Barriers and Facilitators to Colorectal Cancer Screening in African-American Men

Autor: Cam Escoffery, Saurabh Chawla, Nicole Gauthreaux, Chengcheng Ye, Derrick Beasley, Sean N. Halpin, Victoria Earl
Rok vydání: 2021
Předmět:
Zdroj: Digestive Diseases and Sciences
ISSN: 1573-2568
0163-2116
DOI: 10.1007/s10620-021-06960-0
Popis: African-Americans rank last among all racial groups for age-adjusted colorectal cancer mortality, 5-year survival rates, and rates of screening. Access to care does not fully explain racial disparities in rates of CRC and mortality. Sociocultural attitudes can predict probabilities of CRC screening. The objective of this study is to identify factors that influence colorectal cancer screening behavior in African-American men. Semi-structured interviews were conducted among 32 African-American men. Transcripts were analyzed using MAXQDA software. We then conducted a cross-sectional survey of 103 African-American men, using previously validated scales related to colorectal cancer screening and determinants. Data were analyzed with SPSS. In the interview phase, beliefs relating to masculinity emerged as factors that hindered participation in screening. Overwhelmingly, participants felt that having an in-depth discussion about colorectal cancer with their provider was critical to enabling them to get screened. The survey phase demonstrated that most participants had poor colorectal cancer knowledge, as only 16% passed the knowledge test. Forty-eight percentage agreed that their provider did not recommend getting screened. Those who had been previously screened for colorectal cancer scored higher in total and on all subsets of the masculinity index than those who had not (p
Databáze: OpenAIRE
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