以医疗不信任设计：来自公共补贴住房中黑人老年人的视角
Designing with Medical Mistrust: Perspectives from Black Older Adults in Publicly Subsidized Housing
AI总结：
本文通过访谈低收入黑人老年人，探讨医疗不信任的成因，并提出基于黑人女性主义思想的设计原则，以改进健康自我管理技术。
摘要：
尽管对文化敏感健康技术的兴趣不断增加，但医疗不信任在人本计算领域仍鲜有探讨。作为健康的社会决定因素，医疗不信任是指认为医疗提供者或机构在损害个人最佳利益。这是一种基于历史背景、结构性不平等和歧视的合理保护性反应。为了中心化基于种族的医疗不信任以及低收入黑人老年人的现实生活经验，我们在美国南部的公共补贴住房中进行了访谈。我们的反思主题描述了社区对医疗和医疗不信任的看法，包括认证和身体性、对财务动机的怀疑，以及健康AI背后的意图。我们为研究人员提供了一种反思练习，以考虑他们在社区参与中的位置，并通过黑人女性主义思想重新阐述我们的发现，以提出针对历史上存在医疗不信任社区的健康自我管理技术的设计原则。
英文摘要：
Despite increasing interest in culturally-sensitive health technologies, medical mistrust remains largely unexplored within human-centered computing. Considered a social determinant of health, medical mistrust is the belief that healthcare providers or institutions are acting against one's best interest. This is a rational, protective response based on historical context, structural inequities, and discrimination. To center race-based medical mistrust and the lived experiences of Black older adults with low income, we conducted interviews within publicly subsidized housing in the Southern United States. Our reflexive themes describe community perspectives on health care and medical mistrust, including accreditation and embodiment, skepticism of financial motivations, and the intentions behind health AI. We provide a reflective exercise for researchers to consider their positionality in relation to community engagements, and reframe our findings through Black Feminist Thought to propose design principles for health self-management technologies for communities with historically grounded medical mistrust.
机构、总结、中文摘要均由AI分析而来，可能存在错误，请以论文正文为准。
