Discrimination, Complementary Medicine, Race/Ethnicity, Nativity, Trust
This study examines the relationship between racial/ethnic discrimination in medical settings, distrust in conventional medicine, and attitudes toward complementary and alternative medicine (CAM) among a racially/ethnically diverse sample. We also investigate how this relationship differs by nativity. Data are from a 2008 statewide stratified sample of publicly insured adults in Minnesota (N=2,194). Discrimination was measured as self-reported unfair treatment in medical settings due to race, ethnicity, and/or nationality. Outcomes are trust in conventional providers/medicine and attitudes toward CAM modalities. Discrimination in medical settings was positively associated with 1) distrust in conventional providers and 2) favorable attitudes toward CAM. Foreign-born status was associated with more distrust in conventional providers/medicine and more positive attitudes toward CAM. Our findings show that for publicly insured, and especially minority and foreign-born individuals, CAM may represent a response to disenfranchisement in conventional medical settings and resulting distrust.
Shippee, Tetyana; Henning-Smith, Carrie; Shippee, Nathan; Kemmick Pintor, Jessie; Call, Kathleen T.; McAlpine, Donna; and Johnson, Pamela Jo
"Discrimination in Medical Settings and Attitudes toward Complementary and Alternative Medicine: The Role of Distrust in Conventional Providers,"
Journal of Health Disparities Research and Practice: Vol. 6
, Article 3.
Available at: http://digitalscholarship.unlv.edu/jhdrp/vol6/iss1/3