title: Medical mistrust and discrimination in health care: a qualitative study of Hmong women and men.
abstract: Low rates of breast and cervical cancer screening among Hmong women have been documented. Mistrust of Western medicine and the health care system, as well as experiences of discrimination in health care, may be barriers to seeking health care for this population. In this study, we explored medical mistrust among Hmong women and men, their experiences with discrimination in health care, and how these factors may influence Hmong women's breast and cervical cancer screening behavior. We conducted semi-structured, in-depth interviews with women and men who were members of the Hmong community in Oregon. Transcripts of 83 interviews were analyzed using content analysis. Despite personally trusting Western medicine and the health care system, participants shared reasons that some Hmong people feel mistrust including lack of understanding or familiarity, culture, and tradition. Although mistrust was thought to result in delaying or avoiding breast or cervical cancer screening, more frequently trust was described as positively influencing screening. In addition, few participants reported being treated differently during breast or cervical cancer screening because they were Hmong. When discussing health care more broadly, however, some participants described differential (e.g., disrespectful or rude) treatment. Such experiences led to feelings such as anger and sadness and affected behavior, including willingness to seek care and choice of provider. Medical mistrust and perceived discrimination were not major barriers to breast and cervical cancer screening in this study. Additional studies are needed to assess whether our findings reflect the experiences of other Hmong.
authors: School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331-6406, USA. Sheryl.Thorburn@oregonstate.edu
authors: Sheryl
authors: S
authors: Thorburn
authors: Jennifer
authors: J
authors: Kue
authors: Karen Levy
authors: KL
authors: Keon
authors: Patela
authors: P
authors: Lo
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health / Q000208:ethnology*; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D009922:Oregon; D010817:Physician-Patient Relations; D011287:Prejudice; D036301:Qualitative Research; D035502:Trust; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control; D055815:Young Adult