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[ Recorded presentation ] Recorded presentation

Social ecological correlates and predictors of access to prostate cancer prevention

Virginia Diane Woods, DrPH Candidate1, Susanne B. Montgomery, PhD, MPH1, Daniel Stokols, PhD2, Patti Herring, PhD, RN3, and Robert Gardner, PhD4. (1) Department of Health Promotion and Education, School of Public Health, Loma Linda University, 10970 Parkland Street, Loma Linda, CA 92350, (909) 558-7194, vwoods@sph.llu.edu, (2) Dept. of Planning, Policy, and Design, School of Social Ecology, University of California, Irvine, 206C Social Ecology I, Irvine, CA 92697-7075, (3) School of Public Health, Department of Health Promotion and Education, Loma Linda University, Nichol Hall, Room 1501, Loma Linda, CA 92350, (4) Graduate School, Social Policy and Social Research, Loma Linda University, Griggs Hall, Anderson Street, Loma Linda, CA 92354

Background: In San Bernardino County California, the mortality rate for prostate cancer among Black men (92.3/100,000) is almost three (3) times that of White men (32.4/100,000). Lack of access has been considered a strong determining factor for high mortality rates among Black males. Data from the "Itís All About You," a prostate cancer prevention longitudinal study among African American men, was examined to identify social ecological factors associated with prostate cancer early detection and screening access among this population. Methods: We used a mixed-methods approach to investigate social ecological patterns, modes, and structures of the healthcare delivery system, and perceptions, beliefs, practices, and attitudes of the Black males toward the healthcare system. We collected data from key informants (N=24), 3 focus groups (N=57), and questionnaires from 276 Black men and 93 physicians. Qualitative data was analyzed using standard qualitative methods, and Logistic regression analyses were performed on quantitative data. Dichotomous outcome variables were PSA and DRE status. Results: Preliminary data analyses indicate that 78.6% of our Black males had been in to their primary physician for an annual physical. However, 65.2% report they had not been told they should have a PSA or DRE. Mean age was 53 years old. Having a support system, knowledge of prostate cancer, and a caring healthcare provider, were strongly associated with access to prostate cancer early detection. Conclusions: Overcoming social and institutional barriers, and engaging patient and physician communication will likely improve access for Black males not traditionally active in their preventive health care.

Learning Objectives: At the conclusion of the session, the participant will be able to

Keywords: African American, Cancer Prevention

Presenting author's disclosure statement:
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.

[ Recorded presentation ] Recorded presentation

Experiences, Challenges and Opportunities for Engaging African American/Black Men in Prevention and Healthcare

The 132nd Annual Meeting (November 6-10, 2004) of APHA