TY - JOUR
T1 - A pilot study of prostate cancer knowledge among African American men and their health care advocates
T2 - implications for screening decisions
AU - Ragin, Camille
AU - Oliver, Jo Ann
AU - Allen, Rebecca S.
AU - Eichorst, Morgan K.
AU - Mieskowski, Lisa
AU - Ewell, Patrick J.
AU - Payne-Foster, Pamela
N1 - Publisher Copyright:
© 2018, Springer International Publishing AG, part of Springer Nature.
PY - 2018/6
Y1 - 2018/6
N2 - 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.
AB - 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.
KW - Adult
KW - Aged
KW - Black or African American
KW - Decision Making
KW - Early Detection of Cancer
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Male
KW - Mass Screening/methods
KW - Middle Aged
KW - Pilot Projects
KW - Prostatic Neoplasms/diagnosis
UR - http://www.scopus.com/inward/record.url?scp=85047388403&partnerID=8YFLogxK
U2 - 10.1007/s10552-018-1041-0
DO - 10.1007/s10552-018-1041-0
M3 - Article
C2 - 29804218
SN - 0957-5243
VL - 29
SP - 699
EP - 706
JO - Cancer Causes and Control
JF - Cancer Causes and Control
IS - 7
ER -