Rachel C. Shelton|Gary Winkel|Stacy N. Davis|Nicole A. Roberts|Heiðdís Valdimarsdóttir|Simon Hall|Hayley S. Thompson
Validation of the Group-Based Medical Mistrust Scale Among Urban Black Men
Icahn School of Medicine at Mount Sinai|The Graduate Center, CUNY|City University of New York|Temple University|Albert Einstein College of Medicine|Reykjavík University|Icahn School of Medicine at Mount Sinai|Albert Einstein College of Medicine
socioculturally relevant measures medical mistrust needed better address health disparities especially among black men group lower life expectancy higher death rates compared racegender groupsthe study aim investigate psychometric properties groupbased medical mistrust scale gbmms black male sampledata collected part randomized controlled trial testing educational strategies support black mens decisions prostate cancer screeningparticipants included 201 black men ages 4075 years recruited new york city 20062007the primary measures included racebased medical mistrust health care participation avoidance health care perceived access health care health care satisfaction racial identity residential racial segregation attitudes towards prostate cancer screening past prostate cancer screening behavioran exploratory factor analysis suggested threefactor structure confirmatory factor analysis supported threefactor model internal consistency high total gbmms three subscales suspicion discrimination lack support construct validity supported significant positive correlations gbmms avoidance health care racial identity well significant negative correlations health care access health care satisfaction attitudes prostate cancer screening anova showed gbmms associated greater residential racial segregation higher total gbmms scores associated visiting physician last year regular physicianthe present findings provide strong additional evidence gbmms valid reliable measure may used among urban black men