Hughes Halbert Chanita, Barg Frances K, Weathers Benita, Delmoor Ernestine, Coyne James, Wileyto E Paul, Arocho Justin, Mahler Brandon, Malkowicz S Bruce
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA.
Cancer Control. 2007 Jul;14(3):277-84. doi: 10.1177/107327480701400311.
Although cultural values are increasingly being recognized as important determinants of psychological and behavioral outcomes following cancer diagnosis and treatment, empirical data are not available on cultural values among men. This study evaluated differences in cultural values related to religiosity, temporal orientation, and collectivism among African American and European American men.
Participants were 119 African American and European American men who were newly diagnosed with early-stage and locally advanced prostate cancer. Cultural values were evaluated by self-report using standardized instruments during a structured telephone interview.
After controlling for sociodemographic characteristics, African American men reported significantly greater levels of religiosity (Beta = 24.44, P < .001) compared with European American men. African American men (Beta = 6.30, P < .01) also reported significantly greater levels of future temporal orientation. In addition, men with more aggressive disease (eg, higher Gleason scores) (Beta = 5.11, P < .01) and those who were pending treatment (Beta = -6.42, P < .01) reported significantly greater levels of future temporal orientation.
These findings demonstrate that while ethnicity is associated with some cultural values, clinical experiences with prostate cancer may also be important. This underscores the importance of evaluating the effects of both ethnicity and clinical factors in research on the influence of cultural values on cancer prevention and control.
尽管文化价值观日益被视为癌症诊断和治疗后心理及行为结果的重要决定因素，但关于男性文化价值观的实证数据却并不存在。本研究评估了非裔美国男性和欧裔美国男性在与宗教信仰、时间取向和集体主义相关的文化价值观方面的差异。
参与者为119名新诊断为早期和局部晚期前列腺癌的非裔美国男性和欧裔美国男性。在结构化电话访谈期间，使用标准化工具通过自我报告对文化价值观进行评估。
在控制了社会人口学特征后，与欧裔美国男性相比，非裔美国男性报告的宗教信仰水平显著更高（β = 24.44，P <.001）。非裔美国男性（β = 6.30，P <.01）报告的未来时间取向水平也显著更高。此外，疾病侵袭性更强（如Gleason评分更高）的男性（β = 5.11，P <.01）和正在等待治疗的男性（β = -6.42，P <.01）报告的未来时间取向水平显著更高。
这些发现表明，虽然种族与某些文化价值观相关，但前列腺癌的临床经历可能也很重要。这凸显了在研究文化价值观对癌症预防和控制的影响时，评估种族和临床因素影响的重要性。
