scholarly journals Testicular Cancer Among African American College Men: Knowledge, Perceived Risk, and Perceptions of Cancer Fatalism

2007 ◽  
Vol 1 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Barbara D. Powe ◽  
Louie Ross ◽  
Donoria Wilkerson ◽  
Patrice Brooks ◽  
Dexter Cooper
Keyword(s):  
African American ◽  
Testicular Cancer ◽  
Perceived Risk ◽  
African American Men ◽  
Cancer Knowledge ◽  
Cancer Fatalism ◽  
Health Promoting Behaviors ◽  
Caucasian Men ◽  
Health Promoting ◽  
Knowledge Survey

African American men present at later stages of testicular cancer and have higher mortality rates than Caucasian men. Lack of awareness, beliefs, and access to care may influence this disparity. Guided by the Powe fatalism model, this comparative study assessed knowledge of testicular cancer, perceived risk, and cancer fatalism among African American and Caucasian men who attended selected colleges and universities. Data were collected using the Powe Fatalism Inventory, the Testicular Cancer Knowledge Survey, and the Perceived Cancer Risk Survey. The majority ( n = 190) of men were African American (70%), and the remainder were Caucasian. African American men were significantly younger than Caucasian men. African American men also had lower testicular cancer knowledge scores, higher perceptions of cancer fatalism, and lower perceived risk for the disease. Rates of testicular cancer screening were low for all the men. Research should focus on further understanding the relationship between cancer fatalism and health-promoting behaviors among African American men.

Sociodemographic Influences in the Prediction of Attitudes toward Transracial Adoption

2000 ◽  
Vol 81 (1) ◽  
pp. 92-100 ◽  
Author(s):  
Leslie Doty Hollingsworth
Keyword(s):  
African American ◽  
African American Women ◽  
African American Men ◽  
Policy Research ◽  
Transracial Adoption ◽  
Opinion Survey ◽  
Research And Practice ◽  
Caucasian Men ◽  
Using Data ◽  
Age Category

An exploratory study of attitudes toward transracial adoption was conducted, using data from a 1991 national telephone opinion survey of 916 respondents. Seventy-one percent of those surveyed believed that race should not be a factor in who should be allowed to adopt a child. However, in a logistic regression analysis, respondents in the highest age category (i.e., those older than 64 years) were 63% less likely to approve of transracial adoption, compared with 18- to 29-year-olds. There was also an interaction of race and sex. African-American women were 84% less likely than African-American men to approve of transracial adoption. Compared with African-American men, Caucasian men were 72% less likely to approve. The importance of considering subpopulation differences in applying such findings to adoption policy, research, and practice is discussed.

scholarly journals Word on the Street

2016 ◽  
Vol 10 (5) ◽  
pp. 377-388 ◽  
Author(s):  
Elinor R. Schoenfeld ◽  
Linda E. Francis
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
African American ◽  
Cancer Care ◽  
Cancer Education ◽  
African American Men ◽  
Community Based Participatory Research ◽  
Cancer Information ◽  
Cancer Knowledge ◽  
African American Communities

African American men face the highest rates of prostate cancer, yet with no consensus for screening and treatment, making informed health care decisions is difficult. This study aimed to identify approaches to empowering African American men as proactive participants in prostate cancer decision making using an established community–campus partnership employing elements of community-based participatory research methods. Community stakeholders with an interest in, and knowledge about, health care in two local African American communities were recruited and completed key informant interviews ( N = 39). Grounded theory coding identified common themes related to prostate cancer knowledge, beliefs, attitudes, and responses to them. Common barriers such as gender roles, fear, and fatalism were identified as barriers to work-up and treatment, and both communities’ inadequate and inaccurate prostate cancer information described as the key problem. To build on community strengths, participants said the change must come from inside these communities, not be imposed from the outside. To accomplish this, they suggested reaching men through women, connecting men to doctors they can trust, making men’s cancer education part of broader health education initiatives designed as fun and inexpensive family entertainment events, and having churches bring community members in to speak on their experiences with cancer. This study demonstrated the success of community engagement to identify not only barriers but also local strengths and facilitators to prostate cancer care in two suburban/rural African American communities. Building collaboratively on community strengths may improve prostate cancer care specifically and health care in general.

