Word on the Street: Engaging Local Leaders in a Dialogue About Prostate Cancer Among African Americans.
Word on the Street: Engaging Local Leaders in a Dialogue About Prostate Cancer Among African Americans.
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DOI：
10.1177/1557988314566503
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发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Francis LE
中科院分区：
文献类型：
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作者：
Schoenfeld ER;Francis LE
非裔美国男性的前列腺癌发病率最高，但由于在筛查和治疗方面尚未达成共识，因此很难做出明智的医疗保健决定。本研究旨在确定方法，利用基于社区的参与性研究方法的要素，利用已建立的社区-校园合作伙伴关系，确定赋予非裔美国男性权力，使其成为前列腺癌决策的积极参与者的方法。招募了对两个当地非裔美国人社区的医疗保健感兴趣且了解的社区利益相关者，并完成了关键知情人访谈（N = 39）。扎根理论编码确定了与前列腺癌知识、信念、态度和反应相关的共同主题。性别角色、恐惧和宿命论等常见障碍被认为是检查和治疗的障碍，而两个社区的前列腺癌信息不充分和不准确被认为是关键问题。参与者表示，为了增强社区的优势，变革必须来自社区内部，而不是外部强加的。为了实现这一目标，他们建议通过女性接触男性，将男性与他们可以信任的医生联系起来，将男性癌症教育纳入更广泛的健康教育计划，设计为有趣且廉价的家庭娱乐活动，并让教会邀请社区成员谈论他们的癌症经历。这项研究证明了社区参与的成功，不仅确定了两个郊区/农村非裔美国人社区前列腺癌护理的障碍，还确定了当地的优势和促进因素。建立社区优势的合作可以改善前列腺癌的特别护理和一般的医疗保健。
African American men face the highest rates of prostate cancer, yet with no consensus for screening and treatment, making informed health care decisions is difficult. This study aimed to identify approaches to empowering African American men as proactive participants in prostate cancer decision making using an established community–campus partnership employing elements of community-based participatory research methods. Community stakeholders with an interest in, and knowledge about, health care in two local African American communities were recruited and completed key informant interviews (N = 39). Grounded theory coding identified common themes related to prostate cancer knowledge, beliefs, attitudes, and responses to them. Common barriers such as gender roles, fear, and fatalism were identified as barriers to work-up and treatment, and both communities’ inadequate and inaccurate prostate cancer information described as the key problem. To build on community strengths, participants said the change must come from inside these communities, not be imposed from the outside. To accomplish this, they suggested reaching men through women, connecting men to doctors they can trust, making men’s cancer education part of broader health education initiatives designed as fun and inexpensive family entertainment events, and having churches bring community members in to speak on their experiences with cancer. This study demonstrated the success of community engagement to identify not only barriers but also local strengths and facilitators to prostate cancer care in two suburban/rural African American communities. Building collaboratively on community strengths may improve prostate cancer care specifically and health care in general.