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. 2006 Apr;98(4):505–514.

Factors influencing behavioral intention regarding prostate cancer screening among older African-American men.

Marvella E Ford 1, Sally W Vernon 1, Suzanne L Havstad 1, Shirley A Thomas 1, Shawna D Davis 1
PMCID: PMC2569259  PMID: 16623062

Abstract

PURPOSE: To assess factors associated with perceptions of prostate cancer screening among African-American men aged > or = 55 years based upon items developed using the Preventive Health model (PHM). RESEARCH APPROACH: Focus group research and thematic coding using content analysis. SETTING: A large midwestern, private, nonprofit health system. PARTICIPANTS: African-American men aged > or = 55 years. Focus group 1 included 10 men who ranged in age from 55-87 years, with a mean age of 73.4 years. The 11 participants in focus group 2 ranged in age from 55-81 years, with a mean age of 68.7 years. METHODOLOGICAL APPROACH: Focus group questions were developed based on the conceptual framework of the PHM. African-American men aged > or = 55 years were randomly selected from the patient population of the healthcare system to participate in one of two focus groups. Content analysis was used to code the focus group transcripts. MAIN RESEARCH VARIABLES: Self-reported perceptions of prostate cancer screening. FINDINGS: Major themes emerging from the focus groups related to prostate cancer screening include: lack of knowledge regarding cancer, fear of cancer, confusion between prostate cancer screening and prostate cancer diagnostic tests, encouragement by others as motivation for cancer screening, intergenerational transfer of health information, lack of health insurance coverage as a barrier to prostate cancer screening and treatment, and limited availability of screening clinic hours during nonworking hours. INTERPRETATION: The information gained from this study could be used to develop interventions promoting informed and shared decision-making by patients and their providers regarding prostate cancer screening.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ahaghotu C., Baffoe-Bonnie A., Kittles R., Pettaway C., Powell I., Royal C., Wang H., Vijayakumar S., Bennett J., Hoke G. Clinical characteristics of African-American men with hereditary prostate cancer: the AAHPC Study. Prostate Cancer Prostatic Dis. 2004;7(2):165–169. doi: 10.1038/sj.pcan.4500719. [DOI] [PubMed] [Google Scholar]
  2. Bailey E. J., Erwin D. O., Belin P. Using cultural beliefs and patterns to improve mammography utilization among African-American women: the Witness Project. J Natl Med Assoc. 2000 Mar;92(3):136–142. [PMC free article] [PubMed] [Google Scholar]
  3. Barry M. J., Fowler F. J., Jr, Mulley A. G., Jr, Henderson J. V., Jr, Wennberg J. E. Patient reactions to a program designed to facilitate patient participation in treatment decisions for benign prostatic hyperplasia. Med Care. 1995 Aug;33(8):771–782. doi: 10.1097/00005650-199508000-00003. [DOI] [PubMed] [Google Scholar]
  4. Beaudin C. L., Pelletier L. R. Consumer-based research: using focus groups as a method for evaluating quality of care. J Nurs Care Qual. 1996 Apr;10(3):28–33. [PubMed] [Google Scholar]
  5. Becker M. H., Radius S. M., Rosenstock I. M., Drachman R. H., Schuberth K. C., Teets K. C. Compliance with a medical regimen for asthma: a test of the health belief model. Public Health Rep. 1978 May-Jun;93(3):268–277. [PMC free article] [PubMed] [Google Scholar]