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.

scholarly journals African American men with low-grade prostate cancer have increased disease recurrence after prostatectomy compared with Caucasian men

2015 ◽  
Vol 33 (2) ◽  
pp. 70.e15-70.e22 ◽  
Author(s):  
Kosj Yamoah ◽  
Curtiland Deville ◽  
Neha Vapiwala ◽  
Elaine Spangler ◽  
Charnita M. Zeigler-Johnson ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
African American Men ◽  
Disease Recurrence ◽  
Low Grade ◽  
Caucasian Men

Increasing Engagement in Health-Promoting Behaviors and Reducing BMI in African American Women

2011 ◽  
Author(s):  
Khanh N. Nghiem ◽  
Carolyn M. Tucker ◽  
Manuel Thomas Lopez ◽  
Julia Roncoroni ◽  
Whitney Wall ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Health Promoting Behaviors ◽  
American Women ◽  
Health Promoting

Risk of more advanced cancer at surgery in African American men eligible for active surveillance.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e15214-e15214
Author(s):  
Amirali H Salmasi ◽  
Misop Han ◽  
Isaac Yi Kim
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Advanced Cancer ◽  
Active Surveillance ◽  
African American Men ◽  
Low Grade ◽  
Inclusion Criteria ◽  
Medical Institutions ◽  
Caucasian Men ◽  
Preoperative Predictors

e15214 Background: African-American (AA) men have a higher risk for developing prostate cancer (PCa) and dying of PCa compared to Caucasian men. Active surveillance (AS) is an acceptable management for males with low volume and low grade PCa. In Caucasian men who were eligible for AS, the risk of non-organ-confined disease [NOC] at radical prostatectomy (RP) ranges between 7.8 and 10.9% (Kang et al 2011, Mufarrij et al 2010). It is unclear whether AA men with favorable risk PCa can undergo AS safely. We evaluated changes in staging and grading of PCa in a cohort of AA males that met the criteria for AS but underwent RP. Methods: Between 1997 and 2011, 1536 AA men underwent RP at either Johns Hopkins Medical Institutions or Cancer Institute of New Jersey. Pathological characteristics of patients who fulfilled the inclusion criteria under the National Cancer Institute (NCI) AS criteria were examined. NOC (ECE/SV+/LN+) and upgrading (Gleason <7 in biopsy to Gleason >6 in RP) was evaluated. We tried to identify preoperative predictors of more advanced cancer (NOC and/or upgrading). Results: We identified 212 men who underwent RP, eligible for AS based on NCI criteria. Among 212 men, 92 (37.7%) men showed NOC and/or upgrading, defined SV involvement in 5 (2.4%), ECE in 53 (25%), and increased Gleason (<7 to >6) in 69 (32%) men. Pre-operative PSA level (OR 1.2, p < 0.05) and age (OR 1.06, p < 0.01) were significantly associated with more advanced cancer. No significant association was found between BMI, tissue percentage, or positive cores with more advanced cancer. Conclusions: AS in AA with prostate cancer carries higher risk of NOC compared to non-AA population. More stringent AS entrance criteria may be necessary for AA men.

scholarly journals Patterns of Information Behavior and Prostate Cancer Knowledge Among African–American Men

2011 ◽  
Vol 26 (4) ◽  
pp. 708-716 ◽  
Author(s):  
Levi Ross ◽  
Tyra Dark ◽  
Heather Orom ◽  
Willie Underwood ◽  
Charkarra Anderson-Lewis ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
African American Men ◽  
Information Behavior ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge
Sign in / Sign up

Export Citation Format

Share Document