Exploring Racial Differences Surrounding Prostate Cancer Screening: Beliefs and Attitudes in Community Dwelling Men Attending an Urban Men's Health Event.
Exploring Racial Differences Surrounding Prostate Cancer Screening: Beliefs and Attitudes in Community Dwelling Men Attending an Urban Men's Health Event.
复制标题
DOI：
10.1177/1557988318784838
复制
发表时间：
2018-11
期刊：
影响因子：
--
通讯作者：
Lutz M
中科院分区：
文献类型：
--
作者：
Hewitt T;Killinger KA;Hiller S;Boura JA;Lutz M
这项研究的目的是了解参加城市健康博览会的男性的态度/信念，以探索前列腺癌(PCA)筛查的障碍。2014年或2015年参加展会的544名男性完成了关于PCA的问卷调查。在按非裔美国人(AA)和非非洲裔美国人种族对男性进行分组后，使用皮尔逊的χ2、费舍尔的Exact和Wilcoxon排名测试对数据进行了检查。326名男性(60%)为再生障碍性贫血，218名(40%)为非再生障碍性贫血(89%为白人)。再生障碍性贫血和非再生障碍性贫血患者的平均年龄(54岁对56岁)和先前的PCA筛查情况相似；收入(p=.044)和教育程度(p=.0002)不同。AA男性不太可能在互联网上研究过前列腺特异性抗原(PSA)(p=.003)，但更多地使用电视(p=.003)和媒体(p=.0014)作为信息来源。家庭成员对AA男性的筛查决定有更大的影响(p=.005)。在阅读PSA信息后，AA男性更有可能仍然感到困惑(p=.008)。较高比例的再障男性不太担心死于前列腺癌(p=.0006)，但希望立即接受治疗，而不是警惕地等待(p<；.0001)。有趣的是，较高比例的AA男性表示，他们不愿知道自己是否患有前列腺癌(p=.001)。最终，更多的AA男性接受了PSA(98.4%比95.1%；p=.031)。当考虑筛查符合条件的男性时，AA男性PSA异常的比例较高(13.1%对5.3%；p=.037)。再障男性对前列腺癌的看法不同于非再障男性，在为这一群体制定适合文化的教育、筛查和治疗策略时，应该考虑到这一点。
The purpose of the study was to explore attitudes/beliefs in men attending an urban health fair to explore barriers to prostate cancer (PCa) screening. Five hundred and forty-four men attending the PCa booth at the fair in 2014 or 2015 completed questionnaires about PCa. Data were examined using Pearson’s χ2, Fisher’s Exact, and Wilcoxon rank tests after grouping men by African American (AA) and non-African American ethnicity. Three hundred and twenty-six (60%) men were AA and two hundred and eighteen (40%) were non-AA (89% white). Median age (54 vs. 56 years) and prior PCa screening were similar between AA and non-AA; income (p = .044) and education (p = .0002) differed. AA men were less likely to have researched prostate-specific antigen (PSA) on the internet (p = .003), but more used TV (p = .003) and media (p = .0014) as information sources. Family members had a stronger influence over screening decisions for AA men (p = .005). After reading PSA information, AA men were more likely to still be confused (p = .008). A higher proportion of AA men were less worried about dying from PCa (p = .0006), but would want treatment immediately instead of watchful waiting (p < .0001). Interestingly, a higher proportion of AA men indicated that they would prefer not to know if they had PCa (p = .001). Ultimately, more AA men had a PSA done (98.4% vs. 95.1%; p = .031). When considering screening eligible men, a higher proportion of AA men had an abnormal PSA (13.1% vs. 5.3%; p = .037). AA men’s beliefs surrounding PCa differ from non-AA men, and should be considered when developing culturally appropriate education, screening, and treatment strategies for this group.
登录
查看更多内容
在城市非裔美国医疗保险受益人中，教育与前列腺特异性抗原测试之间的关系。
影响因子：
3.9
作者：
Hararah MK;Pollack CE;Garza MA;Yeh HC;Markakis D;Phelan-Emrick DF;Wenzel J;Shapiro GR;Bone L;Johnson L;Ford JG
通讯作者：
Ford JG
DOI：
10.1016/j.urolonc.2014.04.014
发表时间：
2014-11-01
影响因子：
2.7
作者：
Mahal, Brandon A.;Ziehr, David R.;Nguyen, Paul L.
通讯作者：
Nguyen, Paul L.
影响因子：
3.5
作者：
Whiteley, Jennifer;DiBonaventura, Marco daCosta;Shah, Sonali
通讯作者：
Shah, Sonali
影响因子：
2.8
作者：
Verhagen I;Steunenberg B;de Wit NJ;Ros WJ
通讯作者：
Ros WJ
DOI：
10.1007/s13187-014-0739-2
发表时间：
2015-12
期刊：
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子：
--
作者：
Luque JS;Roy S;Tarasenko YN;Ross L;Johnson J;Gwede CK
通讯作者：
Gwede CK