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10.1353/hpu.2017.0028

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suck abstract from ncbi


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pmid28239007
      J+Health+Care+Poor+Underserved 2017 ; 28 (1 ): 362-377
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  • Inadequate Cancer Screening: Lack of Provider Continuity is a Greater Obstacle than Medical Mistrust #MMPMID28239007
  • Arnold LD ; McGilvray MM ; Kyle Cooper J ; James AS
  • J Health Care Poor Underserved 2017[]; 28 (1 ): 362-377 PMID28239007 show ga
  • BACKGROUND: Racial minorities and low-income individuals are generally less likely to have adequate cancer screening than Whites or higher-income individuals. PURPOSE: To examine the roles of medical mistrust and lack of provider continuity in cancer screening in a low-income minority population. METHODS: A total of 144 urban federally qualified health center patients completed a cross-sectional survey that included the Group Based Medical Mistrust Scale and questions on provider continuity and cancer-screening-history. RESULTS: Breast cancer screening was associated with continuity of care but not mistrust (respectively p = .002, p > .05); colon cancer screening was not significantly associated with either factor (p > .05). CONCLUSIONS: Findings suggest that among low-income minority adults continuity of care is more strongly associated with screening than medical mistrust. Shifting focus from medical mistrust-a patient-level issue-to establishing health care homes-a system-level issue-may be a more effective strategy for reducing racial and socioeconomic disparities in cancer screening.
  • |*Trust [MESH]
  • |Adult [MESH]
  • |Black or African American/*statistics & numerical data [MESH]
  • |Continuity of Patient Care [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Early Detection of Cancer/*statistics & numerical data [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Longitudinal Studies [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Patient-Centered Care/*statistics & numerical data [MESH]
  • |Poverty/*statistics & numerical data [MESH]
  • |Racial Groups/statistics & numerical data [MESH]
  • |Safety-net Providers/statistics & numerical data [MESH]


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