Characterizing the relationship between medical mistrust, health behaviors and neighborhood level factors in African American cancer survivors.

描述非裔美国癌症幸存者的医疗不信任、健康行为和社区层面因素之间的关系。

基本信息

批准号：
10817499
负责人：
Jennifer L Beebe-Dimmer
金额：
$ 10.21万
依托单位：
WAYNE STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-02-27 至 2027-02-28
项目状态：
未结题

项目摘要

Project Summary African Americans experience an unequal cancer burden, with the highest incidence and mortality rates for most cancer types. For African American cancer survivors, this burden continues posttreatment as evidenced by reports of poor related quality of life scores. Medical mistrust, the belief that healthcare providers, institutions and systems at large do not have an individual’s best interests in mind, is an understudied potential cause of cancer health disparities. When considering the impact of medical mistrust, it is even more important to consider group-based medical mistrust, which includes both an interpersonal and vicarious examination of healthcare experiences to further tease out the nuance of this phenomenon. The proposed diversity supplement aims to characterize the relationship between medical mistrust, survivorship outcomes, in the context of neighborhood level factors to better understand the experiences of African American cancer survivors. We will investigate the relationship between health behaviors and survivorship outcomes. After which we will investigate whether the neighborhood level factors mediate the relationship between medical mistrust and survivorship outcomes, or medical mistrust is moderated by neighborhood level factors. Finally, we will host several focus groups with past participants using member checking to allow participants the opportunity to offer feedback and commentary on the medical mistrust results.

项目概要非裔美国人经历着不平等的癌症负担，发病率最高，对于非裔美国癌症幸存者来说，这种负担是大多数癌症类型的死亡率。治疗后继续治疗，相关生活质量评分较差的报告证明了这一点。不信任，认为医疗保健提供者、机构和系统总体上没有考虑到个人的最大利益，是癌症健康的一个未被充分研究的潜在原因在考虑医疗不信任的影响时，更重要的是考虑基于群体的医疗不信任，其中包括人际和替代性的不信任检查医疗保健经验，以进一步弄清楚这种现象的细微差别。拟议的多样性补充旨在描述医疗不信任之间的关系，生存结果，在邻里层面因素的背景下，以更好地了解我们将调查非裔美国癌症幸存者的经历。之后我们将调查健康行为和生存结果。邻里层面因素调节医疗不信任与生存率之间的关系最后，我们将主持。几个焦点小组过去使用成员检查来允许对医疗不信任结果提供反馈和评论的机会。