Examining Constructs of the Health Belief Model as Predictors of Haitian Men's Intention Regarding Prostate Cancer Screening

19.00
Hdl Handle:
http://hdl.handle.net/10755/621199
Category:
Full-text
Format:
Text-based Document
Type:
Dissertation
Level of Evidence:
Cross-Sectional Study
Research Approach:
Quantitative Research
Title:
Examining Constructs of the Health Belief Model as Predictors of Haitian Men's Intention Regarding Prostate Cancer Screening
Author(s):
Louis, Jhonii Price II
Additional Author Information:
Jhonii Price Louis, II, PhD
Advisors:
Beason, Ferrona A.; Chin, Claudette Rose; Colin, Jessie M.; McFadden, John
Degree:
PhD
Degree Year:
2016
Grantor:
Barry University
Abstract:

Background: The most recent report of Global Burden of Cancer (GLOBOCAN) indicated the incidence rate of prostate cancer in Haiti as 38.6 and the mortality rate as 32.3 per 100,000. The literature supports a high correlation between early prostate cancer screening and low mortality rate from the disease. Yet, the participation of Haitian men in prostate cancer screening remains low (Kleier, 2010). The literature has a lack of research on this matter, which presented the gap to be examined.

Purpose: The purpose of this study was to determine which of these selected constructs of the Health Belief Model (perceived susceptibility, perceived benefits, and perceived barriers) are predictors to the intention of Haitian men regarding prostate cancer screening. Other modifying variables were also considered as predictors to the outcome variable.

Theoretical Framework: The Health Belief Model (HBM) was utilized as the primary guide for the study; the Purnell Model for Cultural Competence served a complementary lens to account for any cultural gap studying this population.

Method: A correlational, predictive cross-section design was used to obtain a convenience sample in Haiti (N = 200). The Champion HBM scale was adapted and modified for prostate cancer; it was administered in Haitian Creole and French. Data were analyzed through descriptive, correlation, logistic regression, and the nonparametric Kruskal-Wallis (H) analysis of variance (ANOVA) to determine predictive correlation among the variables.

Results: Seven hypotheses were tested; all but one was supported. Perceived benefits were found to have a predictive relationship to Haitian men’s intent to screen for prostate v cancer [ c2 (3) = 14.47, p = .00]. Further, the nonsignificant Hosmer and Lemeshow statistic, c2 (8) = 4.33, p = .83 supports that the data was a good fit for the model. No other variable was found to be significant.

 Conclusion: The findings from this study can be utilized by nurses and other healthcare professionals to generate and implement culturally appropriate interventions; consequently, these interventions will decrease the morbidity and mortality rates of prostate cancer among Haitian men in Haiti and abroad.

Keywords:
prostate cancer; cancer screening
CINAHL Headings:
Health Belief Model; Prostatic Neoplasms; ProstaticNeoplasms--Prevention and Control; Prostatic Neoplasms--Psychosocial Factors; Cancer Screening; Health Behavior; Health Knowledge; Attitude to Health; Haiti; Male
Description:
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10153750; ProQuest document ID: 1836059875. The author still retains copyright.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-01-27T21:02:59Z
Date of Publication:
2017-01-27

Full metadata record

DC FieldValue Language
dc.contributor.advisorBeason, Ferrona A.en
dc.contributor.advisorChin, Claudette Roseen
dc.contributor.advisorColin, Jessie M.en
dc.contributor.advisorMcFadden, Johnen
dc.contributor.authorLouis, Jhonii Price IIen
dc.date.accessioned2017-01-27T21:02:59Z-
dc.date.available2017-01-27T21:02:59Z-
dc.date.issued2017-01-27-
dc.identifier.urihttp://hdl.handle.net/10755/621199-
dc.descriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10153750; ProQuest document ID: 1836059875. The author still retains copyright.en
dc.description.abstract<p>Background: The most recent report of Global Burden of Cancer (GLOBOCAN) indicated the incidence rate of prostate cancer in Haiti as 38.6 and the mortality rate as 32.3 per 100,000. The literature supports a high correlation between early prostate cancer screening and low mortality rate from the disease. Yet, the participation of Haitian men in prostate cancer screening remains low (Kleier, 2010). The literature has a lack of research on this matter, which presented the gap to be examined.</p><p>Purpose: The purpose of this study was to determine which of these selected constructs of the Health Belief Model (perceived susceptibility, perceived benefits, and perceived barriers) are predictors to the intention of Haitian men regarding prostate cancer screening. Other modifying variables were also considered as predictors to the outcome variable.</p><p>Theoretical Framework: The Health Belief Model (HBM) was utilized as the primary guide for the study; the Purnell Model for Cultural Competence served a complementary lens to account for any cultural gap studying this population.</p> <p>Method: A correlational, predictive cross-section design was used to obtain a convenience sample in Haiti (N = 200). The Champion HBM scale was adapted and modified for prostate cancer; it was administered in Haitian Creole and French. Data were analyzed through descriptive, correlation, logistic regression, and the nonparametric Kruskal-Wallis (H) analysis of variance (ANOVA) to determine predictive correlation among the variables.</p><p>Results: Seven hypotheses were tested; all but one was supported. Perceived benefits were found to have a predictive relationship to Haitian men’s intent to screen for prostate v cancer [ c2 (3) = 14.47, p = .00]. Further, the nonsignificant Hosmer and Lemeshow statistic, c2 (8) = 4.33, p = .83 supports that the data was a good fit for the model. No other variable was found to be significant.</p><p> Conclusion: The findings from this study can be utilized by nurses and other healthcare professionals to generate and implement culturally appropriate interventions; consequently, these interventions will decrease the morbidity and mortality rates of prostate cancer among Haitian men in Haiti and abroad.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectprostate canceren
dc.subjectcancer screeningen
dc.titleExamining Constructs of the Health Belief Model as Predictors of Haitian Men's Intention Regarding Prostate Cancer Screeningen_US
dc.typeDissertationen
thesis.degree.grantorBarry Universityen
thesis.degree.levelPhDen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
dc.primary-author.detailsJhonii Price Louis, II, PhDen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelCross-Sectional Studyen
dc.research.approachQuantitative Researchen
dc.subject.cinahlHealth Belief Modelen
dc.subject.cinahlProstatic Neoplasmsen
dc.subject.cinahlProstaticNeoplasms--Prevention and Controlen
dc.subject.cinahlProstatic Neoplasms--Psychosocial Factorsen
dc.subject.cinahlCancer Screeningen
dc.subject.cinahlHealth Behavioren
dc.subject.cinahlHealth Knowledgeen
dc.subject.cinahlAttitude to Healthen
dc.subject.cinahlHaitien
dc.subject.cinahlMaleen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.