Prostate Cancer and Psychosocial Concerns in African American Men: Literature Synthesis and Recommendations

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


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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    • "The health belief model is a useful conceptual framework that may be used for understanding and estimating health-related behaviors (Pierce et al., 2003). Several researchers have previously carried out interventions based on the health belief model for the early diagnosis of prostate cancer and have reported improvements in its various components (Cantor et al., 2002; Whaley, 2006; Ford et al., 2006; Oliver, 2007). "
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    ABSTRACT: The aim of this study was to investigate the effect of web-assisted education and reminders on health belief, level of knowledge and early diagnosis behaviors regarding prostate cancer screening. In this pretest-posttest longitudinal study, Turkish men over 40 years of age were given an interactive educational session on prostate cancer and prostate cancer screening, and were then given related web-assisted education and consultation for a period of 6 months. As well as the Internet, reminders such as desk calendar, booklets, e-mails and cell phone messages were used in the study. Changes in the screening behaviors, the health belief and knowledge level of patients were examined 3 and 6 months after the interventions. During the study, participants' prostate examination rate increased from 9.3% to 19.1% and PSA measurement rate increased from 6.7% to 31.4%. The interventions raised the susceptibility perception on prostate cancer and prostate cancer screening while decreasing the barrier perception (p < 0.05). No change was observed in other health belief components and the level of knowledge. Web-assisted education and reminders provided positive changes in the barrier and susceptibility perceptions of individuals. Participation in the screening also increased.
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    • "Awareness of such differences would be critical while providing counseling.69, 70, 71, 72 This may not reliably occur at this time, particularly for gay men,73 African Americans70 and other ethnic groups.74 "
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    ABSTRACT: Prostate cancer is the second most frequently diagnosed cancer in men in the United States. Many men with clinically localized prostate cancer survive for 15 years or more. Although early detection and successful definitive treatments are increasingly common, a debate regarding how aggressively to treat prostate cancer is ongoing because of the effect of aggressive treatment on the quality of life, including sexual functioning. We examined current research on the effect of post-prostatectomy radiation treatment on sexual functioning, and suggest a way in which patient desired outcomes might be taken into consideration while making decisions with regard to the timing of radiation therapy after prostatectomy.
    Full-text · Article · Aug 2009 · International journal of impotence research
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    • "diagnosis . Health lo - cus of control is closely associated with pre - ventive health behavior ( Lau , Hartman , & Ware , 1986 ) , perhaps particularly for men ( Pierce et al . , 2003 ) . Hence , further investi - gations of coping styles within the context of locus of control , health beliefs , and perhaps masculinity issues ( Courtenay , 2000 ; Pierce et al . , 2003 ) may allow researchers to more fully understand how characteristic coping styles combine with other psychosocial vari - ables to influence male screening behavior ."
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    ABSTRACT: The relation between coping with a possible prostate cancer diagnosis and screening behavior was examined in men from seven precise ethnic groups. Five coping styles differed in their likelihood of use across ethnic groups and had somewhat different associations with frequency of prostate-specific antigen (PSA) testing. As expected, PSA test frequency differed among men from different ethnic groups and was differentially predicted by coping styles. Analyzing the results using typical groups of White, Black, and Hispanic, rather than precise ethnic groups, obscured these results. Researchers investigating psychological variables in preventive health behaviors must analyze diversity within the framework provided by ethnic specificity. Such an approach will guide the development and provision of interventions that are more sensitive to the characteristics of specific ethnic groups of at risk men.
    Full-text · Article · Aug 2006 · Cultural Diversity and Ethnic Minority Psychology
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