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

项目摘要 非裔美国人经历着不平等的癌症负担，发病率最高， 大多数癌症类型的死亡率。对于非裔美国癌症幸存者来说， 相关生活质量评分较差的报告证明治疗后继续。医疗 不信任，认为医疗保健提供者，机构和系统在大部分没有一个 个人的最大利益，是一个未充分研究的潜在原因癌症的健康 差距。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 检查医疗保健经验，以进一步梳理出这种现象的细微差别。的 拟议的多样性补充旨在描述医疗不信任， 生存结果，在邻里水平因素的背景下，以更好地了解 非裔美国人癌症幸存者的经历。我们将调查 健康行为和生存结果。之后我们将调查 邻里水平的因素调解医疗不信任和生存之间的关系 结果，或医疗不信任是由邻里水平的因素调节。最后，我们将主办 几个焦点小组与过去的参与者使用成员检查，让参与者 有机会对医疗不信任结果提供反馈和评论。

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.