Race, healthcare access and physician trust among prostate cancer patients
- PMID: 19777359
- PMCID: PMC2811408
- DOI: 10.1007/s10552-009-9431-y
Race, healthcare access and physician trust among prostate cancer patients
Abstract
Objective: To study the effect of healthcare access and other characteristics on physician trust among black and white prostate cancer patients.
Methods: A three-timepoint follow-up telephone survey after cancer diagnosis was conducted. This study analyzed data on 474 patients and their 1,320 interviews over three time periods.
Results: Among other subpopulations, black patients who delayed seeking care had physician trust levels that were far lower than that of both Caucasians as well as that of the black patients overall. Black patients had greater variability in their levels of physician trust compared to their white counterparts.
Conclusions: Both race and access are important in explaining overall lower levels and greater variability in physician trust among black prostate cancer patients. Access barriers among black patients may spill over to the clinical encounter in the form of less physician trust, potentially contributing to racial disparities in treatment received and subsequent outcomes. Policy efforts to address the racial disparities in prostate cancer should prioritize improving healthcare access among minority groups.
Comment in
-
Socioeconomic factors, urological epidemiology and practice patterns.J Urol. 2010 Nov;184(5):1991-4. doi: 10.1016/j.juro.2010.07.024. Epub 2010 Sep 19. J Urol. 2010. PMID: 22520001 No abstract available.
Similar articles
-
Racial differences in trust and regular source of patient care and the implications for prostate cancer screening use.Cancer. 2009 Nov 1;115(21):5048-59. doi: 10.1002/cncr.24539. Cancer. 2009. PMID: 19637357 Free PMC article.
-
Associations between patient-provider communication and socio-cultural factors in prostate cancer patients: a cross-sectional evaluation of racial differences.Patient Educ Couns. 2014 Dec;97(3):339-46. doi: 10.1016/j.pec.2014.08.019. Epub 2014 Sep 4. Patient Educ Couns. 2014. PMID: 25224313 Free PMC article.
-
A multidimensional view of racial differences in access to prostate cancer care.Cancer. 2017 Nov 15;123(22):4449-4457. doi: 10.1002/cncr.30894. Epub 2017 Jul 20. Cancer. 2017. PMID: 28727136 Free PMC article.
-
Age-related racial disparities in prostate cancer patients: A systematic review.Ethn Health. 2017 Apr;22(2):184-195. doi: 10.1080/13557858.2016.1235682. Epub 2016 Oct 5. Ethn Health. 2017. PMID: 27706949 Free PMC article. Review.
-
Prostate cancer disparities in South Carolina: early detection, special programs, and descriptive epidemiology.J S C Med Assoc. 2006 Aug;102(7):241-9. J S C Med Assoc. 2006. PMID: 17319238 Review.
Cited by
-
Equity, inclusion and cultural humility: contemporizing the neonatal intensive care unit family-centered care model.J Perinatol. 2024 May;44(5):760-766. doi: 10.1038/s41372-024-01949-9. Epub 2024 Mar 26. J Perinatol. 2024. PMID: 38532086 Review.
-
Revealed versus potential spatial accessibility of healthcare and changing patterns during the COVID-19 pandemic.Commun Med (Lond). 2023 Nov 3;3(1):157. doi: 10.1038/s43856-023-00384-9. Commun Med (Lond). 2023. PMID: 37923904 Free PMC article.
-
Review of Cardiovascular Risk of Androgen Deprivation Therapy and the Influence of Race in Men with Prostate Cancer.Cancers (Basel). 2023 Apr 15;15(8):2316. doi: 10.3390/cancers15082316. Cancers (Basel). 2023. PMID: 37190244 Free PMC article. Review.
-
Factors Associated With Online Patient-Provider Communications Among Cancer Survivors in the United States During COVID-19: Cross-sectional Study.JMIR Cancer. 2023 May 22;9:e44339. doi: 10.2196/44339. JMIR Cancer. 2023. PMID: 37074951 Free PMC article.
-
Assessing Attitudes Toward COVID-19 Prevention: Defining Two Attitudes Crucial for Understanding Systemic and Social Variables Associated with Disparities.J Racial Ethn Health Disparities. 2022 Jun;9(3):1030-1039. doi: 10.1007/s40615-021-01042-3. Epub 2021 Apr 19. J Racial Ethn Health Disparities. 2022. PMID: 33876408 Free PMC article.
References
-
- American Cancer Society. Cancer facts & figures 2007. American Cancer Society; Atlanta, GA: 2007.
-
- Gilligan T. Social disparities and prostate cancer: mapping the gaps in our knowledge. Cancer Causes Control. 2005;16:45–53. - PubMed
-
- Gilligan T, Wang PS, Levin R, Kantoff PW, Avorn J. Racial differences in screening for prostate cancer in the elderly. Arch Intern Med. 2004;164:1858–1864. - PubMed
-
- Etzioni R, Berry KM, Legler JM, Shaw P. Prostate-specific antigen testing in black and white men: an analysis of Medicare claims from 1991–1998. Urology. 2002;59:251–255. - PubMed
-
- Hoffman RM, Gilliland FD, Eley JW, et al. Racial and ethnic differences in advanced-stage prostate cancer: the Prostate Cancer Outcomes Study. J Natl Cancer Inst. 2001;93:388–395. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
