Evidence map›Paper›PMID 31343960›Full record

ArticleBehavioral medicine (Washington, D.C.)

Medical Mistrust, Racism, and Delays in Preventive Health Screening Among African-American Men.

Wizdom Powell, Jennifer Richmond, Dinushika Mohottige, Irene Yen, Allison Joslyn, Giselle Corbie-Smith

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Behavioral medicine (Washington, D.C.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07547345 (Live Healthy Chicago - Community Pilot), which is not on this map. Cited by 182 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
182citing papers in PubMed, 5 pooled it
52.6field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07547345 narecruitingnot on this map

Live Healthy Chicago - Community Pilot

TypeinterventionalSponsorRush University Medical CenterRan2026 to 2027Enrolled200ConditionsHypertensionArmsCommunity-Based Multidisciplinary Hypertension Management Program
3 · Its place in the literature

Who cites it

182 citing papers in PubMed, 5 syntheses or guidelines pooled it, 297 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

122 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Wizdom Powella Health Disparities Institute, University of Connecticut Health Center , Hartford , Connecticut , USA.
Jennifer Richmondb Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill , North Carolina , USA.
Dinushika Mohottigec Department of Medicine, Duke University , Durham , North Carolina , USA.
Irene Yend Public Health, School of Social Sciences, Humanities and Arts, University of California Merced , Merced , California , USA.
Allison Joslyna Health Disparities Institute, University of Connecticut Health Center , Hartford , Connecticut , USA.
Giselle Corbie-Smithe Departments of Social Medicine and Medicine, University of North Carolina at Chapel Hill , Chapel Hill , North Carolina , USA.
UConn Health · USUniversity of North Carolina at Chapel Hill · USDuke University · USUniversity of California, Merced · US

Funding

Neighborhoods, daily stress, affect regulation, & Black male substance useK01DA032611 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI POWELL, WIZDOM A · 2014 to 2018
$825k
NIDA NIH HHS K01 DA032611NIMHD NIH HHS L60 MD010134
6 · The paper itself

Abstract

The contribution of medical mistrust to healthcare utilization delays has gained increased public health attention. However, few studies examine these associations among African-American men, who delay preventive healthcare more often and report higher levels of medical mistrust than non-Hispanic White men. Additionally, studies rarely account for other factors reportedly working in tandem with medical mistrust to increase African-American men's preventive health screening delays (i.e., everyday racism and perceived racism in healthcare). We examined associations between medical mistrust, perceived racism in healthcare, everyday racism, and preventive health screening delays. Analyses were conducted using cross-sectional data from 610 African-American men aged 20 years and older recruited primarily from barbershops in four US regions (2003-2009). Independent variables were medical mistrust (MM), everyday racism (ER), and perceived racism in healthcare (PRH). Dependent variables were self-reported routine checkup, blood pressure screening, and cholesterol screening delays. Using multiple logistic regression and tests for mediation, we calculated odds ratios and 95% confidence intervals to assess associations between the independent and dependent variables. After final adjustment, African-American men with higher MM were significantly more likely to delay blood pressure screenings. Men with more frequent ER exposure were significantly more likely to delay routine checkups and blood pressure screenings. Higher levels of PRH were associated with a significant increased likelihood of delaying cholesterol screening. MM did not mediate associations between ER and screening delays. Increasing preventive health screening among African-American men requires addressing medical mistrust and racism in and outside healthcare institutions.

Indexed as

Health Knowledge, Attitudes, PracticePreventive Health ServicesTime-to-TreatmentTrustAdultAgedBlack or African AmericanCross-Sectional StudiesHumansMaleMiddle AgedPatient Acceptance of Health CareRacismYoung AdultAfrican-American menmedical mistrustpreventive health screening delaysracism

Identifiers

PMID31343960
PMCPMC8620213
OpenAlexW2962751288

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.