SPOUSAL INFLUENCE AND OLDER MEN'S SELF CARE

这项为期一年的试验性研究有四个主要目的：（1）描述前列腺癌对新诊断的男性和他们的妻子意味着什么，它如何影响他们的生活，以及他们如何处理日常生活;（2）检查配偶对男性自我照顾这种慢性疾病的影响;（3）记录欧洲/白色和非洲裔美国人/黑人夫妇在如何经历和处理PCA方面的差异（如果有的话）;（4）制定一个更大的提案，进一步探讨本工作过程中发现的突出问题。这项前瞻性人类学研究使用成熟的定性研究技术来探索前列腺癌的经验。 来自泌尿科或肿瘤科诊所的30名男性（15名白色，15名黑人）及其妻子将接受采访。 年龄在50岁或以上的男性可能患有任何阶段或级别的癌症，并且可以单独或联合接受任何类型的治疗。 面对面的半结构化访谈将记录诊断后两个月内男性及其配偶的经历;妻子对男性自我护理活动的影响;诊断和治疗对家庭，社会和工作关系和活动的影响。 分析战略将包括标准的基于文本的定性技术。这一及时的建议具有创新性。 首先，因为它包括妻子的观点作为一个中心领域的研究。 其次，它广泛地研究了该男子的社会文化和家庭背景，以了解他对疾病的解释和他的自我保健活动。 第三，也是最重要的，该提案集中审查了黑人/非裔美国人的经验。由于黑人男性患前列腺癌的几率比白色男性高，后果也更严重，因此必须记录黑人的独特观点和经历。 调查结果将是有用的，在几个领域，包括在公共卫生/健康促进竞技场，以及在临床医学。

This one year pilot study has four major aims: (1) To describe what prostate cancer (PCa) means to newly diagnosed men and their wives, how it has affected their lives and how they deal with it on a day-to-day basis; (2), to examine the influence of spouses on men's self-care for this chronic disorder; (3) To document differences, if any, between European/White and African-American/ Black couples in how they experience and deal with Pca; and, (4) to develop a larger proposal that further explores salient issues discovered in the course of this work. This prospective anthropological study uses well-established qualitative research techniques to explore the experience of prostate cancer. Thirty men (15 White, 15 Black) from urology or oncology clinics, and their wives, will each be interviewed. The men, aged 50 or more, may have any stage or grade of cancer, and may receive any type of treatment either singly or in combination. Face-to-face semi-structured interviews will document what the men and their spouses experience in the two months post-diagnosis; the wife's influence on the man's self care activities; the impact of diagnosis and treatment on family, social and work relationships and activities. Analytic strategies will comprise standard text-based qualitative techniques. This timely proposal is innovative. First because it includes the wife's perspective as a central domain of research. Second, it examines broadly the man's socio-cultural and family context to in order to understand his interpretation of the disease and his self-care activities. Third, and most importantly, the proposal centrally examines the experience of Black/African- Americans. Since Black men experience prostate cancer at higher rates and with more severe consequences than do White men, it is imperative that the unique viewpoints and experiences of Blacks be documented. Findings will be useful in several domains, including in the public health/health promotion arena as well as within clinical medicine.