual or community, we must rethink this conceptualization and instead locate mistrust as a phenomenon created by and existing within a system that creates, sustains and reinforces racism, classism, homophobia and transphobia, and stigma. The purpose of this article is to briefly address the state of the medical mistrust literature, and to provide a summary of the articles included in this special issue on medical mistrust. Although the scholarship in this issue addresses diverse methodologies, outcomes and populations, they share a message: social inequality drives mistrust.
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Affiliation(s)
- Jessica Jaiswal
- Department of Health Science, University of Alabama, Russell Hall, Box 870311, Tuscaloosa, AL 35487,Center for Health, Behavior, Identity and Prevention Studies, Rutgers University,Center for Interdisciplinary Research on AIDS, Yale University, 135 College St., Ste. 200, New Haven, CT 06510
| | - Perry N. Halkitis
- Center for Health, Behavior, Identity and Prevention Studies, Rutgers University,Department of Social and Behavioral Health Sciences, Rutgers University, 683 Hoes Lane West Piscataway, NJ 08854,Graduate School of Applied & Professional Psychology, Rutgers University, 152 Frelinghuysen Road, Busch Campus, Piscataway, NJ 08854,Robert Wood Johnson School of Medicine, Rutgers University, 675 Hoes Ln W, Piscataway Township, NJ 08854,School of Public Policy and Administration, Rutgers University, 401 Cooper Street, Camden, NJ 08102
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Sodeke SO, Wilson WD. Integrative Bioethics is a Bridge-Builder Worth Considering to Get Desired Results. THE AMERICAN JOURNAL OF BIOETHICS : AJOB 2017; 17:30-32. [PMID: 28829263 PMCID: PMC5730274 DOI: 10.1080/15265161.2017.1353174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Stephen O Sodeke
- a Tuskegee University National Center for Bioethics in Research and Health Care
| | - Wylin D Wilson
- a Tuskegee University National Center for Bioethics in Research and Health Care
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Ortmann LW, Barrett DH, Saenz C, Bernheim RG, Dawson A, Valentine JA, Reis A. Public Health Ethics: Global Cases, Practice, and Context. ACTA ACUST UNITED AC 2016. [DOI: 10.1007/978-3-319-23847-0_1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
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Sodeke S. Bioethics Skill Sets Can Work, But It Would Take Moral Courage to Apply Them and Get Desired Results. THE AMERICAN JOURNAL OF BIOETHICS : AJOB 2016; 16:19-21. [PMID: 26982914 PMCID: PMC4934615 DOI: 10.1080/15265161.2016.1145301] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Stephen Sodeke
- Tuskegee University National Center for Bioethics in Research and Health Care
& College of Veterinary Medicine, Nursing, and Allied Heath
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