ArticlePsychiatric services (Washington, D.C.)2025
Medical Mistrust and Willingness to Use Mental Health Services Among a Cohort of Black Adults.
Article in Psychiatric services (Washington, D.C.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Randomized Comparison of Online Motivational Themes in Clinical Trial Recruitment.Circulation. Cardiovascular quality and outcomes · 2025Trial
- The Role of Depression on Medical Mistrust and Mental Health Service Use in Black Adults.Community mental health journal · 2026Article
- The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study.American journal of health promotion : AJHP · 2026Article
- Design of a mobile mental health stigma reduction application for depression and anxiety: User centered design.SSM. Mental health · 2026Article
- What breaks when federal commitments break: comment on Beccia et al.SSM. Mental health · 2026Article
- An mHealth App to Increase Engagement in Mental Health Services for Depression and Anxiety: Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2026Article
- Sociodemographic disparities, healthcare system trust, and social support in mental health treatment among U.S. adults with depressive or anxiety symptoms.Journal of mood and anxiety disorders · 2026Article
- Exploring Perceived Discrimination and Medical Mistrust among Middle-Aged Black Adults.Journal of racial and ethnic health disparities · 2026Article
- Hidden distress: a qualitative study of sociocultural barriers to mental health help-seeking among young people in Zimbabwe.Frontiers in public health · 2026Article
- Racial/Ethnic variation in health insurance coverage and early midlife depressive symptoms in the U.S.BMC health services research · 2025Article
- Mental health knowledge and service utilization among black adults: Moderation by mental illness stigma.Journal of psychiatric research · 2025Article
- From mental health detention to health systems reform: Co-producing policy and practice recommendations with Black men, their communities, and health and social care professionals.PLOS mental health · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveBlack adults experience depression that is more severe than that of their White counterparts, yet they are less likely to receive treatment from a mental health professional. This study aimed to examine the relationships between medical mistrust or trust and the willingness to seek mental health care.
methodsThe authors conducted an online cross-sectional survey of 1,043 Black adults in the United States. The primary variables of interest were medical mistrust (measured via the 12-item Group-Based Medical Mistrust Scale; GBMMS) and a single item, derived from the General Help-Seeking Questionnaire, that assessed willingness to seek mental health care. The authors hypothesized that mistrust would have a negative correlation with willingness to seek help from a mental health professional. To estimate the association between level of mistrust and willingness to seek care, gamma regression models were fitted with a log link, and the analyses were adjusted for age, ethnic identity or origin, education, insurance status, personal income, citizenship status, and length of time in the United States.
resultsAt low levels of medical mistrust (GBMMS scores ≤3), an increase in mistrust was significantly associated with an increase in the probability of seeking mental health care (rate ratio [RR]=1.55, p<0.001). At high levels of medical mistrust (GBMMS scores >3), an increase in mistrust was associated with a decrease in care seeking (RR=0.74, p<0.001). Similar patterns were observed for medical trust.
conclusionsAt low levels of medical mistrust among Black adults, each unit increase in mistrust was counterintuitively associated with an increase in willingness to seek care from a mental health professional.
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