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Under the Shadow of Tuskegee: African Americans and Health Care

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  • Gamble, V.N.

Abstract

The Tuskegee Syphilis Study continues to cast its long shadow on the contemporary relationship between African Americans and the biomedical community. Numerous reports have argued that the Tuskegee Syphilis Study is the most important reason why many African Americans distrust the institutions of medicine and public health. Such an interpretation neglects a critical historical point: the mistrust pre-dated public revelations about the Tuskegee study. This paper places the syphilis study within a broader historical and social context to demonstrate that several factors have influenced - and continue to influence - African Americans' attitudes toward the biomedical community.

Suggested Citation

  • Gamble, V.N., 1997. "Under the Shadow of Tuskegee: African Americans and Health Care," American Journal of Public Health, American Public Health Association, vol. 87(11), pages 1773-1778.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.87.11.1773_3
    DOI: 10.2105/AJPH.87.11.1773
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    10. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
    11. Dominique H. Como & Lucía I. Floríndez-Cox & Leah I. Stein Duker & Sharon A. Cermak, 2022. "Oral Health Barriers for African American Caregivers of Autistic Children," IJERPH, MDPI, vol. 19(24), pages 1-14, December.
    12. Alana Smith & Gregory A. Vidal & Elizabeth Pritchard & Ryan Blue & Michelle Y. Martin & LaShanta J. Rice & Gwendolynn Brown & Athena Starlard-Davenport, 2018. "Sistas Taking a Stand for Breast Cancer Research (STAR) Study: A Community-Based Participatory Genetic Research Study to Enhance Participation and Breast Cancer Equity among African American Women in ," IJERPH, MDPI, vol. 15(12), pages 1-12, December.
    13. Richmond, Jennifer & Boynton, Marcella H. & Ozawa, Sachiko & Muessig, Kathryn E. & Cykert, Samuel & Ribisl, Kurt M., 2022. "Development and Validation of the Trust in My Doctor, Trust in Doctors in General, and Trust in the Health Care Team Scales," Social Science & Medicine, Elsevier, vol. 298(C).
    14. Joniqua Ceasar & Marlene H. Peters-Lawrence & Valerie Mitchell & Tiffany M. Powell-Wiley, 2017. "The Communication, Awareness, Relationships and Empowerment (C.A.R.E.) Model: An Effective Tool for Engaging Urban Communities in Community-Based Participatory Research," IJERPH, MDPI, vol. 14(11), pages 1-12, November.
    15. Amelia S Knopf & Peter Krombach & Amy J Katz & Rebecca Baker & Gregory Zimet, 2021. "Measuring research mistrust in adolescents and adults: Validity and reliability of an adapted version of the Group-Based Medical Mistrust Scale," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-9, January.
    16. Vargas, Robert, 2016. "How health navigators legitimize the Affordable Care Act to the uninsured poor," Social Science & Medicine, Elsevier, vol. 165(C), pages 263-270.
    17. Thomas Guffey & Philip Q. Yang, 2012. "Trust in Doctors," SAGE Open, , vol. 2(4), pages 21582440124, December.
    18. Freimuth, Vicki S. & Jamison, Amelia M. & An, Ji & Hancock, Gregory R. & Quinn, Sandra Crouse, 2017. "Determinants of trust in the flu vaccine for African Americans and Whites," Social Science & Medicine, Elsevier, vol. 193(C), pages 70-79.
    19. Joseph Gibbons, 2021. "Distancing the socially distanced: Racial/ethnic composition’s association with physical distancing in response to COVID-19 in the U.S," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-21, May.
    20. Cheryl Nakata & Elif Izberk-Bilgin & Lisa Sharp & Jelena Spanjol & Anna Shaojie Cui & Stephanie Y. Crawford & Yazhen Xiao, 2019. "Chronic illness medication compliance: a liminal and contextual consumer journey," Journal of the Academy of Marketing Science, Springer, vol. 47(2), pages 192-215, March.
    21. Jan Blustein, 2005. "Toward a more public discussion of the ethics of federal social program evaluation," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 24(4), pages 824-846.
    22. Dominique H. Como & Leah I. Stein Duker & José C. Polido & Sharon A. Cermak, 2019. "The Persistence of Oral Health Disparities for African American Children: A Scoping Review," IJERPH, MDPI, vol. 16(5), pages 1-16, February.
    23. Puckett, Cassidy & Wong, Jenise C. & Daley, Tanicia C. & Cossen, Kristina, 2020. "How organizations shape medical technology allocation: Insulin pumps and pediatric patients with type 1 diabetes," Social Science & Medicine, Elsevier, vol. 249(C).
    24. Sandra Soo-Jin Lee, 2015. "The Biobank as Political Artifact," The ANNALS of the American Academy of Political and Social Science, , vol. 661(1), pages 143-159, September.

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