247564 Discovering key constructs that influence health attitudes and behaviors

Sunday, October 30, 2011

Vetta Sanders Thompson, PhD , George Warren Brown School/ Institute of Public Health, Washington University in St. Louis, St. Louis, MO
Sunmee Joo , George Warren Brown School/ Institute of Public Health, Washington University in St. Louis, St. Louis, MO
This presentation will provide information on previously unmeasured (privacy, male gender role attitudes), as well as alternative constructs (empowerment versus fatalism), aspects of constructs not often measured (salience of ethnic identity versus racial pride or ideology) and a more inclusive measure for other constructs (collectivism) and their role in cancer attitudes and intent to obtain colorectal cancer screening. Participants were 1034 African Americans, 683 women and 338 men recruited from a listed sample based on random digit dial (RDD) generated lists matched to market research data to achieve numbers most likely to include African Americans, 50 to 75 years of age. The listed sample was drawn to assure that major geographical regions were represented and supplemented with a separate RDD list used reduce biases produced by a listed sample. Eligibility criteria for participation included being born in the United States, self-identified African American male or female, age 50 to 75 years. The data reported suggest that privacy, empowerment, salience of ethnic identity, collectivism, and medical discrimination and religiosity accounted for 7 to 18% of the variance in cancer attitudes such as cancer worry, perceived cancer screening benefits and barriers, as well as screening efficacy. These cancer attitudes were related to intent to screen and colorectal cancer screening status. The presentation provides definitions, a theoretical framework for understanding these relationships, and practical strategies for addressing these issues in cancer communication and health promotion activities.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1. Participants will be able to list cultural constructs, such as privacy, that are not currently addressed in the literature on health promotion with African Americans. 2. Participants will be able to describe why these constructs matter. 3. Participants will be able to formulate strategies to address these issues in health promotion efforts.

Keywords: African American, Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am the PI of and oversee research on the use of culture to improve cancer communication materials and activities.
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.