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African American (AA) men have prostate cancer death rates (47.2) that are 137% higher than non-Hispanic whites (19.9). These numbers provide clear evidence that a significant prostate cancer disparity exists among AA men in the United States. Our study interviewed a sample of 33 AA men (Mage = 54.61, SD = 8.30, range = 40–71) from three southern, rural counties about their prostate cancer screening decisions and the conflict experienced in these decisions. Men were interviewed three times over the course of twelve months (baseline, 6 mo, 12 mo). In addition to an overall score, the Decisional Conflict Scale (DCS) consists of 4 subscales: Informed (to assess how much is known), Values (to asses personal preferences), Support (to assess resources available), and Uncertainty (to assess clarity of choice). High numbers indicate greater conflict and low numbers indicate greater ease in making decisions. Men’s report of overall decisional conflict decreased across 12 months, F(2, 42)=8.983, p |
