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. 2010 Apr;102(4):276-89.
doi: 10.1016/s0027-9684(15)30600-3.

Psychosocial factors associated with routine health examination scheduling and receipt among African American men

Wizdom Powell Hammond  1 , Derrick Matthews, Giselle Corbie-Smith
Affiliations

Psychosocial factors associated with routine health examination scheduling and receipt among African American men

Wizdom Powell Hammond et al. J Natl Med Assoc. 2010 Apr.

Erratum in

  • J Natl Med Assoc. 2011 Sep-Oct;103(9-10):795

Abstract

Introduction: African American men often fail to obtain routine health examinations, which increases the probability of disease detection, yet little is known about psychosocial factors that motivate scheduling and receipt among this group.

Methods: We used the Andersen model and theory of reasoned action as frameworks to evaluate the relative contribution of psychosocial factors to self-reported routine health examination scheduling and receipt in a cross-sectional sample of African American men (N = 386) recruited from barbershops (65.3%) and academic institutions/events (34.7%) in Michigan, Georgia, and North Carolina between 2003-2004 and 2007-2009. Participants completed measures assessing demographic factors, physical/mental health status, traditional male role norms, health-promoting male subjective norms, health value, and medical mistrust. Pearson's chi(2), analysis of variance, and multivariate logistic regression analyses were used to investigate associations between these study factors and routine health examination scheduling and receipt in the past year.

Results: After final adjustment, the odds of scheduling a routine health examination were increased for men with a usual source of care (OR, 5.48; 95% CI, 3.06-9.78) and more health-promoting male subjective norms exposure (OR, 1.46; 95% CI, 1.02-2.04). Higher medical mistrust (OR, 0.26;; 95% CI, 0.09-0.76) and traditional male role norms (OR, 0.71; 95% CI, 0.52-0.98) reduced the odds of routine health examination receipt. The odds of routine health examination receipt were increased among men who were older (OR=1.05; 95% CI, 1.01-1.10), had a usual source of care (OR, 2.91; 95% CI, 1.54-5.51) and reported more male subjective norms exposure (OR, 1.51; 95% CI, 1.02-2.22).

Conclusions: Improving African American men's uptake of routine health examinations will require addressing medical mistrust, mitigating traditional masculine concerns about disclosing vulnerability, and leveraging male social networks.

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Figures

Figure 1
Figure 1
Conceptual Model Illustrating Psychosocial Factors Associated With Routine Health Examination Scheduling and Receipt Among African American Men
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References

    1. Boulware LE, Marinopoulos S, Phillips KA, et al. Systematic Review: The Value of the Periodic Health Evaluation. Ann Intern Med. 2007;146:289–300. - PubMed
    1. Emerson D. Is the periodic health examination worthwhile? Some perspectives. Cancer. 1981;47:1210–1214. - PubMed
    1. Han PKJ. Historical Changes in the Objectives of the Periodic Health Examination. Ann Intern Med. 1997;127:910–917. - PubMed
    1. Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ. Public expectations and attitudes for annual physical examinations and testing. Ann Intern Med. 2002;136:652–659. - PubMed
    1. Prochazka AV, Lundahl K, Pearson W, Oboler SK, Anderson RJ. Support of Evidence-Based Guidelines for the Annual Physical Examination: A Survey of Primary Care Providers. Arch Intern Med. 2005;165:1347–1352. - PubMed

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