Top

Published in:

01-10-2017 | Review

Medical Mistrust and Colorectal Cancer Screening Among African Americans

Authors: Leslie B. Adams, Jennifer Richmond, Giselle Corbie-Smith, Wizdom Powell

Published in: Journal of Community Health | Issue 5/2017

Abstract

Despite well-documented benefits of colorectal cancer (CRC) screening, African Americans are less likely to be screened and have higher CRC incidence and mortality than Whites. Emerging evidence suggests medical mistrust may influence CRC screening disparities among African Americans. The goal of this systematic review was to summarize evidence investigating associations between medical mistrust and CRC screening among African Americans, and variations in these associations by gender, CRC screening type, and level of mistrust. MEDLINE, CINAHL, Web of Science, PsycINFO, Google Scholar, Cochrane Database, and EMBASE were searched for English-language articles published from January 2000 to November 2016. 27 articles were included for this review (15 quantitative, 11 qualitative and 1 mixed methods study). The majority of quantitative studies linked higher mistrust scores with lower rates of CRC screening among African Americans. Most studies examined mistrust at the physician level, but few quantitative studies analyzed mistrust at an organizational level (i.e. healthcare systems, insurance, etc.). Quantitative differences in mistrust and CRC screening by gender were mixed, but qualitative studies highlighted fear of experimentation and intrusiveness of screening methods as unique themes among African American men. Limitations include heterogeneity in mistrust and CRC measures, and possible publication bias. Future studies should address methodological challenges found in this review, such as limited use of validated and reliable mistrust measures, examination of CRC screening outcomes beyond beliefs and intent, and a more thorough analysis of gender roles in the cancer screening process.

Available only for authorised users

Tammana, V. S., & Laiyemo, A. O. (2014). Colorectal cancer disparities: issues, controversies and solutions. World Journal of Gastroenterology, 20(4), 869–876. doi:10.3748/wjg.v20.i4.869.CrossRefPubMedPubMedCentral

USPTF. Final Update Summary: Colorectal Cancer: Screening. 2015.

Steele, C. B., Rim, S. H., Joseph, D. A., King, J. B., & Seeff, L. C. Centers for Disease CDC, et al. (2013) Colorectal cancer incidence and screening - United States, 2008 and 2010. MMWR Supplements, 62(3), 53–60.PubMed

Dimou, A., Syrigos, K. N., & Saif, M. W. (2009). Disparities in colorectal cancer in African-Americans vs Whites: before and after diagnosis. World Journal of Gastroenterology, 15(30), 3734–3743.CrossRefPubMedPubMedCentral

Centers for Disease Control and Prevention (CDC), (2013). Vital signs: Colorectal cancer screening test use–United States, 2012. MMWR Morbidity and Mortality Weekly Report, 62(44), 881–888.

Agrawal, J., & Syngal, S. (2005). Colon cancer screening strategies. Current Opinion in Gastroenterology, 21(1), 59–63.PubMed

Agrawal, S., Bhupinderjit, A., Bhutani, M. S., Boardman, L., Nguyen, C., Romero, Y., et al. (2005). Colorectal cancer in African Americans. The American Journal of Gastroenterology, 100(3), 515–523. doi:10.1111/j.1572-0241.2005.41829.x.CrossRefPubMed

Gwede, C. K., Ward, B. G., Luque, J. S., Vadaparampil, S. T., Rivers, D., Martinez-Tyson, D., et al. (2010). Application of geographic information systems and asset mapping to facilitate identification of colorectal cancer screening resources. Online Journal of Public Health Informatics, 2(1), 2893.CrossRefPubMed

Wallace, P. M., & Suzuki, R. (2012). Regional, racial, and gender differences in colorectal cancer screening in middle-aged African-Americans and Whites. Journal of Cancer Education : The Official Journal of the American Association for Cancer Education, 27(4), 703–708. doi:10.1007/s13187-012-0396-2.CrossRef

10.