  6. Blumenthal D. S., Sung J., Coates R., Williams J., Liff J. Recruitment and retention of subjects for a longitudinal cancer prevention study in an inner-city black community. Health Serv Res. 1995 Apr;30(1 Pt 2):197–205. [PMC free article] [PubMed] [Google Scholar]
  7. Bock Cathryn H., Peyser Patricia A., Gruber Stephen B., Bonnell Susan E., Tedesco Karen L., Cooney Kathleen A. Prostate cancer early detection practices among men with a family history of disease. Urology. 2003 Sep;62(3):470–475. doi: 10.1016/s0090-4295(03)00382-0. [DOI] [PubMed] [Google Scholar]
  8. Bulmer C. Clinical decisions: defining meaning through focus groups. Nurs Stand. 1998 Feb 4;12(20):34–36. doi: 10.7748/ns.12.20.34.s51. [DOI] [PubMed] [Google Scholar]
  9. Charles C., Gafni A., Whelan T. Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med. 1997 Mar;44(5):681–692. doi: 10.1016/s0277-9536(96)00221-3. [DOI] [PubMed] [Google Scholar]
  10. Clarke-Tasker Veronica A., Wade Revia. What we thought we knew: African American males' perceptions of prostate cancer and screening methods. ABNF J. 2002 May-Jun;13(3):56–60. [PubMed] [Google Scholar]
  11. Cohen Howard, Britten Nicky. Who decides about prostate cancer treatment? A qualitative study. Fam Pract. 2003 Dec;20(6):724–729. doi: 10.1093/fampra/cmg617. [DOI] [PubMed] [Google Scholar]
  12. DeAntoni E. P., Crawford E. D., Oesterling J. E., Ross C. A., Berger E. R., McLeod D. G., Staggers F., Stone N. N. Age- and race-specific reference ranges for prostate-specific antigen from a large community-based study. Urology. 1996 Aug;48(2):234–239. doi: 10.1016/s0090-4295(96)00091-x. [DOI] [PubMed] [Google Scholar]
  13. Esposito N., Powell-Cope G. Avoiding pitfalls in focus group research. SCI Nurs. 1997 Mar;14(1):31–33. [PubMed] [Google Scholar]
  14. Fisher E. B., Jr, Sussman L. K., Arfken C., Harrison D., Munro J., Sykes R. K., Sylvia S., Strunk R. C. Targeting high risk groups. Neighborhood organization for pediatric asthma management in the Neighborhood Asthma Coalition. Chest. 1994 Oct;106(4 Suppl):248S–259S. doi: 10.1378/chest.106.4_supplement.248s. [DOI] [PubMed] [Google Scholar]
  15. Ford Sarah, Schofield Theo, Hope Tony. What are the ingredients for a successful evidence-based patient choice consultation?: A qualitative study. Soc Sci Med. 2003 Feb;56(3):589–602. doi: 10.1016/s0277-9536(02)00056-4. [DOI] [PubMed] [Google Scholar]
  16. Forrester-Anderson Ivis T. Prostate cancer screening perceptions, knowledge and behaviors among African American men: focus group findings. J Health Care Poor Underserved. 2005 Nov;16(4 Suppl A):22–30. doi: 10.1353/hpu.2005.0122. [DOI] [PubMed] [Google Scholar]
  17. Gafni A., Charles C., Whelan T. The physician-patient encounter: the physician as a perfect agent for the patient versus the informed treatment decision-making model. Soc Sci Med. 1998 Aug;47(3):347–354. doi: 10.1016/s0277-9536(98)00091-4. [DOI] [PubMed] [Google Scholar]
  18. Gattellari Melina, Ward Jeanette E. A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening. Patient Educ Couns. 2005 May;57(2):168–182. doi: 10.1016/j.pec.2004.05.011. [DOI] [PubMed] [Google Scholar]
  19. Ghafoor Asma, Jemal Ahmedin, Cokkinides Vilma, Cardinez Cheryll, Murray Taylor, Samuels Alicia, Thun Michael J. Cancer statistics for African Americans. CA Cancer J Clin. 2002 Nov-Dec;52(6):326–341. doi: 10.3322/canjclin.52.6.326. [DOI] [PubMed] [Google Scholar]
