Article

Prostate cancer and psychosocial concerns in African American men: literature synthesis and recommendations.

University of Michigan School of Social Work, Ann Arbor, MI, USA.
Health & social work (Impact Factor: 0.94). 12/2003; 28(4):302-11. DOI: 10.1093/hsw/28.4.302
Source: PubMed

ABSTRACT African American men have the highest prostate cancer rates in the world, and more die from the disease than men from other racial or ethnic groups. Because the social work literature has little information on prostate cancer in African American men, the authors have synthesized the literature on prostate cancer and psychosocial concerns in African American men. They used the Health Belief Model as a framework to help explain, understand, and predict African American men's preventive health-related behaviors. The authors make recommendations for social work practice and research.

0 Bookmarks
 · 
96 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper synthesizes the perspectives from behavioral science and medical anthropology to discuss factors affecting prostate cancer screenings among African American men. It argues that the hegemonic health behavior model historically used to frame prostate cancer screenings without considering the context in which African American men are embedded. By the same token, the sociocultural perspective tends to articulate the cultural meaning and social relationships experienced by patients; however, it may operate largely in its own field and becomes somewhat peripheral to the domain of traditional behavioral models. This paper accordingly suggests that through exploration of a synthetic approach combining behavioral science and anthropological perspectives, we can display the relationship between individual – (e.g., perceived threats) and sociocultural – related factors (e.g., intimate and family relationship, socioeconomic status, and sense of masculinity) and practices of prostate cancer screenings among African American men.
    Journal of African American Studies 01/2007; 11(2):126-139.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To conduct a cancer education intervention with racially diverse communities in South Carolina. The study was conducted at eight different sites in six counties in SC. The intervention included a 3-h general cancer knowledge and 30-min prostate cancer knowledge component. Pre- and post-intervention surveys were administered. Maximum scores were 31, 10 and 5 for the general cancer knowledge, prostate cancer knowledge and perceived self-efficacy in patient-physician interaction instruments, respectively. Analyses were completed using SPSS 16.0, SAS 9.1.3, and R v2.6.1. The study sample consisted of 164 predominantly African American participants. Most of the participants who reported age were 50+ years (62.5%). Among those who reported income, 46.1% had an annual household income <$40,000. The mean general cancer knowledge pre-test score was 26.2 (standard deviation (SD) 3.7) with a mean post-intervention increase of 2.15 points (p<0.01). The mean pre-test prostate cancer knowledge score was 7.3 (SD 2.0) with a post-intervention increase of 0.48 points (p<0.01). Perceived self-efficacy in patient-physician interaction scores had a ceiling effect. General cancer knowledge and prostate cancer knowledge scores increased following the intervention. The intervention was successful in the short-term. It could be continued by community members.
    Patient Education and Counseling 05/2011; 83(2):256-60. · 2.60 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to explore whether a particular combination of individual characteristics influences patient satisfaction with the health care system among a sample of African American men in North Carolina with prostate cancer. Patient satisfaction may be relevant for improving African American men's use of regular care, thus improving the early detection of prostate cancer and attenuating racial disparities in prostate cancer outcomes. This descriptive correlation study examined relationships of individual characteristics that influence patient satisfaction using data from 505 African American men from North Carolina, who prospectively enrolled in the North Carolina-Louisiana Prostate Cancer Project from September 2004 to November 2007. Analyses consisted of univariate statistics, bivariate analysis, and multiple regression analysis. The variables selected for the final model were: participation in religious activities, mistrust, racism, and perceived access to care. In this study, both cultural variables, mistrust (p=<.0001, F=95.58) and racism (p=<.002, F=5.59), were significantly negatively associated with patient satisfaction and accounted for the majority of the variability represented by individual characteristics. Mistrust and racism are cultural factors that are extremely important and have been negatively associated with patient satisfaction and decreased desires to utilize health care services for African American men. To overcome barriers in seeking health care services, health care providers need to implement a patient-centered approach by creating a clinical environment that demonstrates cultural competence and eliminating policies, procedures, processes, or personnel that foster mistrust and racism.
    Journal of the National Medical Association 01/2013; 105(1):59-68. · 0.91 Impact Factor