ArticleJournal of health care for the poor and underserved2009
Medical mistrust and less satisfaction with health care among Native Americans presenting for cancer treatment.
Article in Journal of health care for the poor and underserved, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
111 citing papers in PubMed, 8 syntheses or guidelines pooled it, 190 citations in OpenAlex.
- Differences in Cancer Patient Experience by Race, Ethnicity, and Preferred Language: A Systematic Review.Cancer medicine · 2026Pooled it
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- Disparities in Cutaneous Melanoma Diagnosis and Survival Among American Indian and Alaskan Native Patients: A Systematic Review and Meta-Analysis.Journal of surgical oncology · 2026Pooled it
- Disparities in Postmastectomy Breast Reconstruction Among American Indian and Alaska Native Women: A Systematic Literature Review and Meta-analysis.Annals of surgical oncology · 2025Pooled it
- A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults.The Gerontologist · 2022Pooled it
- Barriers and Factors Associated with HPV Vaccination Among American Indians and Alaska Natives: A Systematic Review.Journal of community health · 2022Pooled it
- Stakeholder perspectives on the implementation and impact of Indigenous health interventions: A systematic review of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Pooled it
- Gender, Race/Ethnicity, and Patient-Therapist Matching on Gender and Race/Ethnicity: Predictors/Moderators of the Effectiveness of Trust/Respect Feedback.Administration and policy in mental health · 2025Trial
- Colorectal Cancer Screening Materials for Tribal Communities in the Great Plains and Washington State: Application of Boot Camp Translation.The Permanente journal · 2026Article
- Social disruption after cancer: longitudinal changes in marital status, residence, and income among over 450,000 cancer patients.Cancer causes & control : CCC · 2026Article
- Review
- A Mixed Methods Analysis of Risk and Support Factors for Prenatal Alcohol and Substance Use Among American Indian/Alaska Native Birthing People.Journal of racial and ethnic health disparities · 2026Article
- Care coordination and communication for Native American patients with cancer.The oncologist · 2026Article
- Measuring trust in public health authorities in the United States: An item response theory analysis.PloS one · 2026Article
- Healthcare discrimination, healthcare avoidance, and self-rated health in a sample of American Indians with type 2 diabetes.Journal of behavioral medicine · 2025Article
- Disparities and Barriers to Care in Plastic and Reconstructive Surgery for Native American and First Nations Populations.Plastic and reconstructive surgery. Global open · 2025Article
- The Moderating Role of Race/Ethnicity in Suicide Risk and Family Connectedness in Youth Presenting to the Emergency Department.JAACAP open · 2025Article
- Achieving inclusive healthcare through integrating education and research with AI and personalized curricula.Communications medicine · 2025Article
- Racial and Ethnic Disparities and the National Burden of COVID-19 on Inpatient Hospitalizations: A Retrospective Study in the United States in the Year 2020.Journal of racial and ethnic health disparities · 2025Observational
51 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo assess barriers to cancer care among Native Americans, whose health outcomes compare unfavorably with those of the general U.S. population. METHODS AND PATIENTS: We undertook a comparative community-based participatory research project in which newly-diagnosed cancer patients were prospectively surveyed using novel scales for medical mistrust and satisfaction with health care. Socio-demographic information was obtained. Mean scale scores for mistrust and satisfaction were analyzed by race. Multivariable models were used to adjust for income, education level, and distance lived from cancer care institute.
resultsParticipation refusal rate was 38%. Of 165 eligible patients, 52 were Native American and 113 where non-Hispanic White. Native Americans expressed significantly higher levels of mistrust (p=0001) and lower levels of satisfaction (p=.0001) with health care than Whites. In multivariable analyses, race was the only factor found to be significantly predictive of higher mistrust and lower satisfaction scores.
conclusionNative Americans exhibit higher medical mistrust and lower satisfaction with health care.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.