Factors influencing prostate cancer screening in African American men.
Factors influencing prostate cancer screening in African American men.
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DOI：
10.1177/0193945910361332
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发表时间：
2010-10
影响因子：
1.8
通讯作者：
Coleman-Burns P
中科院分区：
文献类型：
--
作者：
Lehto RH;Song L;Stein KF;Coleman-Burns P
非洲裔美国男性的前列腺癌发病率和死亡率在全球范围内最高，但与白人男性相比，筛查率较低。该研究的目的是确定影响非裔美国人筛查行为的社会生态因素，这些知识可能是设计文化上适当的干预措施所不可或缺的。这项探索性研究包括从底特律大都市区招募的60名非洲裔美国男性。研究的社会生态变量包括年龄，婚姻状况，健康保险，教育，健康价值观和行为，医生的信任，和感知的压力应对（约翰亨利主义）。分析包括连续性、卡方检验、单因素方差分析和逻辑回归。研究结果得出的结论是，由两个变量（年龄和健康值）组成的简约模型具有预测性。非裔美国男性，≥50岁，具有较高的积极健康值更有可能获得筛查。研究结果意味着健康价值观和有针对性的教育和筛查干预年轻的非洲裔美国人的重要性。
African American men have the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. The purpose of the study was to identify social ecological factors that affect screening behaviors in African American men, knowledge that could be integral to the design of culturally appropriate interventions. The exploratory study included 60 African American males recruited from the greater Detroit metropolitan area. Social ecological variables examined included age, marital status, presence of health insurance, education, health values and behaviors, physician trust, and perceived stress coping (John Henryism). Analyses included descriptives, chi-square tests, one-way ANOVAs, and logistic regression. Findings concluded that a parsimonious model consisting of two variables (age and health values) was predictive. African American males, ≥50 years, with higher positive health values were more likely to obtain screening. Findings imply the importance of health values and targeted educational and screening interventions for younger African American men.
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