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Showing content from https://pubmed.ncbi.nlm.nih.gov/38375162/ below:

Examining the roles of travel distance, medical mistrust, and cancer fatalism in the uptake of clinical cancer prevention among women in rural and urban US communities: A secondary data analysis

doi: 10.1016/j.pmedr.2024.102611. eCollection 2024 Feb. Examining the roles of travel distance, medical mistrust, and cancer fatalism in the uptake of clinical cancer prevention among women in rural and urban US communities: A secondary data analysis

Affiliations

¹ Penn State College of Medicine, The Pennsylvania State University, State College, PA, USA.
² Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, USA.

PMID: 38375162
PMCID: PMC10874844
DOI: 10.1016/j.pmedr.2024.102611

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Examining the roles of travel distance, medical mistrust, and cancer fatalism in the uptake of clinical cancer prevention among women in rural and urban US communities: A secondary data analysis

Jane-Frances Aruma et al. Prev Med Rep. 2024.

doi: 10.1016/j.pmedr.2024.102611. eCollection 2024 Feb. Affiliations

¹ Penn State College of Medicine, The Pennsylvania State University, State College, PA, USA.
² Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, USA.

PMID: 38375162
PMCID: PMC10874844
DOI: 10.1016/j.pmedr.2024.102611

Item in Clipboard

Abstract

Introduction: Rural adults are less likely to receive cancer screening than urban adults, likely due to systematic differences in community- and individual-level factors. The purpose of this study was to analyze the relative contributions of rurality, travel time, medical mistrust, and cancer fatalism in explaining uptake of clinical cancer prevention services.

Methods: We conducted a secondary data analysis of 2019-2020 survey data from women, ages 45-65, in rural and urban counties in central Pennsylvania, examining rurality, travel time to a primary care provider, medical mistrust, and cancer fatalism, as well as uptake of guideline-recommended colorectal cancer screening, cervical cancer screening, and preventive check-up. Final models used multivariable logistic regression to assess the relationships among study variables, controlling for participant demographics.

Results: Among 474 participants, 48.9 % resided in rural counties. Most participants had received clinical cancer prevention services (colorectal cancer screening: 55.4 %; cervical cancer screening: 82.8 %; preventive check-up in the last year: 75.4 %). Uptake of services was less common among participants with higher medical mistrust (colorectal cancer screening: adjusted odds ratio [aOR] = 0.87, 95 % confidence interval [CI] = 0.76-1.00; cervical cancer screening: aOR = 0.79, 95 % CI = 0.63-1.00; last-year check-up: aOR = 0.74, 95 % CI = 0.63-0.88).

Conclusions: Patient attitudes, particularly medical mistrust, may contribute to rural/urban disparities in clinical cancer prevention among women. Community- and individual-level interventions are needed to improve cancer outcomes in rural areas.

Keywords: Cancer disparities; Cancer prevention; Cancer screening; Disparities; Primary care; Rural health; Urban health.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures
Fig. 1

Differences in uptake of clinical…

Fig. 1

Differences in uptake of clinical cancer prevention services among women (ages 45–65 years)…

Fig. 1

Differences in uptake of clinical cancer prevention services among women (ages 45–65 years) in urban compared to rural communities (2019–202).