  20. Gray Marion A., Delahunt Brett, Fowles Jefferson R., Weinstein Philip, Cookes Russell R., Nacey John N. Demographic and clinical factors as determinants of serum levels of prostate specific antigen and its derivatives. Anticancer Res. 2004 May-Jun;24(3B):2069–2072. [PubMed] [Google Scholar]
  21. Gulick E. E. Social support among persons with multiple sclerosis. Res Nurs Health. 1994 Jun;17(3):195–206. doi: 10.1002/nur.4770170307. [DOI] [PubMed] [Google Scholar]
  22. Guo Y., Sigman D. B., Borkowski A., Kyprianou N. Racial differences in prostate cancer growth: apoptosis and cell proliferation in Caucasian and African-American patients. Prostate. 2000 Feb 1;42(2):130–136. doi: 10.1002/(sici)1097-0045(20000201)42:2<130::aid-pros7>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  23. Hall Joshua D., Boyd James C., Lippert Marguerite C., Theodorescu Dan. Why patients choose prostatectomy or brachytherapy for localized prostate cancer: results of a descriptive survey. Urology. 2003 Feb;61(2):402–407. doi: 10.1016/s0090-4295(02)02162-3. [DOI] [PubMed] [Google Scholar]
  24. Janz N. K., Becker M. H. The Health Belief Model: a decade later. Health Educ Q. 1984 Spring;11(1):1–47. doi: 10.1177/109019818401100101. [DOI] [PubMed] [Google Scholar]
  25. Kang S. H., Bloom J. R., Romano P. S. Cancer screening among African-American women: their use of tests and social support. Am J Public Health. 1994 Jan;84(1):101–103. doi: 10.2105/ajph.84.1.101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Kohler C. L., Dolce J. J., Manzella B. A., Higgins D., Brooks C. M., Richards J. M., Jr, Bailey W. C. Use of focus group methodology to develop an asthma self-management program useful for community-based medical practices. Health Educ Q. 1993 Fall;20(3):421–429. doi: 10.1177/109019819302000311. [DOI] [PubMed] [Google Scholar]
  27. Lu-Yao Grace, Stukel Therese A., Yao Siu-Long. Prostate-specific antigen screening in elderly men. J Natl Cancer Inst. 2003 Dec 3;95(23):1792–1797. doi: 10.1093/jnci/djg104. [DOI] [PubMed] [Google Scholar]
  28. McNaughton-Collins Mary, Fowler Floyd J., Jr, Caubet Jean-Francois, Bates David W., Lee Jeong Min, Hauser Alison, Barry Michael J. Psychological effects of a suspicious prostate cancer screening test followed by a benign biopsy result. Am J Med. 2004 Nov 15;117(10):719–725. doi: 10.1016/j.amjmed.2004.06.036. [DOI] [PubMed] [Google Scholar]
  29. Myers R. E., Hyslop T., Wolf T. A., Burgh D., Kunkel E. J., Oyesanmi O. A., Chodak G. J. African-American men and intention to adhere to recommended follow-up for an abnormal prostate cancer early detection examination result. Urology. 2000 May;55(5):716–720. doi: 10.1016/s0090-4295(99)00588-9. [DOI] [PubMed] [Google Scholar]
  30. Ndubuisi S. C., Kofie V. Y., Andoh J. Y., Schwartz E. M. Black-white differences in the stage at presentation of prostate cancer in the District of Columbia. Urology. 1995 Jul;46(1):71–77. doi: 10.1016/S0090-4295(99)80162-9. [DOI] [PubMed] [Google Scholar]
  31. Nivens A. S., Herman J., Pweinrich S., Weinrich M. C. Cues to participation in prostate cancer screening: a theory for practice. Oncol Nurs Forum. 2001 Oct;28(9):1449–1456. [PubMed] [Google Scholar]
  32. Nyamathi A., Shuler P. Focus group interview: a research technique for informed nursing practice. J Adv Nurs. 1990 Nov;15(11):1281–1288. doi: 10.1111/j.1365-2648.1990.tb01743.x. [DOI] [PubMed] [Google Scholar]
  33. Powell I. J., Banerjee M., Novallo M., Sakr W., Grignon D., Wood D. P., Pontes J. E. Prostate cancer biochemical recurrence stage for stage is more frequent among African-American than white men with locally advanced but not organ-confined disease. Urology. 2000 Feb;55(2):246–251. doi: 10.1016/s0090-4295(99)00436-7. [DOI] [PubMed] [Google Scholar]
