The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #66332

Ivis T. Forrester-Anderson, PhD, RD¹, Novlette Jackson, MS¹, and Dennis L. Anderson, PhD, DVM². (1) Family and Consumer Sciences, Morgan State University, 1700 Coldspring Lane, Baltimore, MD 21251, 443-885-3905, Dr__Ivisforrester@hotmail.com, (2) Dept. of Pathobiology, College of Veterinary Medicine, Nursing and Allied Health, Tuskegee University, Patterson Hall, Tuskegee, AL 36088

African American men have the highest prostate cancer incidence and mortality rates of any racial/ethnic group in the United States. Their participation in clinical trials and cancer control programs including screening programs is limited. Fourteen (14) focus groups were conducted in three counties in the Baltimore Metropolitan Area (Baltimore City, Baltimore County, Harford County) to determine predisposing and enabling factors that impact the participation of African American men in prostate cancer screening. The focus groups, which were facilitated by African Americans, were audio-taped and subsequently transcribed and analyzed. Themes identified from the focus groups show that lack of knowledge and awareness, fears, and misconceptions are predisposing factors that limit the participation of African American men in routine screening for prostate cancer. Other barriers include limited access and availability of screening services, embarrassment, and distrust for medical professionals and government. Positive belief, hope and experience with the disease are enabling factors for prostate cancer screening. Focus groups are an effective strategy for obtaining information about the health beliefs and practices of African-American men. Outcomes from the groups will be used in planning and developing a culturally sensitive health education program for African American men. Lack of education and awareness about prostate cancer among African-American men, necessitates increased funding for educational and screening programs within this hard to reach population.

Learning Objectives:

• At the conclusion of this session, participants will be able to:
• 1. Discuss the value of focus groups in generating qualitative data.
• 2. Discuss the beliefs, fears, barriers, and concerns of African American men about prostate cancer.
• Recognize the importance of cultural sensitivity in working with the African American population.

Keywords: Cancer Prevention, African American

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Centers for Medicare/Medicaid Services
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: grant