Gender Differences in Barriers to Colorectal Cancer Screening Among African American Adults in the Mid-South of United States PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Gender Differences in Barriers to Colorectal Cancer Screening Among African American Adults in the Mid-South of United States PDF full book. Access full book title Gender Differences in Barriers to Colorectal Cancer Screening Among African American Adults in the Mid-South of United States by Jason Robert Hodges. Download full books in PDF and EPUB format.
Author: Jason Robert Hodges
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
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: Jason Robert Hodges
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
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: Fehmida Toor
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 0
Get Book Here
Book Description
Author: Alphonse Agbodzie
Publisher:
ISBN: 9780355373769
Category : African Americans
Languages : en
Pages : 60
Get Book Here
Book Description
Colorectal cancer is a major cause of death for African Americans but the rate of screening for the disease is relatively low, with more women than men generally receiving screening. Avoidance of screening has been attributed to the bowel prep required and invasive nature of most screening procedures. The fecal immunochemical test (FIT) offers an alternative without these drawbacks. The purpose of this study was to answer the question: Among African Americans over the age of 50, is there a gender difference in attitudes towards and knowledge about the fecal immunochemical test for colorectal cancer screening? Using a modified version of the Survey of Colorectal Cancer Educational and Environmental Needs questionnaire, 80 African Americans over the age of 50 and equally distributed by gender were recruited from a barbershop, beauty salon, and church to participate in the study. The findings showed men have a more positive attitude towards colorectal cancer screening and the FIT. The findings also showed no differences between the genders in knowledge of colorectal cancer screening. An implication for nursing from the results of the study is the need for better education for African Americans over the age of 50 concerning the benefits of CRC screening and the use of the FIT. Future research should focus on identifying approaches to overcome the specific barriers that African Americans over the age of 50 perceive concerning the use of the FIT.
Author: Charles Ray Rogers
Publisher:
ISBN:
Category :
Languages : en
Pages : 223
Get Book Here
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: Cheryl Larkin Logan
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 116
Get Book Here
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: Marcie Squirewell Wright
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 448
Get Book Here
Book Description
Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 88
Get Book Here
Book Description
Author: Folasade Popoola May
Publisher:
ISBN:
Category :
Languages : en
Pages : 166
Get Book Here
Book Description
African Americans are disproportionately impacted by colorectal cancer (CRC) with higher incidence of disease, higher mortality from disease, and poorer disease survival. These disparities are likely the result of multiple factors, including a high prevalence of CRC risk factors, unfavorable tumor biology, and poor access to medical services among blacks. In addition, while national guidelines promote universal screening for CRC in all Americans, African Americans are less likely than white Americans to pursue screening. There is increasing emphasis in health services research to understand why CRC screening is underutilized in African Americans and to develop interventions that improve screening uptake in the racial subgroup. This dissertation consists of three distinct but related studies that explore black-white disparities in CRC incidence, screening, and outcomes in the United States. The first study evaluates trends in black-white disparities in CRC incidence and stage at diagnosis over the past four decades using the Surveillance, Epidemiology, & End Results (SEER) cancer registry database. Study two is a systematic review of the literature evaluating barriers to colonoscopic CRC screening in African Americans. Study three is a retrospective analysis to compare rates of colonoscopic screening in African Americans and non-African Americans and to identify patient-level, provider-level, and system-level factors associated with receipt and non-receipt of screening in a large Veteran Affairs Healthcare Network. The dissertation demonstrates that while disparities in both CRC incidence and late stage presentation have narrowed over the past four decades, an incidence gap persists. The findings highlight the success of CRC prevention and early detection tools that have come into use over the past three decades and emphasize a continued need for strategies to improve uptake of CRC screening in African Americans. In addition, the dissertation identifies several patient-, provider-, and system-level factors that hinder colonoscopic screening in blacks and contribute to the incidence disparity. While future efforts to address disparities in CRC incidence should focus on increasing the use of screening endoscopy among African Americans to reduce disease incidence, we must not rely on colonoscopic screening alone to decrease the overall burden of CRC on blacks. By determining programs, policy, and interventions to reduce lifestyle risk factors for CRC and optimize use of both preventive and early detection screening methods in varied clinical settings, we can further reduce black-white disparities in CRC incidence, screening, and outcomes.
Author: Louise Barbara Black-Robinson
Publisher:
ISBN:
Category :
Languages : en
Pages : 109
Get Book Here
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: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309121396
Category : Medical
Languages : en
Pages : 128
Get Book Here
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.
