Abstract
Study purposeDistrust of the healthcare system is longstanding in the black community. This may especially threaten the health of the population when a highly contagious infection strikes. This study aims...
Highlights
As of 1 July 2021, COVID-19 has resulted in more than 34 million infections and 620 000 deaths in the USA.[1]
The distrustful patients were less likely to believe that they were at high risk of getting COVID-1 9 (57.1% vs 75.7%; p=0.05), less likely to believe that people with underlying medical conditions were at higher risk of dying from the virus (86.4% vs 98.0%; p=0.01), believed their community did not trust doctors or the healthcare system (78.3% vs 33.0%; p
*Cardiac: diagnoses included chest pain, myocardial infarction, heart failure, poorly controlled hypertension. †Gastrointestinal diagnoses included colitis, gastroenteritis, gastrointestinal bleed, acute pancreatitis, abdominal pain. ‡Pulmonary: diagnoses included asthma exacerbation, chronic obstructive pulmonary disease exacerbation, pulmonary embolism, pneumonia. §Fisher’s exact tests were used to assess categorical variables; t-tests were used for the analysis of continuous variables. Participants, those who were poor and those with low health literacy were less likely to believe that they would get infected with COVID-19.19 20 Further, work by O’Conor et al determined that within this same demographic, there was less appreciation of the need to socially distance to reduce the risk of contracting COVID-19.21 With regard to vaccinations, we found that receptivity to the COVID-1 9 vaccine among black patients is linked to trust, which is similar to other studies.[15 23]
Summary
As of 1 July 2021, COVID-19 has resulted in more than 34 million infections and 620 000 deaths in the USA.[1]. This is verified by empirical evidence confirming that black people have higher levels of medical distrust than do white people.[9 10]
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