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Author: Charles Ray Rogers
Publisher:
ISBN:
Category :
Languages : en
Pages : 223
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Book Description
Of cancers affecting both men and women, colorectal cancer (CRC) is the second leading cancer to kill African Americans in the U.S. Compared to White men, African-American men have CRC incidence and mortality rates 20% and 45% higher, respectively. Owing to CRC's high incidence and younger age at presentation among African-American men, CRC screening (CRCS) is warranted at age 45 rather than 50. Yet, most studies have focused on men older than 45. The findings of these studies suggest that CRC survival is inversely related to early detection, and advocate the continued need for development, testing, and translating prevention interventions into increase screening behavior. Hence, the two-fold purpose of this study was to (1) conduct a systematic review of the professional literature to assess African-American men's knowledge, beliefs, and behaviors regarding CRCS; and (2) assess the knowledge, attitudes, male role norms, perceptions of subjective norms, and perceptions of barriers associated with CRCS among young adult African-American men (ages 19-45) employing survey research methodology. Utilizing Garrard's Matrix Method, the systematic literature review synthesized 28 studies examining African-American men's knowledge, beliefs, and behaviors regarding CRCS. Six factors emerged as associated with CRCS intentions and behaviors: previous CRCS, CRC test preference, perceived benefits, perceived barriers, CRC/CRCS knowledge, and physician support/recommendation. In addition, the mean methodological quality score of 10.9 indicated these studies were, overall, of medium quality and suffered from specific flaws. The second component of this study -- an on-line survey questionnaire -- described the male role norms, knowledge, attitudes, perceived subjective norms, and perceived barriers associated with screening for CRC among a non-random sample of 157 young adult African-American men. Ultimately, family history of cancer, work status, and perceived barriers were the critical factors associated with attitudes in all of our models/analyses. Of these, perceived barriers are the only factors amenable to change through health education efforts. Because this study was narrowly-focused on a specific group of African Americans, it provides a solid basis for developing structured health education interventions to increase young adult African-American men's intention to screen for CRC. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/151811
Author: Charles Ray Rogers
Publisher:
ISBN:
Category :
Languages : en
Pages : 223
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Book Description
Of cancers affecting both men and women, colorectal cancer (CRC) is the second leading cancer to kill African Americans in the U.S. Compared to White men, African-American men have CRC incidence and mortality rates 20% and 45% higher, respectively. Owing to CRC's high incidence and younger age at presentation among African-American men, CRC screening (CRCS) is warranted at age 45 rather than 50. Yet, most studies have focused on men older than 45. The findings of these studies suggest that CRC survival is inversely related to early detection, and advocate the continued need for development, testing, and translating prevention interventions into increase screening behavior. Hence, the two-fold purpose of this study was to (1) conduct a systematic review of the professional literature to assess African-American men's knowledge, beliefs, and behaviors regarding CRCS; and (2) assess the knowledge, attitudes, male role norms, perceptions of subjective norms, and perceptions of barriers associated with CRCS among young adult African-American men (ages 19-45) employing survey research methodology. Utilizing Garrard's Matrix Method, the systematic literature review synthesized 28 studies examining African-American men's knowledge, beliefs, and behaviors regarding CRCS. Six factors emerged as associated with CRCS intentions and behaviors: previous CRCS, CRC test preference, perceived benefits, perceived barriers, CRC/CRCS knowledge, and physician support/recommendation. In addition, the mean methodological quality score of 10.9 indicated these studies were, overall, of medium quality and suffered from specific flaws. The second component of this study -- an on-line survey questionnaire -- described the male role norms, knowledge, attitudes, perceived subjective norms, and perceived barriers associated with screening for CRC among a non-random sample of 157 young adult African-American men. Ultimately, family history of cancer, work status, and perceived barriers were the critical factors associated with attitudes in all of our models/analyses. Of these, perceived barriers are the only factors amenable to change through health education efforts. Because this study was narrowly-focused on a specific group of African Americans, it provides a solid basis for developing structured health education interventions to increase young adult African-American men's intention to screen for CRC. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/151811
Author: Chloe Fields
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 458
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Book Description
African Americans (AA) have incidence and mortality rates of 55.2 and 24.5 per 100,000 cases for colorectal cancer (CRC). By 2030, incidence rates for colon and rectal cancers will increase by 90% and 124.2%, respectively, for ages 20-34 and by 27.7% and 46%, respectively, for ages 35-49. To date, studies targeting AA men and women, ages 30-44, about CRC screenings and screening behaviors are scarce as the vast majority of studies on CRC within the AA community are focused on those aged 50 and above. The purpose of this study was to investigate factors that influence AA men and women’s participation in early detection screening for CRC, utilizing a Health Belief Model framework. Through the use of a mixed-method convergent parallel design, quantitative and qualitative data collection was employed through an online survey and face-to-face interviews. Analysis was completed by SPSS ordinal logistic regression and NVIVO. Study findings indicated cues to action and perceived susceptibility were predictors of CRC screening; however, overall screening knowledge was low. Additionally, perceived barriers and perceived benefits were consistent with the current screening trends of AA men and women aged 50 and above. Based on the study findings, recommendations include: the creation of age-appropriate health communication campaigns and health interventions, updated CRC evidence-based screening guidelines to include younger adults based on current disease trends, advocacy efforts funding research to assess CRC impact in AA aged 30-44, and streamlined approaches for healthcare providers to discuss CRC screenings with patients younger than the age of 45.
