The Role of African American and Caucasian Wives in Prostate Cancer Screening Decisions PDF Download
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Languages : en
Pages : 0
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This study inquired about the role of wives in prostate-related decision-making of their husbands. The data were focus groups with men with metastatic prostate cancer and their wives. The data analysis focused on the perceptions, attitude, and reported behaviors of wives associated with their husbands' decisions. Findings indicated the importance of including wives in studies on prostate cancer and that much information would be lost without the inclusion of the spouses' perspectives in attempts at understanding the meaning and process from prostate cancer diagnosis to choosing a treatment. Many men chose not to share with their spouses prostate-related problems that were experienced prior to diagnosis. Hence, further%studies need to investigate the influence third persons, and wives in particular, can have on preventive health-related decision-making.
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Languages : en
Pages : 0
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Book Description
This study inquired about the role of wives in prostate-related decision-making of their husbands. The data were focus groups with men with metastatic prostate cancer and their wives. The data analysis focused on the perceptions, attitude, and reported behaviors of wives associated with their husbands' decisions. Findings indicated the importance of including wives in studies on prostate cancer and that much information would be lost without the inclusion of the spouses' perspectives in attempts at understanding the meaning and process from prostate cancer diagnosis to choosing a treatment. Many men chose not to share with their spouses prostate-related problems that were experienced prior to diagnosis. Hence, further%studies need to investigate the influence third persons, and wives in particular, can have on preventive health-related decision-making.
Author: Michael A. Sanchez
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Category :
Languages : en
Pages : 58
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Category :
Languages : en
Pages : 30
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Category : African Americans
Languages : en
Pages : 17
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Author: Evelyn C. Chan
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Languages : en
Pages : 11
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PROSTATE CANCER SCREENING WITH PROSTATE SPECIFIC ANTIGEN (PSA) is controversial because it is not clear whether it reduces the mortality and morbidity from prostate cancer. Several professional organizations recommend informing men about the risks and benefits of screening. The purpose of this award was to develop educational brochures about prostate cancer screening with PSA for African Americans, Hispanics, and under-served Caucasians, and thereby promote informed decision making about screening. We have completed focus group meetings for the African Americans and Caucasians and have developed a prototype brochure for each group that we are now refining. African Americans felt strongly that a brochure should include the advantages and disadvantages of screening with the digital rectal exam, as well as PSA, because of its perceived embarrassment. They also wanted graphics reflecting their African roots. We have convened one Hispanic focus group and are recruiting another for Hispanic brochure development. In the training component of this award, Dr. Chan has completed course work in biostatistics at the University of Texas School of public Health. Results of the work completed so far have been accepted for presentation at the national meeting of the Society of General Internal Medicine.
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Languages : en
Pages : 0
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Prostate cancer mortality among African-American is twice than for whites. The aim of the present research concept development proposal was to determine the feasibility of conducting a study to evaluate differences in prostate cancer screening and treatment practices between African-American and White men. A case-control study where New Jersey residents dying of prostate cancer between the ages of 55 and 79 years during the period July 1, 1997 through June 30, 2000 are being enrolled as cases. Controls are a representative group of New Jersey male residents ascertained from HCFA files, matched to the cases on age and race. Till December 15, 1999, 198 cases and 126 controls have been recruited into the study. The majority of patients were Whites (85.9% of cases and 86.5% of controls) and the response rate was 70%. The frequency of PSA screening among cases was 15.9% as compared to 38.9% among controls. Only 12 patients with localized prostate cancer were recruited into the study and four (33.3%) of them had prostatectomy. Because of small numbers, we were unable to assess screening and treatment differences by race. In conclusion, although the number of patients recruited were too small for valid conclusion, we have demonstrated the feasibility of conducting a case-control study to evaluate racial differences in the frequency of screening and early treatment for prostate cancer. Based on the pilot data, a grant proposal for a major study is under preparation.
