Ethnic Differences Among Black Men in Prostate Cancer Knowledge and Screening: a Mixed-Methods Study

2021 ◽  
Author(s):  
Nipher Malika ◽  
Lisa Roberts ◽  
Qais Alemi ◽  
Carlos A. Casiano ◽  
Susanne Montgomery
Keyword(s):  
Prostate Cancer ◽  
Mixed Methods ◽  
Black Men ◽  
Ethnic Differences ◽  
Mixed Methods Study ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge

Prostate-cancer (CaP) screening decision aid for black men designed to enhance shared decision-making

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6059-6059
Author(s):  
T. D. Gilligan ◽  
M. W. Kennedy ◽  
E. Olson ◽  
A. Gerberick ◽  
A. Wilson-Glover ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Decision Making ◽  
Black Men ◽  
Shared Decision Making ◽  
Decision Aid ◽  
Decisional Conflict ◽  
Shared Decision ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge

6059 Background: The high CaP incidence and mortality of black men combined with their relatively low rate of CaP screening and their elevated risk of presenting with advanced disease has led to their being identified as a high-priority group for screening. The benefit of screening, however, is uncertain. Most guidelines recommend that men make an individualized screening decision in consultation with their doctor. Motivating and preparing men to actively participate in this difficult decision remains a challenge. This is particularly relevant regarding black Americans given their historical alienation from the health care system. Methods: A CaP screening decision aid designed to promote shared decision-making was tested in 5 small group sessions of black men at community sites in Boston. The decision aid was preceded by a brief didactic presentation on CaP screening. The decision aid included a graphical depiction of all potential major outcomes that may follow a decision for or against screening. Vignettes about the decision-making and outcomes of hypothetical men with different life circumstances and priorities were presented to enhance values clarification by the participants. Endpoints measured before and after the intervention included self efficacy (SE)[Decision Self Efficacy Scale], decisional conflict (DC) [Decisional Conflict Scale], desire for autonomy (DFA) [Control Preferences Scale], and prostate cancer knowledge (PCK) [Prostate Cancer Knowledge and Prostate Cancer Screening Knowledge scales]. Pre- and post-intervention scores were compared using a Wilcoxon Matched-Pairs Signed Rank test. Results: 64 men were accrued over 4 months during 2005. Significant changes were seen in all measures. Average scores improved 16% on SE (p<.001) and 17% on DC (p<.004). DFA increased, with the proportion of men wanting to play a dominant role in health care decisions rising from 62% to 81% (p<.001). PCK more than doubled on both scales (p<.001). Focus groups held after the intervention reinforced these findings. Conclusions: Men were better informed, felt better prepared to actively participate in CaP screening decisions, and wanted to play a stronger role in decisions about their health care following exposure to our decision aid. No significant financial relationships to disclose.

Learning Amid Controversy: Prostate Cancer Knowledge and Screening Practices Among US Medical Students

2008 ◽  
Vol 23 (2) ◽  
pp. 108-113 ◽  
Author(s):  
David Werny ◽  
Mona Saraiya ◽  
Jennifer Carrera ◽  
Steven Coughlin ◽  
Erica Frank
Keyword(s):  
Prostate Cancer ◽  
Medical Students ◽  
Cancer Knowledge ◽  
Screening Practices ◽  
Prostate Cancer Knowledge

scholarly journals Barbershop Prostate Cancer Education: Factors Associated With Client Knowledge

2017 ◽  
Vol 11 (5) ◽  
pp. 1415-1425 ◽  
Author(s):  
Barry C. Hill ◽  
David R. Black ◽  
Cleveland G. Shields
Keyword(s):  
Prostate Cancer ◽  
Cancer Education ◽  
Underserved Populations ◽  
College Education ◽  
Health Promotion Program ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge ◽  
Potential Association ◽  
Peer Helper ◽  
Client Knowledge