Author: Jason Robert Hodges
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Colorectal cancer (CRC) is the third most commonly diagnosed cancer and third leading cause of cancer-related mortality in the United States. While overall CRC rates have been in decline since the 1960s, these declines are not observed equally across all racial/ethinc groups. Specifically, African Americans exhibit disparities in CRC incidence, stage of diagnosis, and survival. Additionally, African Americans have lower rates of CRC screening uptake when compared to Whites. This health protective behavior has been proven to lower CRC mortality, so it is paramount we understand barriers to engagement in CRC screening. The research literature provides some knowledge of commonly faced barriers, however, there is a gap in understanding the differences in barriers to screening as experienced among African American men and women who have never been screened for CRC. To explore these questions, a qualitative study design was used. A total of 32 African Americans, 17 men and 15 women, participates in a semi-structured interview to learn about potential gender differences in barriers to screening as well as to learn about any barriers not currently found in the literature. Findings resulted in the discovery of barriers experienced by African American men, which were linked to ideas of masculine identity and norms. These included: stigma and embarrassment, not engaging in preventative healthcare, and not believing in the preventability of cancer overall. African American women were more likely to identify health behaviors to prevent cancer, willing to undergo invasive medical procedures like a colonoscopy, and believe that cancer is preventable. Implications of these findings on CRC screening interventions as well as future research are also explored.
Author: Shirleen Shenell Greene
Publisher:
ISBN:
Category : African American men
Languages : en
Pages : 128
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Book Description
Author: Armine Arzoumanian
Publisher:
ISBN: 9781267790392
Category : African American men
Languages : en
Pages : 80
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Book Description
Abstract: The purpose of the study was to examine the role of health care coverage, level of education, and health status on colorectal cancer (CRC) screening among African American males 50 years of age and older. The study utilized secondary data analyses using the 2007 California Health Interview Survey (CHIS) adult public use data file. There were 51,048 adult survey participants of which 503 were African American males 50 years of age and older. Chi-square analysis results between health care coverage and CRC screening yielded a statistically significant association. Similarly, chi-square analysis results between level of education and CRC screening also revealed a statistically significant association. Conversely, there was no statistically significant association between health status and CRC screening.
