238335 Perception of risk for prostate cancer by high-risk Latino men

Tuesday, November 1, 2011: 4:50 PM

Sally L. Maliski, RN, PhD , Nursing, UCLA, Los Angeles, CA
Sarah E. Connor, MPH, CHES , Department of Urology, Health Services Research Group, UCLA, Los Angeles, CA
Mark S. Litwin, MD, MPH , Urology and Health Services, David Geffen School of Medicine at UCLA, Los Angeles, CA
Significance Little is known about how Latino men who have been treated for prostate cancer approached their treatment and disclosure decision situations or how high-risk brothers and sons perceive their risk and approach screening. Without understanding practices, experiences, and attitudes toward prostate cancer treatment, disclosure, and screening, it will be impossible to develop an evidence base from which to facilitate culturally relevant support as treatment, disclosure, and screening situations are faced by men in this vulnerable and growing Latino population. Therefore, the purpose of this study was to understand prostate cancer treatment, disclosure, and screening decision situations from the perspectives of Latino men who have made prostate cancer treatment and disclosure decisions and high risk brothers and sons of Latino men treated for prostate cancer. These understandings form the evidence base to develop culturally relevant interventions to support Latino men faced with prostate cancer treatment, disclosure, and screening decisions. This presentation will describe the perceptions and beliefs about screening for prostate cancer among brothers or sons of Latino men diagnosed with prostate cancer.

Theoretical Framework Symbolic Interactionism is the framework grounding this study. Understanding and perceiving what it means to be at higher risk for prostate cancer is an interactive process in which meanings are attributed to prostate cancer within men's cultural context. This study illuminates the meanings and interactions that influence the process of understanding at perceiving whether one is at risk for prostate cancer as a first degree male relative of a man who has had prostate cancer.

Methods A two-group descriptive design using “fundamental” qualitative description was employed. Two sets of interviews were conducted. We interviewed high risk brothers and sons of Latino men with prostate cancer. In-person interviews were conducted with 30 men. Interviews were audiotaped and transcribed verbatim and. Analysis used grounded theory techniques.

Results Preliminary results are suggesting that many men were unaware that they are at higher risk for prostate cancer. Some of the initial emergent categories include incomplete or minimal information from relative with prostate cancer, not understanding familial risk, and not knowing what to do about increased risk.

Implications Categories will continue to be developed and dimensionalized through continued focused and axial coding. A theoretical framework will then be developed to describe processes of attributing and managing risk from which culturally relevant intervention will be developed to assist Latino men at high risk for prostate cancer

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe how to use qualitative research to develop an evidence base from which to facilitate the development of culturally relevant interventions regarding cancer screening and treatment for Latino men. 2. Describe assumptions and purpose of Grounded Theory and Symbolic Interactionism 3. Demonstrate ability to apply Grounded Theory principles to data collection.

Keywords: Cancer Screening, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research manager in the UCLA Department of Urology, Health Services Research Group, and have managed Dr. Maliski’s qualitative research projects for the last 10years. I have over 20 years of research experience in underserved populations, physician-patient communication, and cancer screening and treatment. I have a Master's in Public Health and am a Certified Health Education Specialist.
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.