262109 Purposeful Interaction: A Descriptive Framework of Latino Men's Communication about Prostate Cancer

Monday, October 29, 2012 : 8:50 AM - 9:10 AM

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
Communication about the diagnosis and treatment of prostate cancer is critical to informed decision-making. This need is magnified by the uncertainty surrounding the survival benefit of mass screening for prostate cancer and definitive treatment for all early stage prostate cancers. It is especially relevant for men who are at higher risk for prostate cancer by virtue of being a first degree relative (FDMR) of a man with prostate cancer. However, FDMRs may not be aware of their risk status if they have not been informed that a family member has had prostate cancer. This lack of information impairs their ability to fully participate in informed decision-making about screening for themselves. Communication about prostate cancer by men with prostate cancer is poorly understood, especially among minority men, such as Latinos. The purpose of this study was to develop a descriptive framework of the communication processes used by Latino men with prostate cancer to communicate with others about their diagnosis. We used a constructivist grounded theory approach to analyze and construct a descriptive framework from semi-structured interviews with 30 men. The overarching process was Purposeful Interacting built around Spheres of Communication including Inner Circle, Experts, Beneficiaries, Work, and Outer Circle. Balanced within and influenced by the Spheres were crosscutting processes of Respectful Silence and Selective Disclosure. These findings provide direction for developing interventions to promote discussion of a prostate cancer diagnosis within families.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
1. Describe the methods Latino men with prostate cancer use to communicate with others about their diagnoses and treatments. 2. Identify spheres of communication in which men choose to communicate different information in different ways. 3. Discuss processes that characterize Latino menís communication about their prostate cancer. 4. Evaluate culturally sensitive interventions promoting discussion of prostate cancer diagnosis and screening in Latino families.

Keywords: Latino Health, Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project manager for this study and multiple other studies in disadvantaged Latino populations.
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.