Author: Louise Barbara Black-Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 109
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Book Description
This study exam the preventive practices and bekiefs among African Americans (AAs) as conceptualized by the Critical Social Theory (CST), to screening for colorectal cancer (CRC). African Americans (AAs) adults participated in the colon Cancer Conferenes in the spring of 2010 and 2011. CRC is one of the most common cancers and the second leading cause of cancer death for men and woman. (American Cancer Society, 2009). Screeing can be effective for detecting cancer at the treatable stages, however, large porporation of African Americans are at risk for CRC, have not been screened or are not screened regularly as recommended by the national guidelines fron the U.S. Preventive Services Task Force (UPSTF), the American Cancer Society, the U.S. Multi-Society Task force on Colorectal Cancer, and the American college of Radiology (Smith, Cokkinides & Brawley, 2008). In this study, descriptive statistics was used to exam the preventive practices and beliefs by use of a self-report questionnaire of CRC screeing behaviors for fecal occult blood testing (FOBT), flexible sigmoidoscopy, and colonoscopy. Many of the AA's that attened both conferences did not recieve these recommendations for CRC screening. Also, little was known about attitudes and perception toward nutrition and physical activity among African-Americans. This study examines cultural beliefs and perceptions toward nutrition, and physical activity. In addition to the relationship between the intake of dietary fiber and risk of CRC, particularly when poor diet is combined with excess calorie intake and weight gain, physical inactivity, and unhealthy practices, such as smoking and consumption of alcohol. The results support the recommendation frrom the Centers for Disease Control and Prevention (CDC) and the American Cancer Society that individuals should engage in 30 minutes or more of moderate-intensity physical activity (preferably all) days of the week. Results discuss the context of CST concept and implications for CRC screening practices and the relationships of power and the uderlying structures in society that produce population inequalities (Grams & Christ, 1992). Keywords: African Americans, Caucasians; colorectal cancer screening; health disparities; Critical Social therory;
Author: Joseph Anderson, MD
Publisher: Springer Science & Business Media
ISBN: 1607613980
Category : Medical
Languages : en
Pages : 210
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Book Description
Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.
Author: Cheryl Larkin Logan
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 116
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Book Description
Research indicates that African Americans have the highest death rate and shortest survival rate of any ethnic or racial group in the Unites States for most cancers. Colorectal cancer is the third most common cancer diagnosed in men and women. The literature reveals that the primary cause of higher mortality and incidence rates is the lack of participation in colorectal cancer screening activities. This descriptive study examined the health beliefs, knowledge, and perceived barriers of colorectal cancer screening practices among African Americans. Using the Health Belief Model as the theoretical framework, and Champion's Health Belief Model scale, information regarding the health beliefs, knowledge, and perceived barriers of colorectal cancer screening among 13 African American men and women living in western North Carolina was obtained. The results of this study indicate that the majority of African Americans participated in sigmoidoscopy/colonoscopy colorectal cancer screening and were knowledgeable about when this type of screening needs to begin and how often it should occur. Future research should be conducted replicating this study using a larger, representative sample in order to understand the relationship between colorectal knowledge and screening practices among African Americans. The aim is to increase colorectal cancer screening among African Americans and ultimately decrease the rate of mortality from this cancer.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309121396
Category : Medical
Languages : en
Pages : 128
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Book Description
The IOM's National Cancer Policy Board estimated in 2003 that even modest efforts to implement known tactics for cancer prevention and early detection could result in up to a 29 percent drop in cancer deaths in about 20 years. The IOM's National Cancer Policy Forum, which succeeded the Board after it was disbanded in 2005, continued the Board's work to outline ways to increase screening in the U.S. On February 25 and 26, 2008, the Forum convened a workshop to discuss screening for colorectal cancer. Colorectal cancer screening remains low, despite strong evidence that screening prevents deaths. With the aim to make recommended colorectal cancer screening more widespread, the workshop discussed steps to be taken at the clinic, community, and health system levels. Workshop speakers, representing a broad spectrum of leaders in the field, identified major barriers to increased screening and described strategies to overcome these obstacles. This workshop summary highlights the information presented, as well as the subsequent discussion about actions needed to increase colorectal screening and, ultimately, to prevent more colorectal cancer deaths.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
The study aims were to: (1) use a randomized trial to evaluate an ongoing innovative intervention designed to facilitate screening adherence among African American men aged 55(+) years in the screening arm of the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial and (2) develop a survey to assess perceptions of cancer screening among African American men. No statistically significant differences were found in age, education or income between the intervention (n=301) and control (n=300) groups. A total of 9,949 calls have been made to intervention group participants to address competing needs preventing screening adherence. Survey items found through a literature search were placed into the Preventive Health Model framework. Two focus groups were held to evaluate the developing survey. Focus group results show cognitive/psychological factors of fear and anxiety regarding cancer diagnosis and lack of knowledge about screening tests and benefits. Wives and children were cited as the most important social support and influence persons affecting screening behavior. Programmatic/systemic screening-related factors included a trusted health care provider and health insurance. A final survey was developed. Abstracts were submitted for presentation at two national meetings. Study findings could help African American men benefit from participation in prostate cancer research.
