Prostate cancer and psychosocial concerns in African American men: literature synthesis and recommendations.
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.
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ABSTRACT: African Americans have poorer levels of hypertensive control than their white counterparts in the US population. Multiple studies have examined the factors that contribute to this discrepancy, but no literature review has yet attempted to place these findings within the framework of health behavior theory. The Health Belief Model (HBM) and social cognitive theory (SCT) are 2 complementary models of health behavior theory that provide a unifying structure to interpret this broad body of literature. Inaccurate lay public understanding of hypertensive illness and its consequences contributes to decreased perceived severity and susceptibility to hypertension; lower rates of compliance with lifestyle recommendations reflect several common perceived barriers along with low self-efficacy and outcome efficacy regarding hypertensive treatments. Public health workers and health care providers must understand these factors within a socioecological perspective if they are to design effective interventions to assist African Americans in meeting antihypertensive treatment goals.Journal of the National Medical Association 02/2009; 101(1):12-7. · 1.16 Impact Factor
Article: Evaluating an intervention to increase cancer knowledge in racially diverse communities in South Carolina.[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. · 2.31 Impact Factor