Martinez,K. A, Pollack C. E., Phelan D. F, Markakis D., Bone L., Shapiro G., et al. (2013). Gender differences in correlates of colorectal cancer screening among black medicare beneficiaries in Baltimore. Cancer Epidemiology, Biomarkers & Prevention : A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 22(6), 1037–1042. doi:10.1158/1055-9965.epi-12-1215.CrossRef

11.

Bromley, E. G., May, F. P., Federer, L., Spiegel, B. M., & van Oijen, M. G. (2015). Explaining persistent under-use of colonoscopic cancer screening in African Americans: A systematic review. Preventive Medicine, 71, 40–48. doi:10.1016/j.ypmed.2014.11.022.CrossRefPubMed

12.

Katz, M. L., James, A. S., Pignone, M. P., Hudson, M. A., Jackson, E., Oates, V., et al. (2004). Colorectal cancer screening among African American church members: A qualitative and quantitative study of patient-provider communication. BMC Public Health, 4(1), 1.CrossRef

13.

Sarfaty, M., & Feng, S. (2006). Choice of screening modality in a colorectal cancer education and screening program for the uninsured. Journal of Cancer Education : The Official Journal of the American Association for Cancer Education, 21(1), 43–49. doi:10.1207/s15430154jce2101_14.CrossRef

14.

Ozawa, S., & Sripad, P. (2013). How do you measure trust in the health system? A systematic review of the literature. Social Science & Medicine, 91, 10–14. doi:10.1016/j.socscimed.2013.05.005.CrossRef

15.

LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000). Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Medical Care Research and Review, 57(Suppl 1), 146–161.CrossRefPubMed

16.

Hammond, W. P., Matthews, D., Mohottige, D., Agyemang, A., & Corbie-Smith, G. (2010). Masculinity, medical mistrust, and preventive health services delays among community-dwelling African-American men. Journal of General Internal Medicine, 25(12), 1300–1308. doi:10.1007/s11606-010-1481-z.CrossRefPubMedPubMedCentral

17.

McKinstry, B., Ashcroft, R. E., Car, J., Freeman, G. K., & Sheikh, A. Interventions for improving patients’ trust in doctors and groups of doctors. The Cochrane Database of Systematic Reviews. 2006(3), CD004134. doi:10.1002/14651858.CD004134.pub2.

18.

Thompson, H. S., Valdimarsdottir, H. B., Winkel, G., Jandorf, L., & Redd, W. (2004). The group-based medical mistrust scale: Psychometric properties and association with breast cancer screening. Preventive Medicine, 38(2), 209–218.CrossRefPubMed

19.

Yang, T. C., Matthews, S. A., & Hillemeier, M. M. (2011). Effect of health care system distrust on breast and cervical cancer screening in Philadelphia, Pennsylvania. American Journal of Public Health, 101(7), 1297–1305. doi:10.2105/AJPH.2010.300061.CrossRefPubMedPubMedCentral

20.

Carpenter, W. R., Godley, P. A., Clark, J. A., Talcott, J. A., Finnegan, T., Mishel, M., et al. (2009). Racial differences in trust and regular source of patient care and the implications for prostate cancer screening use. Cancer, 115(21), 5048–5059. doi:10.1002/cncr.24539.CrossRefPubMedPubMedCentral

21.

Suite, D. H., La Bril, R., Primm, A., & Harrison-Ross, P. (2007). Beyond misdiagnosis, misunderstanding and mistrust: relevance of the historical perspective in the medical and mental health treatment of people of color. Journal of the National Medical Association, 99(8), 879–885.PubMedPubMedCentral

22.

Fiscella, K., Franks, P., & Clancy, C. M. (1998). Skepticism toward medical care and health care utilization. Medical Care, 36(2), 180–189.CrossRefPubMed

23.

