Perceived discrimination, trust in physicians, and prolonged symptom duration before ovarian cancer diagnosis in the African American Cancer Epidemiology Study

摘要: Background Discrimination and trust are known barriers to accessing health care. Despite well-documented racial disparities in the ovarian cancer care continuum, role of these has not been examined. This study evaluated association everyday discrimination physicians with a prolonged interval between symptom onset diagnosis (hereafter referred as duration). Methods Subjects included cases enrolled African American Cancer Epidemiology Study, multisite case-control epithelial among black women. Logistic regression was used calculate odds ratios (ORs) 95% confidence intervals (CIs) for associations duration (1 or more symptoms lasting longer than median symptom-specific duration), it controlled access-to-care covariates potential confounders. Results Among 486 this analysis, 302 women had duration. In fully adjusted model, 1-unit increase frequency increased 74% (OR, 1.74; CI, 1.22-2.49), but associated 0.86; 0.66-1.11). Conclusions Perceived duration, whereas commonly determinants access were not. These results suggest that research on effects interpersonal affecting is warranted.