scholarly journals Predictors of Cancer Screening Among Culturally Diverse Men

2016 ◽  
Vol 12 (4) ◽  
pp. 837-843 ◽  
Author(s):  
Carolyn M. Tucker ◽  
Guillermo M. Wippold ◽  
Andrea D. Guastello ◽  
Tya M. Arthur ◽  
Frederic F. Desmond ◽  
...  

Men have higher rates of all cancers and are more likely to die from cancer than women; however, men are less likely to utilize disease prevention services. African American/Black men and Hispanic men have lower cancer survival rates and are less likely to utilize health care services than non-Hispanic White men. The present study examined demographic variables (age, household income, education, marital status, race/ethnicity, health insurance status), motivators to engage in healthy eating, and motivators to engage in physical activity as predictors of culturally diverse, medically underserved men’s likelihood of getting a cancer screening (a) at the present time, (b) if no cancer symptoms are present, and (c) if a doctor discovers some cancer symptoms. Analyses were conducted using data from 243 men (47.3% non-Hispanic Black, 29.5% Hispanic, 16.5% non-Hispanic White, and 6.8% “other”) recruited at the Men’s Health Forum in Tampa, Florida. Age, having a medical or health condition that benefits from eating healthy, and having a commitment to physical activity were significant positive predictors of the likelihood of receiving a cancer screening. Motivation to engage in physical activity because of a personal priority was a significant negative predictor of the likelihood of getting a cancer screening. The findings from this study suggest that interventions to increase cancer screenings among culturally diverse, medically underserved men should be informed at least in part by an assessment of participating men’s motivators for engaging in health promoting lifestyle behaviors such as physical activity and healthy eating.

2021 ◽  
Vol 8 (1) ◽  
pp. e000772
Author(s):  
Daniella Holland-Hart ◽  
Grace M McCutchan ◽  
Harriet Dorothy Quinn-Scoggins ◽  
Kate Brain ◽  
Lucy Hill ◽  
...  

BackgroundLung cancer survival rates in the UK are among the lowest in Europe, principally due to late-stage diagnosis. Alternative routes to earlier diagnosis of lung cancer are needed in socioeconomically deprived communities that are disproportionately affected by poor lung cancer outcomes. We assessed the feasibility and acceptability of a community-based pharmacy referral service to encourage earlier symptomatic referral for chest X-rays.MethodsSeventeen community pharmacies located in a deprived area of Wales participated between March 2019 and March 2020. Stakeholder interviews were conducted with four patients, seven pharmacy professionals and one general practitioner. Four focus groups were conducted, including one with healthcare professionals (n=6) and three with members of the public who were current and former smokers (n=13). Quantitative data regarding patient characteristics and clinical outcomes were collected from hospital records and patient referral questionnaires completed by pharmacists and analysed using descriptive statistics. Qualitative data sets were analysed thematically and triangulated.ResultsTwelve patients used the pharmacy referral service, all of whom were male. Average length of the pharmacy consultation was 13 min, with a mean 3 days to accessing chest X-rays in secondary care. Patients experienced a mean 46-day wait for results, with no lung cancer detected. Participants found the service to be acceptable and considered the pharmacy element to be broadly feasible. Perceived barriers included low awareness of the service and concerns about the role and capacity of pharmacists to deliver the service. Facilitators included perceived approachability and accessibility of pharmacists. A well-publicised, multifaceted awareness campaign was recommended.ConclusionsA community pharmacy referral service for lung symptoms was considered an acceptable alternative pathway to symptomatic diagnosis of lung cancer in deprived communities. Wider implementation of the service would require workforce capacity and training to be addressed to ensure optimum utilisation and promotion of the service.


BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e018168 ◽  
Author(s):  
Brian D Nicholson ◽  
Jason Oke ◽  
Claire Friedemann Smith ◽  
Julie-Ann Phillips ◽  
Jennifer Lee ◽  
...  

