Quantifiable Cross-cultural Research on Medical Mistrust is Necessary for Effective and Equitable Vaccination in Low- and Middle-income Countries.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Global Health Pub Date : 2024-10-28 DOI:10.1007/s44197-024-00319-0
Sean P Prall
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Abstract

Perceptions of healthcare personnel and institutions substantially impact healthcare behaviors. In the US, minority experiences with racist events like the Tuskegee study, alongside everyday experiences of marginalization and discrimination, drive medical mistrust in populations that are already burdened with health inequalities. However, the concept of medical mistrust is rarely applied outside of industrialized contexts. Histories of colonialism, underfunded healthcare institutions, and the enormous cultural and ethnolinguistic diversity present in low- and middle-income countries (LMICs) make medical mistrust a likely contributor to health behavior in these contexts. In the era of COVID-19 and emergent malaria vaccines, there is an urgent need to mitigate factors leading to medical mistrust, which impedes interest in novel vaccines. Doing so requires substantial investment in research that examines the causes of medical mistrust across diverse communities, develops methodological tools that can effectively measure medical mistrust across diverse cultural and ethno-linguistic contexts, and applies this data to policy and public health messaging. This commentary highlights the role of medical mistrust in vaccination and argues for its utility in addressing vaccine decision-making in LMICs.

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要在中低收入国家有效、公平地接种疫苗,就必须对医疗不信任进行可量化的跨文化研究。
对医护人员和医疗机构的看法严重影响着人们的医疗行为。在美国,少数族裔经历过塔斯基奇研究等种族主义事件,加上日常的边缘化和歧视经历,使得本已承受着健康不平等负担的人群对医疗产生不信任感。然而,医疗不信任的概念很少应用于工业化环境之外。殖民主义的历史、医疗机构资金不足以及中低收入国家(LMICs)巨大的文化和民族语言多样性使得医疗不信任很可能成为这些国家健康行为的诱因。在 COVID-19 和新出现的疟疾疫苗时代,迫切需要减少导致医疗不信任的因素,这些因素阻碍了人们对新型疫苗的兴趣。要做到这一点,需要对研究进行大量投资,研究不同社区中医疗不信任的原因,开发能够有效衡量不同文化和民族语言背景下医疗不信任的方法工具,并将这些数据应用于政策和公共卫生信息的传播。本评论强调了医疗不信任在疫苗接种中的作用,并论证了医疗不信任在解决低收入和中等收入国家疫苗决策中的作用。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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