Rob Dillard

Urban Health Today

A study analyzed the association between discrimination, trust, and pain among Black women (BW) with early-stage breast cancer (BC) following mastectomy. The findings were presented at the 2024 American Society of Clinical Oncology Annual Meeting.
In this study, researchers surveyed 77 BW with stage 0-III BC who had a mastectomy. They used the Brief Pain Inventory (BPI), Discrimination in Medical Settings Scale (DMS), and Trust in Physician Scale (TPS). In BPI, worst, least, and average pain scores (PS) were reported from 0 to 10. DMS and TPS questions were assessed on a 5-point Likert scale.
Of the total population surveyed, 66.2% received chemotherapy, 47.2% had a household income of $25,000 or less, and 40.3% had private health insurance. Univariate analysis showed a link between DMS and mistrust (P=.01), lower income and higher PS (P=.01) and pain index (PI; P=.04), and insurance status and PS (P=.02) and PI (P=.02). Associations between mistrust or DMS and pain were not statistically significant, the researchers noted.
“More discrimination was associated with more physician mistrust, but not PS or PI. Lower income and lack of private health insurance were associated with higher PS and PI. Future studies should address discrimination and trust in clinical settings and financial barriers to pain control,” the researchers concluded.

A study analyzed the association between discrimination, trust, and pain among Black women (BW) with early-stage breast cancer (BC) following mastectomy. The findings were presented at the 2024 American Society of Clinical Oncology Annual Meeting.In this study, researchers surveyed 77 BW with stage 0-III BC who had a mastectomy. They used the Brief Pain Inventory (BPI), Discrimination in Medical Settings Scale (DMS), and Trust in Physician Scale (TPS). In BPI, worst, least, and average pain scores (PS) were reported from 0 to 10. DMS and TPS questions were assessed on a 5-point Likert scale.Of the total population surveyed, 66.2% received chemotherapy, 47.2% had a household income of $25,000 or less, and 40.3% had private health insurance. Univariate analysis showed a link between DMS and mistrust (P=.01), lower income and higher PS (P=.01) and pain index (PI; P=.04), and insurance status and PS (P=.02) and PI (P=.02). Associations between mistrust or DMS and pain were not statistically significant, the researchers noted.“More discrimination was associated with more physician mistrust, but not PS or PI. Lower income and lack of private health insurance were associated with higher PS and PI. Future studies should address discrimination and trust in clinical settings and financial barriers to pain control,” the researchers concluded.

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Assessing Experiences, Outcomes in Black Women With Early-Stage Breast Cancer Following Mastectomy

Breast Cancer Disparities

A study analyzed the association between discrimination, trust, and pain among Black women with early-stage breast cancer.

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