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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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Published in: | Journal of health care for the poor and underserved 2012-11, Vol.23 (4), p.67-76 |
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container_title | Journal of health care for the poor and underserved |
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creator | Davis, Jenna L Bynum, Shalanda A Katz, Ralph V Buchanan, Kyrel Green, B. Lee |
description | 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. |
doi_str_mv | 10.1353/hpu.2012.0148 |
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Lee</creator><creatorcontrib>Davis, Jenna L ; Bynum, Shalanda A ; Katz, Ralph V ; Buchanan, Kyrel ; Green, B. Lee</creatorcontrib><description>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.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2012.0148</identifier><identifier>PMID: 23124501</identifier><identifier>CODEN: JHCUEK</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>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</subject><ispartof>Journal of health care for the poor and underserved, 2012-11, Vol.23 (4), p.67-76</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press Nov 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-fa3e3dbd256cd0c5a482b6669b7e1c0ab03706436032d497a55d31f999848d153</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1274721756?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,12846,21394,21395,27924,27925,30999,31000,33611,33612,34530,34531,43733,44115</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23124501$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Jenna L</creatorcontrib><creatorcontrib>Bynum, Shalanda A</creatorcontrib><creatorcontrib>Katz, Ralph V</creatorcontrib><creatorcontrib>Buchanan, Kyrel</creatorcontrib><creatorcontrib>Green, B. Lee</creatorcontrib><title>Sociodemographic Differences in Fears and Mistrust Contributing to Unwillingness to Participate in Cancer Screenings</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude to Health - ethnology</subject><subject>Black or African American - psychology</subject><subject>Cancer</subject><subject>Colorectal cancer</subject><subject>Decision making</subject><subject>Distrust</subject><subject>Doctor-Patient relationships</subject><subject>Early Detection of Cancer - statistics & numerical data</subject><subject>Fear</subject><subject>Female</subject><subject>Health insurance</subject><subject>Hispanic or Latino - psychology</subject><subject>Hispanic or Latino - statistics & numerical data</subject><subject>Households</subject><subject>Humans</subject><subject>Male</subject><subject>Maryland</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>New York</subject><subject>Physician-Patient Relations</subject><subject>Puerto Rico</subject><subject>Screening</subject><subject>Sociodemographic aspects</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Trust</subject><subject>White People - psychology</subject><subject>White People - statistics & numerical data</subject><subject>Young Adult</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNqFkruP1DAQxiME4h5Q0qJINDRZ_I7dIKGFA6RDIC1XW44z2fUqsYPtgPjvz9Edy6Ohsj3--ZvxfFNVzzDaYMrpq8O8bAjCZIMwkw-qc8yZbIQU6mHZI6YagqQ6qy5SOiKEKGX0cXVGKCaMI3xe5V2wLvQwhX0088HZ-q0bBojgLaTa-foKTEy18X39yaUcl5TrbfA5um7Jzu_rHOob_8ONYzl4SGkNfDExO-tmk2GV2JoiFuudjQC-YOlJ9WgwY4Kn9-tldXP17uv2Q3P9-f3H7ZvrxjJFczMYCrTvesKF7ZHlhknSCSFU1wK2yHSItkgwKhAlPVOt4byneFBKSSZ7zOll9fpOd166CXoLpW4z6jm6ycSfOhin_77x7qD34bumrRSMyCLw8l4ghm8LpKwnlyyMo_EQlqQxZa3EorT8_yhuFUcKcVXQF_-gx7BEXzqhMWlZS3DLRaGaO8rGkFKE4VQ3Rnq1Xhfr9Wq9Xq0v_PM_P3uif3ldAHZKewSbpyXB78xMSoWF3q3zs45PeYQQk5jeAnc0u3s</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Davis, Jenna L</creator><creator>Bynum, Shalanda A</creator><creator>Katz, Ralph V</creator><creator>Buchanan, Kyrel</creator><creator>Green, B. 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Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-fa3e3dbd256cd0c5a482b6669b7e1c0ab03706436032d497a55d31f999848d153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude to Health - ethnology</topic><topic>Black or African American - psychology</topic><topic>Cancer</topic><topic>Colorectal cancer</topic><topic>Decision making</topic><topic>Distrust</topic><topic>Doctor-Patient relationships</topic><topic>Early Detection of Cancer - statistics & numerical data</topic><topic>Fear</topic><topic>Female</topic><topic>Health insurance</topic><topic>Hispanic or Latino - psychology</topic><topic>Hispanic or Latino - statistics & numerical data</topic><topic>Households</topic><topic>Humans</topic><topic>Male</topic><topic>Maryland</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>New York</topic><topic>Physician-Patient Relations</topic><topic>Puerto Rico</topic><topic>Screening</topic><topic>Sociodemographic aspects</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Trust</topic><topic>White People - psychology</topic><topic>White People - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Jenna L</creatorcontrib><creatorcontrib>Bynum, Shalanda A</creatorcontrib><creatorcontrib>Katz, Ralph V</creatorcontrib><creatorcontrib>Buchanan, Kyrel</creatorcontrib><creatorcontrib>Green, B. 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Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographic Differences in Fears and Mistrust Contributing to Unwillingness to Participate in Cancer Screenings</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>23</volume><issue>4</issue><spage>67</spage><epage>76</epage><pages>67-76</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><coden>JHCUEK</coden><abstract>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). 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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 |
title | Sociodemographic Differences in Fears and Mistrust Contributing to Unwillingness to Participate in Cancer Screenings |
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