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Its common to fear that society or people in our communities will blame us for causing a loved ones condition or will reject our family socially. Family members may internalize public stigma and blame themselves. This can lead to social isolation and resistance to reaching out for help.
Mistrust stems from historical events including the Tuskegee syphilis study and is reinforced by health system issues and discriminatory events that continue to this day. Mistrust was an important barrier expressed across all groups regardless of prior research participation or socioeconomic status.
Organizations should take the initiative to combat medical mistrust by acknowledging disparities in addition to providing health care providers with education on diversity, equity, inclusion, implicit bias, and a historical perspective on why medical mistrust remains a clinical issue.
Although blacks have similar or lower rates of common mental disorders than whites, mental disorders are more severe, persistent, and disabling among blacks. 1, 2, 3, 4, 5 Blacks are also less likely to utilize psychiatric services, and if they receive care, it is usually of lower quality than care provided to whites.
ing to Crawford, other reasons Black Americans receive less care include the lack of cultural sensitivity by health care professionals, African Americans feeling marginalized, and the reliance on family, community, and spiritual support instead of medical or psychiatric treatmenteven when it is critically
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For many in the Black community, it can be incredibly challenging to discuss the topic of mental health due to how they may be perceived by others. This fear could prevent people from seeking mental health care when they really need it.
Some studies argue that African Americans may have lower rates of depression when compared to non-Hispanic Caucasians due to the resilient nature of the community and greater religious support, but even these studies agree that these patients often tend to be underdiagnosed or misdiagnosed.
A majority of black adults reported experiencing discrimination in employment (57 percent in obtaining equal pay/promotions; 56 percent in applying for jobs), police interactions (60 percent reported being stopped/unfairly treated by police), and hearing microaggressions (52 percent) and racial slurs (51 percent).

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