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Languages : en
Pages : 8
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The goal of this project is to better understand the psychosocial and cultural factors affecting prostate cancer screening among African American and White men. It is a community-based participatory research project, which involves participation of local community members through a community steering committee. The first phase of the project was a focus group study (Year 1). The second phase used the focus group results to develop a questionnaire instrument (Year 2), and the third phase is to collect survey data on African American and White men (Years 2-3). The fourth phase is to analyze the survey data, and the final phase is to use the results to develop recommendations for interventions to increase informed decision-making about prostate cancer screening among African American and White men (Year 3). The qualitative data provided by the focus groups was used to develop a structured questionnaire with the input of our Community Steering Committee and research consultants. The questionnaire went through several revisions, was pre-tested and the final draft is under review by the local and DOD human subjects review boards. Upon approval, a multi-stage random sample of 400 males will be surveyed.
Author: Amelie G. Ramirez
Publisher: Springer Nature
ISBN: 303029286X
Category : Medical
Languages : en
Pages : 320
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This open access book gives an overview of the sessions, panel discussions, and outcomes of the Advancing the Science of Cancer in Latinos conference, held in February 2018 in San Antonio, Texas, USA, and hosted by the Mays Cancer Center and the Institute for Health Promotion Research at UT Health San Antonio. Latinos – the largest, youngest, and fastest-growing minority group in the United States – are expected to face a 142% rise in cancer cases in coming years. Although there has been substantial advancement in cancer prevention, screening, diagnosis, and treatment over the past few decades, addressing Latino cancer health disparities has not nearly kept pace with progress. The diverse and dynamic group of speakers and panelists brought together at the Advancing the Science of Cancer in Latinos conference provided in-depth insights as well as progress and actionable goals for Latino-focused basic science research, clinical best practices, community interventions, and what can be done by way of prevention, screening, diagnosis, and treatment of cancer in Latinos. These insights have been translated into the chapters included in this compendium; the chapters summarize the presentations and include current knowledge in the specific topic areas, identified gaps, and top priority areas for future cancer research in Latinos. Topics included among the chapters: Colorectal cancer disparities in Latinos: Genes vs. Environment Breast cancer risk and mortality in women of Latin American origin Differential cancer risk in Latinos: The role of diet Overcoming barriers for Latinos on cancer clinical trials Es tiempo: Engaging Latinas in cervical cancer research Emerging policies in U.S. health care Advancing the Science of Cancer in Latinos proves to be an indispensable resource offering key insights into actionable targets for basic science research, suggestions for clinical best practices and community interventions, and novel strategies and advocacy opportunities to reduce health disparities in Latino communities. It will find an engaged audience among researchers, academics, physicians and other healthcare professionals, patient advocates, students, and others with an interest in the broad field of Latino cancer.
Author: Aamir Ahmad
Publisher: Springer Nature
ISBN: 3030203018
Category : Medical
Languages : en
Pages : 427
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Resistance to therapies, both targeted and systemic, and metastases to distant organs are the underlying causes of breast cancer-associated mortality. The second edition of Breast Cancer Metastasis and Drug Resistance brings together some of the leading experts to comprehensively understand breast cancer: the factors that make it lethal, and current research and clinical progress. This volume covers the following core topics: basic understanding of breast cancer (statistics, epidemiology, racial disparity and heterogeneity), metastasis and drug resistance (bone metastasis, trastuzumab resistance, tamoxifen resistance and novel therapeutic targets, including non-coding RNAs, inflammatory cytokines, cancer stem cells, ubiquitin ligases, tumor microenvironment and signaling pathways such as TRAIL, JAK-STAT and mTOR) and recent developments in the field (epigenetic regulation, microRNAs-mediated regulation, novel therapies and the clinically relevant 3D models). Experts also discuss the advances in laboratory research along with their translational and clinical implications with an overarching goal to improve the diagnosis and prognosis, particularly that of breast cancer patients with advanced disease.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781
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Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