  34. Powell I. J., Schwartz K., Hussain M. Removal of the financial barrier to health care: does it impact on prostate cancer at presentation and survival? A comparative study between black and white men in a Veterans Affairs system. Urology. 1995 Dec;46(6):825–830. doi: 10.1016/S0090-4295(99)80352-5. [DOI] [PubMed] [Google Scholar]
  35. Ransohoff David F., McNaughton Collins Mary, Fowler Floyd J. Why is prostate cancer screening so common when the evidence is so uncertain? A system without negative feedback. Am J Med. 2002 Dec 1;113(8):663–667. doi: 10.1016/s0002-9343(02)01235-4. [DOI] [PubMed] [Google Scholar]
  36. Shelton P., Weinrich S., Reynolds W. A., Jr Barriers to prostate cancer screening in African American men. J Natl Black Nurses Assoc. 1999 Fall-Winter;10(2):14–28. [PubMed] [Google Scholar]
  37. Sim J. Collecting and analysing qualitative data: issues raised by the focus group. J Adv Nurs. 1998 Aug;28(2):345–352. doi: 10.1046/j.1365-2648.1998.00692.x. [DOI] [PubMed] [Google Scholar]
  38. Stallings F. L., Ford M. E., Simpson N. K., Fouad M., Jernigan J. C., Trauth J. M., Miller D. S., Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial Project Team Black participation in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial. Control Clin Trials. 2000 Dec;21(6 Suppl):379S–389S. doi: 10.1016/s0197-2456(00)00093-3. [DOI] [PubMed] [Google Scholar]
  39. Stevenson F. A., Barry C. A., Britten N., Barber N., Bradley C. P. Doctor-patient communication about drugs: the evidence for shared decision making. Soc Sci Med. 2000 Mar;50(6):829–840. doi: 10.1016/s0277-9536(99)00376-7. [DOI] [PubMed] [Google Scholar]
  40. Thom D. H., Campbell B. Patient-physician trust: an exploratory study. J Fam Pract. 1997 Feb;44(2):169–176. [PubMed] [Google Scholar]
  41. Vuckovic N., Ritenbaugh C., Taren D. L., Tobar M. A qualitative study of participants' experiences with dietary assessment. J Am Diet Assoc. 2000 Sep;100(9):1023–1028. doi: 10.1016/S0002-8223(00)00301-1. [DOI] [PubMed] [Google Scholar]
  42. Weinrich S. P., Greiner E., Reis-Starr C., Yoon S., Weinrich M. Predictors of participation in prostate cancer screening at worksites. J Community Health Nurs. 1998;15(2):113–129. doi: 10.1207/s15327655jchn1502_5. [DOI] [PubMed] [Google Scholar]
  43. Weinrich S. P., Reynolds W. A., Jr, Tingen M. S., Starr C. R. Barriers to prostate cancer screening. Cancer Nurs. 2000 Apr;23(2):117–121. doi: 10.1097/00002820-200004000-00007. [DOI] [PubMed] [Google Scholar]
  44. Weinrich S. P., Weinrich M., Mettlin C., Reynolds W. A., Jr, Wofford J. E. Urinary symptoms as a predictor for participation in prostate cancer screening among African American men. Prostate. 1998 Dec 1;37(4):215–222. doi: 10.1002/(sici)1097-0045(19981201)37:4<215::aid-pros2>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
  45. Williams H. A. A comparison of social support and social networks of black parents and white parents with chronically ill children. Soc Sci Med. 1993 Dec;37(12):1509–1520. doi: 10.1016/0277-9536(93)90185-7. [DOI] [PubMed] [Google Scholar]
  46. Woods V. Diane, Montgomery Susanne B., Belliard Juan Carlos, Ramirez-Johnson Johnny, Wilson Colwick M. Culture, black men, and prostate cancer: what is reality? Cancer Control. 2004 Nov-Dec;11(6):388–396. doi: 10.1177/107327480401100606. [DOI] [PMC free article] [PubMed] [Google Scholar]

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