Cancer Causes & Control

, Volume 21, Issue 1, pp 31–40 | Cite as

Race, healthcare access and physician trust among prostate cancer patients

  • Young Kyung Do
  • William R. Carpenter
  • Pamela Spain
  • Jack A. Clark
  • Robert J. Hamilton
  • Joseph A. Galanko
  • Anne Jackman
  • James A. Talcott
  • Paul A. Godley
Original Paper



To study the effect of healthcare access and other characteristics on physician trust among black and white prostate cancer patients.


A three-timepoint follow-up telephone survey after cancer diagnosis was conducted. This study analyzed data on 474 patients and their 1,320 interviews over three time periods.


Among other subpopulations, black patients who delayed seeking care had physician trust levels that were far lower than that of both Caucasians as well as that of the black patients overall. Black patients had greater variability in their levels of physician trust compared to their white counterparts.


Both race and access are important in explaining overall lower levels and greater variability in physician trust among black prostate cancer patients. Access barriers among black patients may spill over to the clinical encounter in the form of less physician trust, potentially contributing to racial disparities in treatment received and subsequent outcomes. Policy efforts to address the racial disparities in prostate cancer should prioritize improving healthcare access among minority groups.


Race Disparity Prostate neoplasm Healthcare utilization Trust 



This project was supported by the Agency for Healthcare Research and Quality—Grant No: 5P01HS010861, The Duke Endowment, the UNC Program on Health Outcomes, National Center on Minority Health and Health Disparities—Grant 1P60MD00244, National Cancer Institute—Grants 1U01CA114629 and 2R25CA057726, Department of Defense—Grant PC060911, and NIH—Grant P30 DK 034987.


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Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  • Young Kyung Do
    • 1
    • 2
  • William R. Carpenter
    • 1
    • 3
    • 4
  • Pamela Spain
    • 4
  • Jack A. Clark
    • 5
    • 6
  • Robert J. Hamilton
    • 7
  • Joseph A. Galanko
    • 8
  • Anne Jackman
    • 4
  • James A. Talcott
    • 9
  • Paul A. Godley
    • 3
    • 4
    • 8
    • 10
  1. 1.Department of Health Policy and ManagementUniversity of North Carolina at Chapel Hill Gillings School of Global Public HealthChapel HillUSA
  2. 2.Program in Health Services and Systems ResearchDuke-NUS Graduate Medical School SingaporeSingaporeSingapore
  3. 3.UNC-Lineberger Comprehensive Cancer CenterChapel HillUSA
  4. 4.UNC Cecil G. Sheps Center for Health Services ResearchChapel HillUSA
  5. 5.Center for Health Quality, Outcomes, and Economic ResearchEdith Nourse Rogers Memorial Veterans HospitalBedfordUSA
  6. 6.Boston University School of Public HealthBostonUSA
  7. 7.Department of Surgery (Urology)University of TorontoTorontoCanada
  8. 8.UNC Department of Medicine, School of MedicineChapel HillUSA
  9. 9.Center for Outcomes ResearchMassachusetts General Hospital Cancer Center and Harvard Medical SchoolBostonUSA
  10. 10.UNC Gillings School of Global Public HealthChapel HillUSA

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