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Minorities Distrust Medical System More
Date:2/6/2009

al sciences at the University of Texas Health Science Center at Houston, School of Public Health. "They thought of it as a death sentence."

Men were more concerned about diagnosis and treatment but also felt that a woman disclosing her HPV status was an admission of infidelity. But, as the interviews continued, they realized the travels of the virus could be ambiguous and that the man, in fact, could have infected the woman.

A third study, from the Jane Addams College of Social Work at the University of Illinois-Chicago, found that reasons for screening or not screening varied, depending on the specific cancer involved. Forty percent of participants did not have health insurance, though almost two-thirds had a regular doctor.

A fourth and final study delved into why progress in recruiting minorities and women into clinical trials has been slow from the clinicians' perspective.

Lack of institutional support and lack of incentives in individual oncology clinics (both public and private) emerged as key obstacles to effective recruitment.

"None of the places we studied had very effective recruitment programs," said study author Daniel Dohan, an associate professor of health policy and social medicine at the University of California San Francisco. Doctors also tended to put a premium on immediate care, rather than matching someone with the appropriate trial.

More information

The U.S. Centers for Disease Control and Prevention has more on cancer disparities among minorities.



SOURCES: Feb. 5, 2009, teleconference with Karen Patricia Williams, Ph.D., assistant professor, College of Human Medicine, Michigan State University, Lansing; Maria E. Fernandez, Ph.D., assistant professor, health promotion and behavioral sciences, University of Texas Health Science Center at Houston, School
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