Thompson,V. L. S, Bugbee, A., Meriac, J. P., & Harris, J. K. (2013). The utility of cancer-related cultural constructs to understand colorectal cancer screening among African Americans. Journal of Public Health Research, 2(2), e11.CrossRefPubMedPubMedCentral

24.

Gordon,T. F., Bass,S. B., Ruzek,S. B., Wolak,C., Rovito,M. J., Ruggieri,D. G., et al. (2014). Developing a typology of African Americans with limited literacy based on preventive health practice orientation: Implications for colorectal cancer screening strategies. Journal of Community Health, 19(11), 1259–1277. doi:10.1080/10810730.2013.872725.CrossRef

25.

Sanders Thompson, V., Lewis, T., & Williams, S. (2013). Refining the use of cancer-related cultural constructs with African Americans. Health Promotion Practice, 14(1), 38.CrossRefPubMed

26.

Stacy,R., Torrence,W. A., Mitchell,C. R. (2008) Perceptions of knowledge, beliefs, and barriers to colorectal cancer screening. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 23(4), 238–240. doi:10.1080/08858190802189030.CrossRef

27.

Tabbarah, M., Nowalk, M. P., Raymund, M., Jewell, I. K., & Zimmerman, R. K. (2005). Barriers and facilitators of colon cancer screening among patients at faith-based neighborhood health centers. Journal of Community Health, 30(1), 55–74.CrossRefPubMed

28.

Jandorf, L., Cooperman, J. L., Stossel, L. M., Itzkowitz, S., Thompson, H. S., Villagra, C., et al. (2013). Implementation of culturally targeted patient navigation system for screening colonoscopy in a direct referral system. Health Education Research, 28(5), 803–815. doi:10.1093/her/cyt003.CrossRefPubMedPubMedCentral

29.

BeLue, R., Menon, U., Kinney, A. Y., Szalacha, L. A., (2011). Psychosocial risk profiles among black male veterans administration patients non-adherent with colorectal cancer screening. Psycho-Oncology, 20(11), 1151–1160. doi:10.1002/pon.1838.CrossRefPubMed

30.

Brittain, K., Christy, S. M., & Rawl, S. M. (2016). African American Patients’ intent to screen for colorectal cancer: Do cultural factors, health literacy, knowledge, age and gender matter? Journal of Health Care for the Poor and Undeserved, 27(1), 51–67. doi:10.1353/hpu.2016.0022.CrossRef

31.

Bynum, S. A., Davis, J. L., Green, B. L., & Katz, R. V. (2012). Unwillingness to participate in colorectal cancer screening: Examining fears, attitudes, and medical mistrust in an ethnically diverse sample of adults 50 years and older. American Journal of Health Promotion, 26(5), 295–300. doi:10.4278/ajhp.110113-QUAN-20.CrossRefPubMed

32.

O’Malley, A. S., Sheppard, V. B., Schwartz, M., & Mandelblatt, J. (2004). The role of trust in use of preventive services among low-income African-American women. Preventive Medicine, 38(6), 777–785. doi:10.1016/j.ypmed.2004.01.018.CrossRefPubMed

33.

Griffith, K. A., Passmore, S. R., Smith, D., & Wenzel, J. (2012). African Americans with a family history of colorectal cancer: Barriers and facilitators to screening. Oncology Nursing Forum, 39(3), 299–306. doi:10.1188/12.ONF.299-306.CrossRefPubMed

34.

Bastani, R., Gallardo, N. V., & Maxwell, A. E. (2001). Barriers to colorectal cancer screening among ethnically diverse high- and average-risk individuals. Journal of Psychosocial Oncology, 19(3–4), 65–84. doi:10.1300/J077v19n03_06.CrossRef

35.

Powell, W., Adams, L. B., Cole-Lewis, Y., Agyemang, A., & Upton, R. D. (2016). Masculinity and race-related factors as barriers to health help-seeking among African American Men. Behavioral Medicine (Washington, D. C.), 42(3), 150–163. doi:10.1080/08964289.2016.1165174.CrossRef

36.

