African-American men's perceptions about prostate cancer: Implications for designing educational interventions

Allen, Jennifer D.; Kennedy, Mark W.; Wilson-Glover, Athene; Gilligan, Timothy D.

doi:10.1016/j.socscimed.2007.01.007

Cited by 112 publications

(132 citation statements)

References 44 publications

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“…These findings bring out a felt need of information education and communication (IEC) as also highlighted by other studies (Seth et al, 2005;Aswathy et al, 2006). These findings, in our study, were found in all strata of the society irrespective of the education, place of living, income and occupation in stark contrast with similar findings being found only amongst the marginalized in the developed countries (Kwok and Sullivan, 2006;Lyttle and Stadelman, 2006;Allen et al, 2007).…”

Section: Discussioncontrasting

confidence: 59%

“…They almost uniformly felt it was a dangerous disease with an invariably fatal outcome and were apprehensive about getting the disease. Allen et al (2007) also found similar fear of cancer among African men with many perceiving cancer as a death sentence. These findings bring out a felt need of information education and communication (IEC) as also highlighted by other studies (Seth et al, 2005;Aswathy et al, 2006).…”

Section: Discussionmentioning

confidence: 60%

“…There is a paucity of community studies regarding cancer and also insufficient number of community based evaluation of cancer therapy and needs of cancer patient studies, as NCCP evaluations have till date largely focused on healthcare facilities (NIHFW, 2002). Though a plethora of qualitative studies on various aspects of cancer are available in other countries (Villafuerte et al, 2007;Allen et al, 2007;Francis et al, 2011), in India, community based studies on cancer have looked at the issue mostly in a quantitative manner (Ray and Mandal, 2004;Seth et al, 2005) and there is a dearth and also a need for qualitative, in-depth studies in this area.…”

Section: Introductionmentioning

confidence: 99%

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A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

Seth

Kotwal²,

Thakur³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

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A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

Seth

Kotwal²,

Thakur³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…For instance, former studies suggest that African American patients are more likely than White patients to concentrate in lower-end health insurance plans [16], to be treated by primary care providers with less clinical training and who may have less referral access to specialty facilities and important clinical resources than physicians treating White patients [17]. Other studies suggest that African Americans are also more likely to report a general mistrust of the healthcare industry and of medical/biomedical research and experimentation, present at clinical settings with later disease stages at diagnosis and show a tendency towards refusing participation in medical/ biomedical experiments [18][19][20][21]. African American patients are also more likely than other patients to show a heightened sense of ethnic prejudice directed against them in clinical settings and in racially discordant healthcare provider-patient interactions [16,22].…”

Section: Discussionmentioning

confidence: 99%

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

Sultan

Gishe

Hanciles

et al. 2015

J. Racial and Ethnic Health Disparities

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Purpose To examine cancer treatment disparities at a National Cancer Institute-designated comprehensive cancer center (NCI-CCC) and non-specialty hospitals. Materials and Methods Florida hospital discharge datasets were used. ICD9-CM codes were used to define patients with female reproductive organ cancers (FROC), male reproductive organ cancers (MROC), and OTHER cancer diagnoses. A total of 7462 NCI-CCC patients and 21,875 non-specialty hospital patients were included in the statistical analysis. Data analysis was conducted in SAS 9.2.Results Increases in age reduced the odds of receiving treatment at the NCI-CCC. Male patients were more likely than female patients to be treated at the NCI-CCC. Age-adjusted odds of African American and Hispanic out/inpatients being treated at the NCI-CCC were significantly lower than those of White out/inpatients. Only patients with workers' compensation, charity, or other insurance had higher odds of being treated at the NCI-CCC. The odds of minority patients receiving outpatient treatment at the NCI-CCC declined after 2005. The odds of receiving inpatient treatment at the NCI-CCC significantly increased after 2006. Conclusions More targeted outreach by the NCI-CCC is required. However, we expect the creation of local Accountable Care Organizations (ACOs) to reduce the numbers of minority and older patients at the NCI-CCC. Coordinated quality care at ACOs implies a potential for retaining the patient market share held by non-specialty hospitals and a potential for increased demand for ACO care by minority and older patients.

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“…A similar finding revealed in a study assessing African American men's preventive behaviors was that participants described the 'Superman syndrome' as a barrier to receiving care (Allen, Kennedy, Wilson-Glover, & Gilligan, 2007). In this instance, the "Superman syndrome" was defined as being reluctant to seek care because of feeling invincible to sickness or harm (Shuman, 2011).…”

Section: Discussionmentioning

confidence: 77%

A Community-Level Assessment of Barriers to Preventive Health Behaviors Among Culturally Diverse Men

Davis

Rivers

et al. 2016

Am J Mens Health

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There are significant gender disparities in health outcomes and health care utilization in the United States, with men experiencing more of these disparities. It is critical to ascertain the interplay between societal conditions, health behaviors, and access to services and the impact of these factors on health outcomes and utilization of health care. The present study is part of a larger initiative titled, The Men's Health Study: Addressing Healthy Lifestyle Behaviors, which has two purposes-to annually assess the motivators of and barriers to health-promoting behaviors among culturally diverse men attending the Men's Health Forum (MHF) and to use this information to develop an intervention program that facilitates healthy lifestyle behaviors among men. The MHF is a community-driven initiative for medically underserved men in Tampa, Florida that offers free health screenings and wellness exhibitors in order to empower men to lead a healthy lifestyle. The purpose of this article is to identify barriers to engaging in health-smart behaviors (e.g., cancer screenings, physical activity) among culturally diverse men who participated in the MHF and to detect any demographic differences among these barriers. A total of 254 men participated in the study. Findings identify that age was the only demographic variable that had a statistically significant association with any of the cancerscreening barriers. Some cancer-screening barriers appear to exist among all demographic groups since no statistical demographic differences were discovered. Income and education were significantly associated with barriers to engaging in health-smart behaviors. This may give researchers, health educators, and providers information needed to customize interventions to promote health and preventive health care among culturally diverse men.

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African-American men's perceptions about prostate cancer: Implications for designing educational interventions

Cited by 112 publications

References 44 publications

A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

A Community-Level Assessment of Barriers to Preventive Health Behaviors Among Culturally Diverse Men

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