Understanding preventive behaviors among mid-Western African-American men: a pilot qualitative study of prostate screening

Harvey, Idethia Shevon; Alston, Reginald J.

doi:10.1016/j.jomh.2011.03.005

Cited by 24 publications

(19 citation statements)

References 62 publications

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“…Proximity and prominence of cancer – Participants who had seen the devastating impact of cancer among their family or friends felt acutely aware of cancer, and were prompted to undergo prostate cancer screening. [ 21 , 42 , 47 , 51 , 60 , 65 , 66 , 69 , 75 , 83 , 85 , 91 , 100 ] The death of family members due to cancer and “seeing what [they] went through”[ 51 ] as well as understanding the potential of cancer “running in the family,”[ 66 ] caused participants to become proactive about cancer screening, including for prostate cancer. Some believed their family members had cancer detected “too late”.…”

Section: Resultsmentioning

confidence: 99%

Men’s perspectives of prostate cancer screening: A systematic review of qualitative studies

et al. 2017

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BackgroundProstate cancer is the most commonly diagnosed non-skin cancer in men. Screening for prostate cancer is widely accepted; however concerns regarding the harms outweighing the benefits of screening exist. Although patient’s play a pivotal role in the decision making process, men may not be aware of the controversies regarding prostate cancer screening. Therefore we aimed to describe men’s attitudes, beliefs and experiences of prostate cancer screening.MethodsSystematic review and thematic synthesis of qualitative studies on men’s perspectives of prostate cancer screening. Electronic databases and reference lists were searched to October 2016.FindingsSixty studies involving 3,029 men aged from 18–89 years, who had been screened for prostate cancer by Prostate Specific Antigen (PSA) or Digital Rectal Examination (DRE) and not screened, across eight countries were included. Five themes were identified: Social prompting (trusting professional opinion, motivation from family and friends, proximity and prominence of cancer); gaining decisional confidence (overcoming fears, survival imperative, peace of mind, mental preparation, prioritising wellbeing); preserving masculinity (bodily invasion, losing sexuality, threatening manhood, medical avoidance); avoiding the unknown and uncertainties (taboo of cancer-related death, lacking tangible cause, physiological and symptomatic obscurity, ambiguity of the procedure, confusing controversies); and prohibitive costs.ConclusionsMen are willing to participate in prostate cancer screening to prevent cancer and gain reassurance about their health, particularly when supported or prompted by their social networks or healthcare providers. However, to do so they needed to mentally overcome fears of losing their masculinity and accept the intrusiveness of screening, the ambiguities about the necessity and the potential for substantial costs. Addressing the concerns and priorities of men may facilitate informed decisions about prostate cancer screening and improve patient satisfaction and outcomes.

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Section: Resultsmentioning

confidence: 99%

Men’s perspectives of prostate cancer screening: A systematic review of qualitative studies

et al. 2017

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“…9 10 Many studies have looked at factors that influence screening uptake in older men; however, few have explored young men's decision to go for screening, particularly for non-STI conditions such as high blood pressure, dyslipidaemia, obesity, smoking and alcohol. [36][37][38][39] This qualitative study therefore aimed to explore factors that influence health screening behaviour among young working men in Malaysia. Malaysia has a dualsector ( public and private) healthcare system and her population consists of different ethnic groups including Malays, Chinese, Indians and aboriginal groups.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Factors influencing young men's decision to undergo health screening in Malaysia: a qualitative study

Teo

White

2017

BMJ Open

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ObjectivesUptake of health screening is low in men, particularly among those aged <40 years. This study aimed to explore factors that influence health screening behaviour in younger men.DesignThis qualitative study employed an interpretive descriptive approach. Two trained researchers conducted in-depth interviews (IDIs) and focus group discussions (FGDs) using a semi-structured topic guide, which was developed based on literature review and behavioural theories. All IDIs and FGDs were audio-recorded and transcribed verbatim. Two researchers analysed the data independently using a thematic approach.Participants and settingMen working in a banking institution in Kuala Lumpur were recruited to the study. They were purposively sampled according to their ethnicity, job position, age and screening status in order to achieve maximal variation.ResultsEight IDIs and five FGDs were conducted (n=31) and six themes emerged from the analysis. (1) Young men did not consider screening as part of prevention and had low risk perception. (2) The younger generation was more receptive to health screening due to their exposure to health information through the internet. (3) Health screening was not a priority in young men except for those who were married. (4) Young men had limited income and would rather invest in health insurance than screening. (5) Young men tended to follow doctors' advice when it comes to screening and preferred doctors of the same gender and ethnicity. (6) Medical overuse was also raised where young men wanted more screening tests while doctors tended to promote unnecessary screening tests to them.ConclusionsThis study identified important factors that influenced young men's screening behaviour. Health authorities should address young men's misperceptions, promote the importance of early detection and develop a reasonable health screening strategy for them. Appropriate measures must be put in place to reduce low value screening practices.

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“…For example, men suggested that cancer screening involving the rectum might parallel a sexual encounter and therefore, might affect or be indicative of one’s sexual orientation (Getrich et al, 2012; Harvey & Alston, 2011; Holt et al, 2009; Winterich et al, 2009). In addition, men stated that receiving a rectal examination might make them feel vulnerable to the physician performing the examination (Winterich et al, 2009; Winterich et al, 2011).…”

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Masculinity beliefs and colorectal cancer screening in male veterans.

Christy

Mosher

Rawl

et al. 2017

Psychology of Men & Masculinity

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As the third most common cause of cancer death among United States men, colorectal cancer (CRC) represents a significant threat to men’s health. Although adherence to CRC screening has the potential to reduce CRC mortality by approximately half, men’s current rates of adherence fall below national screening objectives. In qualitative studies, men have reported forgoing screenings involving the rectum (e.g., colonoscopy) due to concern about breaching masculinity norms. However, the extent to which masculinity beliefs predict men’s CRC screening adherence has yet to be examined. The current study tested the hypothesis that greater endorsement of masculinity beliefs (i.e., self-reliance, risk-taking, heterosexual self-presentation, and primacy of work) would be associated with a lower likelihood of adherence to CRC screening with any test and with colonoscopy specifically. Participants were 327 men aged 51–75 at average risk for CRC who were accessing primary care services at a Midwestern Veterans Affairs Medical Center. Contrary to hypotheses, masculinity beliefs did not predict CRC screening outcomes in hierarchical regression analyses that controlled for demographic predictors of screening. Although results are largely inconsistent with masculinity theory and prior qualitative findings, further research is needed to determine the degree to which findings generalize to other populations and settings.

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Understanding preventive behaviors among mid-Western African-American men: a pilot qualitative study of prostate screening

Cited by 24 publications

References 62 publications

Men’s perspectives of prostate cancer screening: A systematic review of qualitative studies

Men’s perspectives of prostate cancer screening: A systematic review of qualitative studies

Factors influencing young men's decision to undergo health screening in Malaysia: a qualitative study

Masculinity beliefs and colorectal cancer screening in male veterans.

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