Prostate Cancer Screening in African-American Men: The Impact of Worry and Demographic Factors

2.50
Hdl Handle:
http://hdl.handle.net/10755/155923
Type:
Presentation
Title:
Prostate Cancer Screening in African-American Men: The Impact of Worry and Demographic Factors
Abstract:
Prostate Cancer Screening in African-American Men: The Impact of Worry and Demographic Factors
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Lehto, Rebecca H., PhD, RN
P.I. Institution Name:Michigan State University
Title:Assistant Professor
Co-Authors:Karen Farchaus Stein PhD, RN, FAAN, Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: Despite the highest prostate cancer incidence and mortality worldwide, African-American(AA) men fall behind in prostate cancer screening(PCS) rates compared to other ethnic groups. PCS results in earlier detection and thus higher prospects for cure in AA men. Worry, aversive repetitive cognitions about perceived concerns, is recognized as an important factor influencing screening and preventive health behaviors in the general population. Scant research has examined if worry is associated with PCS in AA men. The purpose of the study were to examine relationships of worry and demographic factors (age, health insurance, education, marital status) to PCS behaviors in AA men.
Methods: The descriptive cross-sectional study was guided by the Socio-ecologic theory. The sample were 60 AA men(mean age 54.8+10.13) recruited from an urban Midwest area. Surveys included general Penn State Worry Questionnaire; PCS and Health Behaviors Questionnaire; and Cancer-related questionnaire (specific to prostate cancer worry). Descriptive, t-test, and correlations statistics were used.
Results: Age (r = .50,p<.005) and health insurance (r=.31,p<.05) were factors related to PCS. Men >50years were more likely to be screened (t=-5.7,df=59,p<.001) and have higher prostate cancer worry(t=-2.3,df=59,p<.05). General worry was not related to PCS, but was inversely related to other health-promoting behaviors(r=-.30,p<.05).
Conclusion: Worry specific to prostate cancer is higher in older AA men who also are more likely to have been screened.  While higher general worry may reduce participation in positive health behaviors, higher specific worry related to prostate cancer risk may promote PCS. The findings can be used to assist the development of screening and preventive health programs, particularly for younger AA men. Research that examines worry and socio-ecologic factors that promote PCS in diverse samples of black men globally is needed to reduce the impact of this deadly disease on this underserved population.
Support: T32 NR0704; MESA Center for Health Care Disparities, NINR.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleProstate Cancer Screening in African-American Men: The Impact of Worry and Demographic Factorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155923-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Prostate Cancer Screening in African-American Men: The Impact of Worry and Demographic Factors</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lehto, Rebecca H., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Michigan State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rebecca.lehto@hc.msu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen Farchaus Stein PhD, RN, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: Despite the highest prostate cancer incidence and mortality worldwide, African-American(AA) men fall behind in prostate cancer screening(PCS) rates compared to other ethnic groups. PCS results in earlier detection and thus higher prospects for cure in AA men. Worry, aversive repetitive cognitions about perceived concerns, is recognized as an important factor influencing screening and preventive health behaviors in the general population. Scant research has examined if worry is associated with PCS in AA men. The purpose of the study were to examine relationships of worry and demographic factors (age, health insurance, education, marital status) to PCS behaviors in AA men. <br/>Methods: The descriptive cross-sectional study was guided by the Socio-ecologic theory. The sample were 60 AA men(mean age 54.8+10.13) recruited from an urban Midwest area. Surveys included general Penn State Worry Questionnaire; PCS and Health Behaviors Questionnaire; and Cancer-related questionnaire (specific to prostate cancer worry). Descriptive, t-test, and correlations statistics were used. <br/>Results: Age (r = .50,p&lt;.005) and health insurance (r=.31,p&lt;.05) were factors related to PCS. Men &gt;50years were more likely to be screened (t=-5.7,df=59,p&lt;.001) and have higher prostate cancer worry(t=-2.3,df=59,p&lt;.05). General worry was not related to PCS, but was inversely related to other health-promoting behaviors(r=-.30,p&lt;.05). <br/>Conclusion: Worry specific to prostate cancer is higher in older AA men who also are more likely to have been screened. &nbsp;While higher general worry may reduce participation in positive health behaviors, higher specific worry related to prostate cancer risk may promote PCS. The findings can be used to assist the development of screening and preventive health programs, particularly for younger AA men. Research that examines worry and socio-ecologic factors that promote PCS in diverse samples of black men globally is needed to reduce the impact of this deadly disease on this underserved population. <br/>Support: T32 NR0704; MESA Center for Health Care Disparities, NINR.</td></tr></table>en_GB
dc.date.available2011-10-26T14:17:09Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:17:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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