了解美国中西部非裔美国男性的预防行为：前列腺筛查的定性初步研究
Understanding preventive behaviors among mid-Western African-American men: a pilot qualitative study of prostate screening.
作者信息
Harvey Idethia Shevon, Alston Reginald J
出版信息
J Mens Health. 2011 May 1;8(2):140-151. doi: 10.1016/j.jomh.2011.03.005.
BACKGROUND
African-American men bear a disproportionate burden for disease compared to other ethnic and racial groups. Due to gender differences in socialization and lifestyle practices, men are more likely to adopt attitudes and beliefs that undermine their health and well-being, including beliefs related to masculinity. The purpose of this study was to explore and understand the contextual factors in the attitudes and beliefs of African-American men's view of health in general, and as related to prostate cancer in particular. METHODS: Qualitative data from 15 African-American men were collected from two focus groups and analyzed for common themes using a qualitative descriptive design. RESULTS: Three themes emerged that focused on the beliefs and attitudes regarding general health and prostate cancer screening: (i) traditional beliefs about masculinity; (ii) psychosocial impact from family medical history; and (iii) sexual mores regarding digital rectal exams. CONCLUSIONS: The socialization of African-American men and masculinity ideologies may be significant factors in the focus group member's decisions to seek preventive health behavior changes. Further research is needed to examine the determinants of African-American men's health seeking behavior, in particular on the influence of masculine beliefs.
背景
与其他族裔群体相比，非裔美国男性承受着不成比例的疾病负担。由于社会化和生活方式的性别差异，男性更有可能形成有损自身健康和幸福的态度与观念，包括与男子气概相关的观念。本研究的目的是探讨和理解非裔美国男性对健康总体看法，尤其是与前列腺癌相关看法中态度和观念的背景因素。方法：从两个焦点小组收集了15名非裔美国男性的定性数据，并采用定性描述性设计分析共同主题。结果：出现了三个主题，聚焦于对总体健康和前列腺癌筛查的信念与态度：（i）关于男子气概的传统信念；（ii）家族病史的心理社会影响；（iii）关于直肠指检的性道德观念。结论：非裔美国男性的社会化和男子气概意识形态可能是焦点小组成员决定寻求预防性健康行为改变的重要因素。需要进一步研究以考察非裔美国男性健康寻求行为的决定因素，特别是男性信念的影响。
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