SPOUSAL INFLUENCE AND OLDER MEN'S SELF CARE

这项为期一年的试点研究有四个主要目的：(1)描述前列腺癌（PCa）对新诊断的男性和他们的妻子意味着什么，它是如何影响他们的生活的，以及他们如何处理它的日常基础；(2)研究配偶对男性慢性疾病自我护理的影响；(3)记录欧洲/白人和非裔美国人/黑人夫妇在经历和处理Pca方面的差异（如果有的话）；(4)制定一个更大的提案，进一步探讨在这项工作过程中发现的突出问题。这项前瞻性人类学研究使用完善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名白人，15名黑人）及其妻子将分别接受采访。这些男性年龄在50岁或以上，可能患有任何阶段或级别的癌症，可能接受任何类型的单独或联合治疗。面对面的半结构化访谈将记录男性及其配偶在诊断后两个月的经历；妻子对男性自我照顾活动的影响；诊断和治疗对家庭、社会和工作关系和活动的影响。分析策略将包括标准的基于文本的定性技术。这个及时的建议是创新的。首先因为它将妻子的视角作为研究的中心领域。其次，它广泛地检查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，也是最重要的一点，该提案集中考察了黑人/非裔美国人的经历。由于黑人男性患前列腺癌的比例比白人男性高，后果也更严重，因此有必要将黑人独特的观点和经历记录下来。研究结果将在几个领域有用，包括在公共卫生/健康促进领域以及在临床医学领域。

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.