Ross Levi, Kohler Connie L, Grimley Diane M, Green B Lee, Anderson-Lewis Charkarra
Institute of Public Health, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, FL 32307, USA.
Health Educ Behav. 2007 Jun;34(3):422-40. doi: 10.1177/1090198106290751. Epub 2006 Nov 29.
Public health actions to improve African American men's ability to make informed decisions about participation in prostate cancer control activities have a greater likelihood of success when they are theory driven and informed by members of the target population. This article reports on formative research to evaluate the usefulness of the theory of reasoned action as a model to explain and predict prostate cancer information-seeking behavior by African American men. Fifty-two men participated in eight focus group interviews. Positive behavioral beliefs for obtaining prostate cancer information from physicians included increasing awareness of and obtaining accurate information about the disease, early detection and screening, and treatment. Negative beliefs included fear, distrust, and inconvenience. Significant others, peers, siblings, and religious leaders were identified as individuals who could influence this behavior. These findings provide additional insight into ways to reach and intervene with African American men to influence this important cancer control activity.
当公共卫生行动以理论为驱动并由目标人群成员提供信息时,提高非裔美国男性对参与前列腺癌控制活动做出明智决策能力的行动更有可能取得成功。本文报告了一项形成性研究,以评估理性行动理论作为一种模型来解释和预测非裔美国男性前列腺癌信息寻求行为的有用性。52名男性参与了8次焦点小组访谈。从医生那里获取前列腺癌信息的积极行为信念包括提高对该疾病的认识并获得准确信息、早期检测和筛查以及治疗。消极信念包括恐惧、不信任和不便。重要他人、同龄人、兄弟姐妹和宗教领袖被确定为可能影响这种行为的个体。这些发现为接触和干预非裔美国男性以影响这一重要癌症控制活动的方式提供了更多见解。