IntroductionCancer survival in England lags behind most European countries, due partly to lower rates of early stage diagnosis. We report the protocol for the evaluation of a multidisciplinary diagnostic centre-based pathway for the investigation of ‘low-risk but not no-risk’ cancer symptoms called the Suspected CANcer (SCAN) pathway. SCAN is a new standard of care being implemented in Oxfordshire; one of a number of pathways implemented during the second wave of the Accelerate, Coordinate, Evaluate (ACE) programme, an initiative which aims to improve England’s cancer survival rates through establishing effective routes to early diagnosis.Methods and analysisTo evaluate SCAN, we are collating a prospective database of patients referred onto the pathway by their general practitioner (GP). Patients aged over 40 years, with non-specific symptoms such as weight loss or fatigue, who do not meet urgent cancer referral criteria or for whom symptom causation remains unclear after investigation via other existing pathways, can be referred to SCAN. SCAN provides rapid CT scanning, laboratory testing and clinic review within 2 weeks. We will follow all patients in the primary and secondary care record for at least 2 years. The data will be used to understand the diagnostic yield of the SCAN pathway in the short term (28 days) and the long term (2 years). Routinely collected primary and secondary care data from patients not referred to SCAN but with similar symptoms will also be used to evaluate SCAN. We will map the routes to diagnosis for patients referred to SCAN to assess cost-effectiveness. Acceptability will be evaluated using patient and GP surveys.Ethics and disseminationThe Oxford Joint Research Office Study Classification Group has judged this to be a service evaluation and so outside of research governance. The results of this project will be disseminated by peer-reviewed publication and presentation at conferences.


2014 ◽  
Author(s):  
R.A. Natale ◽  
S.E. Messiah ◽  
L. Asfour ◽  
S.B. Uhlhorn ◽  
A. Delamater ◽  
...  

2006 ◽  
Author(s):  
L. Haerens ◽  
B. Deforche ◽  
L. Maes ◽  
G. Cardon ◽  
V. Stevens ◽  
...  

2010 ◽  
Author(s):  
Caitlin Shepherd ◽  
Tiare Macdonald ◽  
Kasey Schultz ◽  
Janean Anderson

2008 ◽  
Author(s):  
Christina M. Perry ◽  
R. J. De Ayala ◽  
Ryan Lebow ◽  
Emily Hayden

1970 ◽  
Vol 2 (2) ◽  
Author(s):  
Mayumi Mizutani ◽  
Junko Tashiro ◽  
Nia Damiati ◽  
Uswatun Khasanah

This study aimed to explore perceptions about a healthy-eating lifestyle and reasons to practice a healthy-eating lifestyle of women with type 2 diabetes in a city of West Java by using a case study design. Six female patients, with type 2 diabetes, ages 47–63 from a hospital were interviewed guided by the health promotion model. Their healthy-eating lifestyle included currently practicing or not practicing a healthy-eating lifestyle. Reasons to practice were: beliefs for health and for physical energy to work for family, definition of multidimensional health and self-efficacy increased by: support from God, support from family, support from health professionals and improved or deteriorated health status by prior experience. Reasons not to practice were: difficulty in arranging diet, rejecting eating, controlling appetite, and accessing health care services. Related difficulties were interpersonal relations with family and social situation such as social events, expensive medical fee, and distance to the hospital. These findings suggest that women with type 2 diabetes in Indonesia need to be supported with the reasons to practice a healthy-eating lifestyle.Key words:Diet, health promotion, Indonesia, type 2 diabetes, women AbstrakTujuan dari penelitian ini adalah untuk mengeksplorasi persepsi tentang gaya hidup mengonsumsi makanan sehat dan alasan untuk mempraktikkan gaya hidup memakan makanan sehat pada wanita penderita diabetes tipe 2 di satu kota di Jawa Barat dengan menggunakan desain penelitian studi kasus. Enam pasien wanita penderita diabetes tipe 2 berumur antara 47–63 tahun. Penelitian ini dilakukan di sebuah rumah sakit. Pasien diwawancara secara terbimbing menggunakan model promosi kesehatan. Gaya hidup partisipan dalam mengonsumsi makanan sehat dinilai dalam penelitian ini, termasuk yang sedang dipraktikkan atau tidak sedang dipraktikkan. Hasil penelitian menunjukkan alasan partisipan untuk mengonsumsi makanan sehat adalah: keyakinan untuk sehat dan kekuatan fisik untuk bekerja bagi keluarga, definisi kesehatan multidimensi dan efikasi diri meningkat oleh dukungan Tuhan, dukungan dari keluarga, dukungan dari petugas kesehatan, dan meningkatnya atau menurunnya status kesehatan oleh pengalaman sebelumnya. Alasan untuk tidak mengonsumsi makanan sehat adalah kesulitan dalam: mengatur diet, menolak makan, mengontrol nafsu makan, dan kesulitan mengakses pelayanan kesehatan. Kesulitan-kesulitan yang terkait dengan masalah ini adalah hubungan interpersonal dengan keluarga dan situasi sosial seperti acara-acara sosial, biaya medis yang mahal, dan jarak ke rumah sakit. Penelitian ini menyarankan peningkatan dukungan bagi wanita penderita diabetes tipe 2 di Indonesia agar mempraktikkan gaya hidup memakan makanan yang sehat.Kata kunci:Diabetes tipe 2, Indonesia, makanan, promosi kesehatan, wanita


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