Psychosocial and Cultural Barriers to Prostate Cancer Screening: Racial Comparisons PDF Download
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 59
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Book Description
The goal of this project was to better understand the psychosocial and cultural factors affecting prostate cancer screening among African American (AA) and White men. It was a community-based participatory research project, which involved participation of local community members through a community steering committee. The first phase of the project was a focus group study, and then the focus group results were used to develop a questionnaire instrument. We conducted the Nashville Men's Preventive Health Survey, drawing a stratified and clustered random sample of 392 men ages 40 to 70. White men were more likely than AA men in recommended age ranges to have ever had a DRE or PSA, and to report having a PSA in the past 12 months, but there was no racial difference in DRE screening in the past year. Informed decision-making (IDM) was lower than actual screening rates, with only 2 out of 5 men who engaged in IDM by talking with their doctors about PC and screening options, with no difference by race. The number of visits to the doctor was positively associated with IDM, in particular for AA men. Having a medical home was positively associated with PC screening, but the effect was stronger for White men. For AA men, age, previous visit with a urologist, and doctor recommendation were positively associated with PC screening.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 59
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Book Description
The goal of this project was to better understand the psychosocial and cultural factors affecting prostate cancer screening among African American (AA) and White men. It was a community-based participatory research project, which involved participation of local community members through a community steering committee. The first phase of the project was a focus group study, and then the focus group results were used to develop a questionnaire instrument. We conducted the Nashville Men's Preventive Health Survey, drawing a stratified and clustered random sample of 392 men ages 40 to 70. White men were more likely than AA men in recommended age ranges to have ever had a DRE or PSA, and to report having a PSA in the past 12 months, but there was no racial difference in DRE screening in the past year. Informed decision-making (IDM) was lower than actual screening rates, with only 2 out of 5 men who engaged in IDM by talking with their doctors about PC and screening options, with no difference by race. The number of visits to the doctor was positively associated with IDM, in particular for AA men. Having a medical home was positively associated with PC screening, but the effect was stronger for White men. For AA men, age, previous visit with a urologist, and doctor recommendation were positively associated with PC screening.
Author:
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 28
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309134161
Category : Medical
Languages : en
Pages : 455
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Book Description
Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170133
Category : Medical
Languages : en
Pages : 564
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Book Description
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309165865
Category : Social Science
Languages : en
Pages : 184
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Book Description
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Author: Morgan M. Medlock
Publisher: Springer
ISBN: 3319901974
Category : Medical
Languages : en
Pages : 264
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Book Description
This book addresses the unique sociocultural and historical systems of oppression that have alienated African-American and other racial minority patients within the mental healthcare system. This text aims to build a novel didactic curriculum addressing racism, justice, and community mental health as these issues intersect clinical practice. Unlike any other resource, this guide moves beyond an exploration of the problem of racism and its detrimental effects, to a practical, solution-oriented discussion of how to understand and approach the mental health consequences with a lens and sensitivity for contemporary justice issues. After establishing the historical context of racism within organized medicine and psychiatry, the text boldly examines contemporary issues, including clinical biases in diagnosis and treatment, addiction and incarceration, and perspectives on providing psychotherapy to racial minorities. The text concludes with chapters covering training and medical education within this sphere, approaches to supporting patients coping with racism and discrimination, and strategies for changing institutional practices in mental healthcare. Written by thought leaders in the field, Racism and Psychiatry is the only current tool for psychiatrists, psychologists, administrators, educators, medical students, social workers, and all clinicians working to treat patients dealing with issues of racism at the point of mental healthcare.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753
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Book Description
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Author: Kefa M. Otiso
Publisher: Greenwood
ISBN:
Category : History
Languages : en
Pages : 232
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Book Description
Discusses the traditions, culture, religion, media, literature, and arts of Uganda.
Author: Geraldine Downey
Publisher: Russell Sage Foundation
ISBN: 1610441613
Category : Psychology
Languages : en
Pages : 273
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Book Description
Psychologists now understand that identity is not fixed, but fluid and highly dependent on environment. In times of stress, conflict, or change, people often adapt by presenting themselves in different ways and emphasizing different social affiliations. With changing demographics creating more complex social groupings, it is important to understand the costs and benefits of the way social groups are categorized, and the way individuals understand, cope with, and employ their varied social identities. Navigating the Future, edited by Geraldine Downey, Jacquelynne Eccles, and Celina Chatman, answers that call with a wealth of empirical data and expert analysis. Navigating the Future focuses on the roles that social identities play in stressful, challenging, and transitional situations. Jason Lawrence, Jennifer Crocker, and Carol Dweck show how the prospect of being negatively stereotyped can affect the educational success of girls and African Americans, making them more cynical about school and less likely to seek help. The authors argue that these issues can be mitigated by challenging these students educationally, expressing optimism in their abilities, and emphasizing that intelligence is not fixed, but can be developed. The book also looks at the ways in which people employ social identity to their advantage. J. Nicole Shelton and her co-authors use extensive research on adolescents and college students to argue that individuals with strong, positive connections to their ethnic group exhibit greater well-being and are better able to cope with the negative impact of discrimination. Navigating the Future also discusses how the importance and value of social identity depends on context. LaRue Allen, Yael Bat-Chava, J. Lawrence Aber, and Edward Seidman find that the emotional benefit of racial pride for black adolescents is higher in predominantly black neighborhoods than in racially mixed environments. Because most people identify with more than one group, they must grapple with varied social identities, using them to make connections with others, overcome adversity, and understand themselves. Navigating the Future brings together leading researchers in social psychology to understand the complexities of identity in a diverse social world.
