198791 Psychosocial Contribution of Masculinity and Sense of Mastery to Prostate Cancer Screening Among African American Men

Monday, November 9, 2009: 1:00 PM

Wizdom Powell Hammond, PhD, MPH , School of Public Health, Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, NC
India J. Ornelas, MPH , Health Behavior and Health Education, University of North Carolina, Chapel Hill, Chapel Hill, NC
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Anh N. Tran, PhD, MPH , Division of Community Health, Dept of Community and Family Medicine, Duke University Medical Center, Durham, NC
Elvira Mebane , United Voices of Efland-Cheeks, Efland, NC
Wayne Sherman, MSPH, RN , Personal Health Director, Orange County Health Department, Hillsborough, NC
Despite recent prostate cancer screening controversy, most physicians agree that early detection is especially important among at-risk groups of men. African American men bear the heaviest prostate cancer burden in North Carolina and are screened less often than White men. Qualitative examinations link sense of mastery and male norms, which emphasize healthcare avoidance, to screening delays among men. Quantitative studies scarcely document these relationships among African American men. We employed the Andersen Behavioral Model and The Theory of Reasoned Action to investigate the direct and interactive contributions of male norms and sense of mastery to prostate cancer screening. Two-hundred fifteen men recruited at baseline for the NC MAN for Health intervention completed measures assessing demographics, healthcare access, physical health status, male norms, and sense of mastery. Outcomes were self-reported Prostate Specific Antigen (PSA) and Digital Rectal Exam (DRE) screenings. After adjustment, men with more male norms endorsement were significantly less likely to report DRE (O.R. = 0.35; 95% C.I. = 0.13, 0.92) PSA screening (O.R. = 0.36; 95% C.I. = 0.13; 1.00). Male norms interacted with sense of mastery to differentially impact the odds of PSA testing. Specifically, in the absence of sense of mastery, male norms decreased, but did not have a statistically significantly effect on, the odds of PSA screening. In the presence of sense of mastery, male norms significantly increased the odds of obtaining a PSA test. Findings suggest that sense of mastery counterbalances the negative effects of male norms on PSA screening among African American men.

Learning Objectives:
(1) Describe the contribution made by masculinity and sense of mastery to African American menís prostate cancer screening practices. (2) Articulate strategies to minimize masculine-role specific barriers to cancer screening.

Keywords: Male Health, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received an NIH NCI diversity supplement, which has allowed me to contribute to research efforts associated with the Man for Health Study (PI, Eugenia Eng). As part of my research contributions to this study, I analyzed quantitative data collected at baseline from African American Male Navigators and Confidants (N = 216) recruited for the MAN for Health Project to determine whether a relationship exists between beliefs about masculinity (e.g., traditional male role norms) and prostate cancer screening.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.