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10.1353/hpu.2017.0028

http://scihub22266oqcxt.onion/10.1353/hpu.2017.0028
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C5483852!5483852!28239007
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suck abstract from ncbi


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pmid28239007      J+Health+Care+Poor+Underserved 2017 ; 28 (1): 362-77
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  • Inadequate Cancer Screening: Lack of Provider Continuity is a Greater Obstacle than Medical Mistrust #MMPMID28239007
  • Arnold LD; McGilvray MMO; Cooper JK; James AS
  • J Health Care Poor Underserved 2017[]; 28 (1): 362-77 PMID28239007show 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.
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