Describe culturally specific attitudes of African Americans that may impact use of the biomedical system

Answer 1

Among African Americans, self-reliance is highly valued and may lead to delay in seeking care or minimization of symptoms. Furthermore, an attitude that fate determines wellness may restrict medical visits. When a doctor's care is sought, it is usually for treatment of symptoms (often after home remedies have been tried) rather than for prevention of illness and health maintenance. Many blacks are present-oriented, and flexible scheduling and on-time policies may be helpful. Some African American clients feel patronized by nonblack providers and may choose to suffer at home rather than submit to humiliation. Others may be suspicious or hostile when working with nonblack health care professionals. Such attitudes are rarely directed specifically at the health care worker; instead, they are an adaptation to what is perceived as a prejudicial society. Some African Americans may not consider themselves active participants in their interaction with providers and may not communicate needs or questions. This is sometimes done to test the competency of the provider, who is expected to diagnose without help from the client. It may also be a reflection of the belief that their health care is out of their control, up to luck or destiny