The purpose of this paper is to identify characteristics of Black barbershop clients and barbers in an urban Midwestern city participating in a health promotion program called Affecting Cancer Together (ACT) that are associated with client knowledge about prostate cancer. Statistical analyses examined client and barber characteristics for their potential association with client prostate cancer knowledge, while controlling for ACT variables. Study findings suggested clients who are married (β = 0.99; CI [0.38, 1.59]; p < .01) and have higher levels of education (β = 0.34; CI [0.01, 0.67]; p = .04) may be more likely to know more about prostate cancer. Barbers with at least “some college” education may be more effective in increasing client knowledge (β = 0.85; CI [0.05, 1.64]; p = .04). Trained peer-helper programs may consider prioritizing limited educational resources for barbers with at least some college education and incorporating the social support of spouses for making informed decisions. Considering the potential of barbershop programs to reach Black men about a serious racially disproportionate health issue, ameliorating adoption, implementation, effectiveness, and sustainment are an important public health priority for underserved populations.

scholarly journals Are Asians Harder to Please? A Mixed-Methods Study of Racial/Ethnic Differences in Expectations and Evaluation of Health Care Experiences

2017 ◽  
Vol 4 (3) ◽  
pp. 195
Author(s):  
Shuting (Lily) Liang ◽  
Sukyung Chung ◽  
Katie Gillespie ◽  
Lu Wah Hung ◽  
Yasmin Hernandez ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Ethnic Differences ◽  
Mixed Methods Study ◽  
Health Care Experiences ◽  
Racial Ethnic

Prostate Cancer Knowledge and Beliefs Among Black and White Older Men in Rural and Urban Counties

2005 ◽  
Vol 20 (2) ◽  
pp. 96-102 ◽  
Author(s):  
Alma Jones ◽  
Michele Shipp ◽  
Corleen Thompson ◽  
Mary Kidd Davis
Keyword(s):  
Prostate Cancer ◽  
Older Men ◽  
Cancer Knowledge ◽  
Black And White ◽  
Knowledge And Beliefs ◽  
Prostate Cancer Knowledge ◽  
Rural And Urban

Prostate Cancer Knowledge in Irish Men

2011 ◽  
Vol 27 (1) ◽  
pp. 120-131 ◽  
Author(s):  
Rowan G. Casey ◽  
David J. Rea ◽  
Ted McDermott ◽  
Ronald Grainger ◽  
Michael Butler ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge

scholarly journals The psychological impact of being on a monitoring pathway for localised prostate cancer: A UK‐wide mixed methods study

2019 ◽  
Vol 28 (7) ◽  
pp. 1567-1575 ◽  
Author(s):  
Lauren Matheson ◽  
Sarah Wilding ◽  
Richard Wagland ◽  
Johana Nayoan ◽  
Carol Rivas ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Mixed Methods ◽  
Psychological Impact ◽  
Mixed Methods Study

scholarly journals Development and Psychometric Properties of a Prostate Cancer Knowledge Scale for African American Men

2019 ◽  
Vol 13 (6) ◽  
pp. 155798831989245 ◽  
Author(s):  
Otis L. Owens ◽  
Abbas S. Tavakoli ◽  
Theda Rose ◽  
Nikki R. Wooten
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Factor Structure ◽  
African American Men ◽  
Warning Signs ◽  
Care Providers ◽  
Cancer Knowledge ◽  
Targeted Interventions ◽  
Prostate Cancer Knowledge ◽  
Knowledge Scale

African American men have the highest prostate cancer-related mortality nationally. In response to this disparity, targeted interventions are emerging to enhance African American men’s prostate cancer (PrCA) knowledge to ensure they are equipped to make informed decisions about PrCA screening with health-care providers. African American men’s PrCA knowledge has been measured inconsistently over time with limited psychometric evidence. The factor structure of this construct in African American men is relatively unknown. This study describes the development and psychometric evaluation of an 18-item Prostate Cancer Knowledge Scale among 352 African American men. Exploratory factor analysis (EFA) was conducted using weighted least square mean and variance estimation with Geomin rotation. EFA yielded three factors: PrCA Anatomy and Screening (6 items), Risk Factors (5 items), Warning Signs (7 items) with good internal consistency reliability at KR-20 = .80 for the total scale and .64, .66, and .75, respectively, for each subscale. Factor loadings ranged from .31 to .86. The standardized root mean square residual (0.08) indicated that the factor structure explained most of the correlations. The three-factor, 18-item Prostate Cancer Knowledge Scale demonstrates that PrCA knowledge is a multidimensional construct and has utility for reliably measuring PrCA knowledge among African American men. Future research is required to confirm this factor structure among socio-demographically diverse African Americans.

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