Factors influencing prostate cancer screening decisions among African American men

Ethn Dis. Spring 2007;17(2):374-80.

Abstract

Purpose: Due to controversy regarding prostate cancer screening, it is imperative that African American men make informed decisions. Little is known about the role of cultural factors in decision-making for prostate cancer screening among African American men. The purposes of this study were: 1) to investigate components involved with decision-making for prostate cancer screening among African American men; and 2) to identify cultural factors that may influence screening decisions.

Methods: Six focus group sessions were conducted consisting of African American men between the ages of 40 and 70.

Results: Eight themes emerged from the discussions about prostate cancer screening. These themes were: 1) men's knowledge of prostate cancer and clinical services; 2) prostate cancer as a threat to manhood; 3) screening as a threat to manhood; 4) self-awareness of health and well-being; 5) value of screening; 6) convenience of prostate specific antigen (PSA) screening; 7) misunderstanding of screening controversy; 8) distrust of the medical community; and 9) shared decision-making.

Conclusion: This study identifies cultural factors involved with decision-making for prostate cancer screening among African American men.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans*
  • Decision Making*
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Prostatic Neoplasms / diagnosis*
  • Washington