Medical Mistrust in Perinatal Mental Health.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Nkechi Conteh, Jane Gagliardi, Shunda McGahee, Rose Molina, Crystal T Clark, Camille A Clare
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引用次数: 6

Abstract

Abstract: Despite the advancement of telemedicine and recent innovations in treatment, minoritized women continue to bear a disproportionate burden of pregnancy-related psychiatric conditions and complications, which the pandemic has further exacerbated. Research demonstrates that medical mistrust and systemic racism play central roles in the underutilization of services by racially and ethnically diverse women during pregnancy and postpartum. To effectively address these disparities, it is imperative to understand the drivers of medical mistrust in perinatal health care systems. This Perspectives article describes the historical context of medical mistrust in psychiatric and obstetric health systems and offers solutions to mitigate mistrust and the impact of systemic racism on perinatal care.

围产期心理健康中的医疗不信任。
摘要:尽管远程医疗取得了进步,治疗方法也有所创新,但少数族裔妇女仍然承受着与妊娠相关的精神疾病和并发症的不成比例的负担,而疫情进一步加剧了这一负担。研究表明,医疗不信任和系统性种族主义在不同种族和族裔妇女在怀孕和产后未充分利用服务方面发挥了核心作用。为了有效地解决这些差异,必须了解围产期卫生保健系统中医疗不信任的驱动因素。这篇展望文章描述了精神科和产科卫生系统中医疗不信任的历史背景,并提供了减轻不信任和系统性种族主义对围产期护理影响的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.50
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.
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