Evidence map›Paper›PMID 31500126›Full record

ArticleInternational journal of environmental research and public health2019

Understanding Multilevel Factors Related to Urban Community Trust in Healthcare and Research.

Monica Webb Hooper, Charlene Mitchell, Vanessa J Marshall, Chesley Cheatham, Kristina Austin, Kimberly Sanders, Smitha Krishnamurthi, Lena L Grafton

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Monica Webb HooperCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA. monica.hooper@case.edu.
Charlene MitchellCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Vanessa J MarshallCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Chesley CheathamCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Kristina AustinThe Gathering Place, Beachwood, OH 44122, USA.
Kimberly SandersCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Smitha KrishnamurthiCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Lena L GraftonNEOMED-CSU Partnership for Urban Health, Cleveland State University, Cleveland, OH 44115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity and patient engagement in the healthcare system and biomedical research are prerequisites for eliminating health disparities. We conducted a "listening tour" to enhance our understanding of multilevel factors associated with community trust.

methodsUsing community-based participatory research (CBPR) methods, we conducted a phenomenological qualitative study. "Town-hall" style discussions were held at nine sites across an urban, Midwestern city. We recruited adults (N = 130) via community networks, social media, flyers, and word-of-mouth. Demographic assessments were self-administered and listening tour sessions were conducted by trained moderators. Themes were framed within the social ecological model (SEM; intrapersonal, interpersonal, institutional, community, and policy levels).

resultsParticipants were mostly female (68%), African American (80%), had health coverage (97%) and were diagnosed with a chronic health condition (71%). The overarching theme was sociodemographic differences in distrust, such that African Americans and deaf/hearing impaired participants perceived disparities in healthcare, a lower quality of care, and skepticism about biomedical research, relative to Whites.

conclusionsThe depth of distrust for healthcare providers, systems, and researchers in underserved communities remains strong and complex. Findings highlight the need to understand the lived experiences of community members, and how distrust is maintained. Multilevel interventions to increase trust and the accrual of underrepresented populations into clinical trials are needed.

Indexed as

Healthcare DisparitiesTrustUrban PopulationAdultAgedAged, 80 and overBiomedical ResearchBlack or African AmericanChronic DiseaseCommunity-Based Participatory ResearchFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and Questionnairescancercommunity-based participatory research (CBPR)community engagementcommunity listening tourdistrusthealthcarehealth disparities

Identifiers

PMID31500126
PMCPMC6765868

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.