William R. Carpenter|Paul A. Godley|Jack A. Clark|James A. Talcott|Timothy Finnegan|Merle H. Mishel|Jeannette T. Bensen|Walter Rayford|L. Joseph Su|Elizabeth T.H. Fontham|James L. Mohler
Racial differences in trust and regular source of patient care and the implications for prostate cancer screening use
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Edith Nourse Rogers Memorial Veterans Hospital|Boston University|Massachusetts General Hospital|Harvard University|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of Tennessee Health Science Center|Louisiana State University Health Sciences Center New Orleans|Louisiana State University Health Sciences Center New Orleans|University at Buffalo, State University of New York|Roswell Park Comprehensive Cancer Center|University of North Carolina at Chapel Hill
nonmedical factors may modify biological risk prostate cancer pca contribute differential use early detection curative care ultimately greater racial disparities pca mortality study authors examined patients usual source care continuity care mistrust physicians association racial differences pca screening study nurses conducted inhome interviews 1031 africanamerican men caucasianamerican men aged 50 years north carolina louisiana within weeks pca diagnosis medical records abstracted data used conduct bivariate multivariate analyses compared african americans caucasian americans exhibited higher physician trust scores greater likelihood reporting physician office usual source care seeing physician regular medical encounters historically using pca screening seeing physician regular care associated greater trust screening use men reported usual source care physician office hospital clinic veterans administration facility likely report prior pca screening men multivariate regression analysis seeing provider remained associated prior screening use whereas race trust lost association prior screening current results indicated systems factors including differ among different sources care associated continuity care may provide tangible targets address disparities use pca early detection may attenuate racial differences pca screening use may contribute reduced racial disparities pca mortality cancer 2009 published 2009 american cancer society