A pilot study of prostate cancer knowledge among African American men and their health care advocates: implications for screening decisions

Camille Ragin, Jo Ann Oliver, Rebecca S. Allen, Morgan K. Eichorst, Lisa Mieskowski, Patrick J. Ewell, Pamela Payne-Foster

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Purpose: Prostate cancer (PCa) is the second leading cause of cancer death in U.S. men [American Cancer Society (ACS)], most often affecting men age 50 and older. The study provides information about factors that influence rural AA men in their decision to undergo screening for PCa with a specific focus on PCa knowledge among AA men and their health care advocates. Methods: A longitudinal quantitative study included AA males and their health care advocates. Participants were from three Alabama rural counties. Measures included demographics, PCa knowledge, decisional conflict, and health literacy scales. Results: Thirty-three men with a mean age of 54.61 and 35 health care advocates were included in the study. PROCASE Knowledge Index measure results indicate a lack of PCa knowledge among both male primary participants and their advocates. The knowledge of AA men in the study was somewhat low, with individuals correctly answering approximately six questions out of ten at multiple time points (baseline total M = 6.42, SD = 1.52). Decisional conflict responses at 12 months (38.64) were lower than at baseline (M = 62.88) and at 6 months (M = 58.33), p <.005. Conclusion: Health care advocates of the 33 male participants were usually women, spouses, or significant others, supporting the vital role women play in men’s health specifically in rural underserved communities. Low overall PCa knowledge, including their risk for PCa, among these participants indicates a need for PCa and screening educational interventions and dialogue that include males and their significant others.

Original languageEnglish
Pages (from-to)699-706
Number of pages8
JournalCancer Causes and Control
Volume29
Issue number7
DOIs
StatePublished - Jun 2018

Keywords

  • Adult
  • Aged
  • Black or African American
  • Decision Making
  • Early Detection of Cancer
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Mass Screening/methods
  • Middle Aged
  • Pilot Projects
  • Prostatic Neoplasms/diagnosis

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