Fear and loathing in the Caribbean: three studies of fear and cancer screening in Brooklyn's immigrant Caribbean subpopulations

Consedine, Nathan S.; Adjei, Brenda A.; Horton, David; Joe, Andrew K.; Borrell, Luisa N.; Ramírez, Paul; Ungar, Tracey; McKiernan, James M.; Jacobson, Judith S.; Magai, Carol; Neugut, Alfred I.

doi:10.1186/1750-9378-4-s1-s14

Cited by 14 publications

(16 citation statements)

References 13 publications

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“…This shows that the probability of a prostate cancer diagnosis among non-Hispanic Black men is twice that of non-Hispanic White men when there is a cancer diagnosis. The overall prevalence of prostate cancer by race in this 10-year sample shows a higher trend among non-Hispanic Black men than non-Hispanic White men, which is consistent with the literature [3,15,16]. Although this trend was consistent with the literature, the magnitude of the difference in prevalence by race seen in the literature was not evident in this pooled sample.…”

Section: Prevalence Of Prostate Cancersupporting

confidence: 66%

“…This study found that differences in screening behavior within subpopulations of African descent exist. Factors such as fear and worry vary in importance by ethnic group and vary in their ability to influence screening behavior, particularly avoidance of cancer screening [15]. In addition, the study found differences in cancer-related emotional characteristics between US-born African-Americans, USborn European Americans, and English-speaking Caribbean groups.…”

Section: Socioeconomic Statusmentioning

confidence: 74%

“…This may not be true, however, for immigrants. [15]. This study found that differences in screening behavior within subpopulations of African descent exist.…”

Section: Socioeconomic Statusmentioning

confidence: 83%

“…Minority and immigrant groups are known to participate in screening activity at much lower rates [10,14,15]. The factors identified that may contribute to low participation rates in prostate cancer screening include: lack of access to health care, lack of education on prostate cancer and the importance of early detection, and cultural barriers to initiation and maintenance of screening practices [9,10,16,17].…”

Section: Epidemiology Of Prostate Cancermentioning

confidence: 99%

“…Delays in diagnoses lead to poor outcomes (morbidity and mortality) that early diagnosis could avoid. Reported rates of prostate cancer incidence among Black men living in the Caribbean raised concerns this study aimed to address [15,28,32]. The present study aimed to explore possible differences in prostate cancer prevalence and screening behavior by race/ethnicity and by country of birth among non-Hispanic Black men.…”

Section: Overviewmentioning

confidence: 99%

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The Epidemiology of Prostate Cancer Among Multiethnic Men

Kellier¹

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The research goal was to document differences in the epidemiology of prostate cancer among multicultural men [non-Hispanic White (NHW), Hispanic (H), non-Hispanic Black Prostate cancer prevalence, by race showed a higher trend among NHB men than NHW men overall, however differences over time were not significant. CBB men reported a higher proportion of prostate cancer among cancers diagnosed than USB men overall. Due to small sample sizes, stable prostate cancer prevalence trends could not be assessed over time nor could trends in the receipt of a PSA exam among NHB men when stratified by birthplace.iv USB and CBB men differ significantly in their screening behavior. The effect of SES on PSA screening adjusted for risk factors was statistically significant while latent variable lifestyle was not. Among risk factors, family history of cancer exhibited a consistent positive effect on PSA screening for both USB and CBB men. Among the CBB men, the number of years lived in the US did not significantly affect PSA screening behavior.When NHB men are stratified by birthplace, CBB men had a higher overall prevalence of prostate cancer diagnoses than USB men although not statistically significant. USB men were 2 to 3 times more likely to have had a PSA exam compared to CBB men, but among CBB men birthplace did not make a significant difference in screening behavior. Latent variable SES, but not lifestyle, significantly affected the likelihood of a PSA exam.

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Section: Prevalence Of Prostate Cancersupporting

confidence: 66%

Section: Socioeconomic Statusmentioning

confidence: 74%

“…This may not be true, however, for immigrants. [15]. This study found that differences in screening behavior within subpopulations of African descent exist.…”

Section: Socioeconomic Statusmentioning

confidence: 83%

Section: Epidemiology Of Prostate Cancermentioning

confidence: 99%

Section: Overviewmentioning

confidence: 99%

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The Epidemiology of Prostate Cancer Among Multiethnic Men

Kellier¹

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What do people fear about cancer? A systematic review and meta‐synthesis of cancer fears in the general population

Vrinten¹,

McGregor²,

Heinrich³

et al. 2016

Psycho-Oncology

150

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BackgroundCancer has long inspired fear, but the effect of fear is not well understood; it seems both to facilitate and to deter early diagnosis behaviours. To elucidate fear's behavioural effects, we systematically reviewed and synthesised qualitative literature to explore what people fear about cancer.MethodsWe searched Medline, Embase, PsycInfo, Web of Science, AnthroSource, and Anthrobase for studies on cancer fear in breast, cervical, and colorectal cancer screening and analysed 102 studies from 26 countries using thematic synthesis.ResultsFears of cancer emanated from a core view of cancer as a vicious, unpredictable, and indestructible enemy, evoking fears about its proximity, the (lack of) strategies to keep it at bay, the personal and social implications of succumbing, and fear of dying from cancer.ConclusionsThis view of cancer as ‘an enemy’ reprises the media's ‘war on cancer’ theme and may affect the acceptance of cancer early detection and prevention messages, since cancer's characteristics influenced whether ‘fight’ or ‘flight’ was considered appropriate.

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