Sanchez Michael A, Bowen Deborah J, Hart Alton, Spigner Clarence
Health Services Department, University of Washington, Seattle, Washington, USA.
Ethn Dis. 2007 Spring;17(2):374-80.
Due to controversy regarding prostate cancer screening, it is imperative that African American men make informed decisions. Little is known about the role of cultural factors in decision-making for prostate cancer screening among African American men. The purposes of this study were: 1) to investigate components involved with decision-making for prostate cancer screening among African American men; and 2) to identify cultural factors that may influence screening decisions.
Six focus group sessions were conducted consisting of African American men between the ages of 40 and 70.
Eight themes emerged from the discussions about prostate cancer screening. These themes were: 1) men's knowledge of prostate cancer and clinical services; 2) prostate cancer as a threat to manhood; 3) screening as a threat to manhood; 4) self-awareness of health and well-being; 5) value of screening; 6) convenience of prostate specific antigen (PSA) screening; 7) misunderstanding of screening controversy; 8) distrust of the medical community; and 9) shared decision-making.
This study identifies cultural factors involved with decision-making for prostate cancer screening among African American men.
由于前列腺癌筛查存在争议，非裔美国男性必须做出明智的决定。关于文化因素在非裔美国男性前列腺癌筛查决策中的作用，人们知之甚少。本研究的目的是：1）调查非裔美国男性前列腺癌筛查决策中涉及的因素；2）确定可能影响筛查决策的文化因素。
对年龄在40至70岁之间的非裔美国男性进行了六次焦点小组讨论。
关于前列腺癌筛查的讨论产生了八个主题。这些主题是：1）男性对前列腺癌和临床服务的了解；2）前列腺癌对男子气概的威胁；3）筛查对男子气概的威胁；4）对健康和幸福的自我认知；5）筛查的价值；6）前列腺特异性抗原（PSA）筛查的便利性；7）对筛查争议的误解；8）对医学界的不信任；9）共同决策。
本研究确定了非裔美国男性前列腺癌筛查决策中涉及的文化因素。
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