Cheatham, C. T., Barksdale, D. J., & Rodgers, S. G. (2008). Barriers to health care and health-seeking behaviors faced by black men. Journal of the American Academy of Nurse Practitioners, 20(11), 555–562.CrossRefPubMed

37.

Born, W., Engelman, K., Greiner, K. A., Bhattacharya, S. B., Hall, S., Hou, Q., et al. (2009). Colorectal cancer screening, perceived discrimination, and low-income and trust in doctors: A survey of minority patients. BMC Public Health, 9, 363. doi:10.1186/1471-2458-9-363.CrossRefPubMedPubMedCentral

38.

Grenier, K. A., James, A. S., Born, W., Hall, S., Engelman, K. K., Okuyemi, K. S., et al. (2005). Predictors of fecal occult blood test (FOBT) completion among low-income adults. Preventive Medicine, 41(2), 676–684.CrossRef

39.

Purnell, J. Q., Katz, M. L., Andersen, B. L., Palesh, O., Figueroa-Moseley, C., Jean-Pierre, P., et al. (2010). Social and cultural factors are related to perceived colorectal cancer screening benefits and intentions in African Americans. Journal of Behavioral Medicine, 24–34(1), 11. doi:10.1007/s10865-009-9231-6.

40.

LaVeist, T. A., Isaac, L. A., & Williams, K. P. (2009). Mistrust of health care organizations is associated with underutilization of health services. Health Services Research, 44(6), 2093–2105. doi:10.1111/j.1475-6773.2009.01017.x.CrossRefPubMedPubMedCentral

41.

Bass, S. B., Gordon, T. F., Ruzek, S. B., Wolak, C., Ward, S., Paranjape, A., et al. (2011). Perceptions of colorectal cancer screening in urban African American clinic patients: Differences by gender and screening status. Journal of Cancer Education, 26(1), 121–128. doi:10.1007/s13187-010-0123-9.CrossRefPubMedPubMedCentral

42.

Brandzel, S., Chang, E., Tuzzio, L., Campbell, C., Coronado, N., Bowles, E. J., et al. (2016). Latina and Black/African American women's perspectives on cancer screening and cancer screening reminders. Journal of Racial and Ethnic Health Disparities. doi:10.1007/s40615-016-0304-2.PubMed

43.

Fyffe, D. C., Hudson, S. V., Fagan, J. K., & Brown, D. R. (2008). Knowledge and barriers related to prostate and colorectal cancer prevention in underserved black men. Journal of the National Medical Association, 100(10), 1161–1167.CrossRefPubMed

44.

Gao, G., Burke, N., Somkin, C. P., & Pasick, R. (2009). Considering culture in physician—patient communication during colorectal cancer screening. Qualitative Health Research, 19(6), 778–789. doi:10.1177/1049732309335269. CrossRefPubMedCentral

45.

Greiner, K. A., Born, W., Nollen, N., & Ahluwalia, J. S. (2005). Knowledge and perceptions of colorectal cancer screening among urban African Americans. Journal of General Internal Medicine, 20(11), 977–983. doi:10.1111/j.1525-1497.2005.00165.x.CrossRefPubMedPubMedCentral

46.

Greiner, K. A., James, A. S., Born, W., Hall, S., Engelman, K. K., Okuyemi, K. S., & Ahluwalia, J. S. (2005). Predictors of fecal occult blood test (FOBT) completion among low-income adults. Preventive Medicine, 41(2), 676–684. doi:10.1016/j.ypmed.2004.12.010.CrossRefPubMed

47.

Gupta, S., Brenner, A. T., Ratanawongsa, N., & Inadomi, J. M. (2014). Patient trust in physician influences colorectal cancer screening in low-income patients. American Journal of Preventive Medicine, 47(4), 417–423. doi:10.1016/j.amepre.2014.04.020.CrossRefPubMedPubMedCentral

48.

