Sociodemographic Differences in Fears and Mistrust Contributing to Unwillingness to Participate in Cancer Screenings

Effective provider-patient relationships are vital for positive patient health outcomes. This analysis assessed sociodemographic differences in fears and mistrust related to the provider-patient relationship, which may contribute to unwillingness to participate in cancer screenings (CSs). The data a...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2012-11, Vol.23 (4), p.67-76
Main Authors: Davis, Jenna L, Bynum, Shalanda A, Katz, Ralph V, Buchanan, Kyrel, Green, B. Lee
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Attitude to Health - ethnology
Black or African American - psychology
Cancer
Colorectal cancer
Decision making
Distrust
Doctor-Patient relationships
Early Detection of Cancer - statistics & numerical data
Fear
Female
Health insurance
Hispanic or Latino - psychology
Hispanic or Latino - statistics & numerical data
Households
Humans
Male
Maryland
Middle Aged
Mortality
New York
Physician-Patient Relations
Puerto Rico
Screening
Sociodemographic aspects
Socioeconomic Factors
Studies
Trust
White People - psychology
White People - statistics & numerical data
Young Adult
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Summary:Effective provider-patient relationships are vital for positive patient health outcomes. This analysis assessed sociodemographic differences in fears and mistrust related to the provider-patient relationship, which may contribute to unwillingness to participate in cancer screenings (CSs). The data are from a stratified, random-digit dial telephone questionnaire of non-institutionalized households in New York, Maryland, and Puerto Rico. Statistically significant results indicate that Hispanics, compared with Whites, were nearly two times more likely to report that fear of being a "guinea pig" and lacking trust in medical people would make them unwilling to participate in CSs. Additionally, those with less education were over two times more likely to indicate a fear of being embarrassed during the screening would make them unwilling to participate in CSs. These results highlight areas where health professionals can improve interactions with their patients and be attentive to their fears and/or mistrusts to promote CSs utilization.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2012.0148