title: Inadequate Cancer Screening: Lack of Provider Continuity is a Greater Obstacle than Medical Mistrust.
abstract: Racial minorities and low-income individuals are generally less likely to have adequate cancer screening than Whites or higher-income individuals.
  
  
  
  To examine the roles of medical mistrust and lack of provider continuity in cancer screening in a low-income minority population.
  
  
  
  A total of 144 urban federally qualified health center patients completed a cross-sectional survey that included the Group Based Medical Mistrust Scale and questions on provider continuity and cancer-screening-history.
  
  
  
  Breast cancer screening was associated with continuity of care but not mistrust (respectively p = .002, p > .05); colon cancer screening was not significantly associated with either factor (p > .05).
  
  
  
  Findings suggest that among low-income minority adults continuity of care is more strongly associated with screening than medical mistrust. Shifting focus from medical mistrust-a patient-level issue-to establishing health care homes-a system-level issue-may be a more effective strategy for reducing racial and socioeconomic disparities in cancer screening.
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Arnold
authors.forename: Martha M
authors.initials: MM
authors.lastname: McGilvray
authors.forename: J
authors.initials: J
authors.lastname: Kyle Cooper
authors.forename: Aimee S
authors.initials: AS
authors.lastname: James
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D011203:Poverty / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data; D064876:Safety-net Providers / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D035502:Trust