Holmes-Rovner, M., Williams, G. A., Hoppough, S., Quillan, L., Butler, R., & Given, C. W. (2002). Colorectal cancer screening barriers in persons with low income. Cancer Practice, 10(5), 240–247.CrossRefPubMed

49.

Lasser, K. E., Ayanian, J. Z., Fletcher, R. H., & Good, M. J. (2008). Barriers to colorectal cancer screening in community health centers: A qualitative study. BMC Family Practice, 9, 15. doi:10.1186/1471-2296-9-15.CrossRefPubMedPubMedCentral

50.

Lumpkins, C. Y., Vanchy, P., Baker, T. A., Daley, C., Ndikum-Moffer, F., & Greiner, K. A. (2016). Marketing a healthy mind, body, and soul: An analysis of how African American men view the church as a social marketer and health promoter of colorectal cancer risk and prevention. Health Education and Behavior, 43(4), 452–460. doi:10.1177/1090198115604615.CrossRefPubMed

51.

Nicholson, R. A., Kreuter, M. W., Lapka, C., Wellborn, R., Clark, E. M., Sanders-Thompson, V., et al. (2008). Unintended effects of emphasizing disparities in cancer communication to African-Americans. Cancer Epidemiology, Biomarkers and Prevention, 17(11), 2946–2953. doi:10.1158/1055-9965.epi-08-0101.CrossRefPubMedPubMedCentral

52.

Palmer, R. C., Midgette, L. A., & Dankwa, I. (2008). Colorectal cancer screening and African Americans: Findings from a qualitative study. Cancer Control, 15(1), 72–79.CrossRefPubMed

53.

Thompson, V. L., Bugbee, A., Meriac, J. P., & Harris, J. K. (2013). The utility of cancer-related cultural constructs to understand colorectal cancer screening among African Americans. Journal of Public Health Research, 2(2), e11. doi:10.4081/jphr.2013.e11.CrossRefPubMedPubMedCentral

54.

Thompson, V. L., Kalesan, B., Wells, A., Williams, S. L., & Caito, N. M. (2010). Comparing the use of evidence and culture in targeted colorectal cancer communication for African Americans. Patient Education and Counseling, 81(Suppl 1), S22–33. doi:10.1016/j.pec.2010.07.019.CrossRefPubMed

55.

Safran, D. G., Kosinski, M., Tarlov, A. R., Rogers, W. H., Taira, D. A., Lieberman, N., & Ware, J. E. (1998). The primary care assessment survey: Tests of data quality and measurement performance. Medical care, 36(5), 728–739.CrossRefPubMed

56.

Dugan, E., Trachtenberg, F., & Hall, M. A. (2005). Development of abbreviated measures to assess patient trust in a physician, a health insurer, and the medical profession. BMC Health Services Research, 5(1), 64.CrossRefPubMedPubMedCentral

Title: Medical Mistrust and Colorectal Cancer Screening Among African Americans
Authors: Leslie B. Adams
Jennifer Richmond
Giselle Corbie-Smith
Wizdom Powell
Publication date: 01-10-2017
Publisher: Springer US
Published in: Journal of Community Health / Issue 5/2017
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-017-0339-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Medical Mistrust and Colorectal Cancer Screening Among African Americans

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2017

Practices and Attitudes of Missouri School Nurses Regarding Immunization Records and Select Immunizations of Graduating High School Seniors

Barriers to Hepatitis C Screening in a Minority Population: A Comparison of Hepatitis C and Human Immunodeficiency Virus Screening Rates at a Community STD Clinic in Miami, Florida

Erratum to: Adolescent Participation in HPV Vaccine Clinical Trials: Are Parents Willing?

Reassessing the Ecology of Medical Care in Japan

Health-Related Quality-of-Life and Diabetes Self-Care Activity in Elderly Patients with Diabetes in Korea

Clarifying Values and Preferences for Care Near the End of Life: The Role of a New Lay Workforce