4105.0: Tuesday, November 14, 2000 - 1:15 PM

Abstract #10880

Determinants of prostate cancer screening among African American men

Melinda S. Forthofer, PhD1, Clement Gwede, PhD(c), MPH2, Lauren Bailey, MSPH1, Robert J. McDermott, PhD1, Carol Bryant, PhD1, and Kelli McCormack Brown, PhD, CHES1. (1) Department of Community and Family Health, University of South Florida College of Public Health and Florida Prevention Research Center, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612-3805, 813-974-6681, mforthof@hsc.usf.edu, (2) University of South Florida, Moffitt Cancer Center, Department of Radiation Oncology, 12902 Magnolia Drive, Tampa, FL 33612-9497, 813-979-3052, gwede@moffitt.usf.edu

Prostate cancer is the most common non-skin cancer and the second leading cause of cancer death among American men. African American men experience disproportionate morbidity and mortality from the disease compared to white men. Although the value of early detection with prostate specific antigen (PSA) in reducing mortality remains controversial, African American men are characterized by significantly lower screening rates than whites and the reasons for this are not well understood. This study used focus groups to explore factors that motivate or deter African American men, the population at greatest risk, from seeking regular screening for prostate cancer. The findings from five focus groups are reported. Overall, most men are receptive to regular prostate cancer screenings but numerous perceived barriers preclude their participation. A host of determinants and new insights learned regarding the influence of women, health care providers, and the impact of prostate cancer survivors will be discussed. For example, the participants indicated they would be willing to be screened but physicians often don't recommend screening tests. The participants overwhelmingly felt that African American men should be made aware of their increased risk and should be encouraged to ask their physicians for prostate cancer check-ups. Findings will guide the development of a larger community-based quantitative survey of African American men and the development of a community focused social marketing plan for educating African American men about risk and the importance of early detection. The need to involve women or significant others in prostate cancer research and intervention is evident.

Learning Objectives: 1. Participants will gain an understanding of the social and behavioral determinants of prostate cancer screening utilization from the perspective of African American men. 2. Participants will understand how focus group research can be used as part of a multi-component social marketing project

Keywords: Cancer Screening, Social Marketing

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA