Lumpkins Crystal Y, Vanchy Priya, Baker Tamara A, Daley Christine, Ndikum-Moffer Florence, Greiner K Allen
University of Kansas Medical Center, Kansas City, KS, USA University of Kansas, Lawrence, KS, USA
University of Kansas, Lawrence, KS, USA.
Health Educ Behav. 2016 Aug;43(4):452-60. doi: 10.1177/1090198115604615. Epub 2015 Sep 29.
The Centers for Disease Control and Prevention ranks colorectal cancer (CRC) as the third most commonly diagnosed cancer among men in the United States; African American (AA) men are at even greater risk. The present study was from a larger study that investigates the church's role as a social marketer of CRC risk and prevention messages, and whether religiously targeted and tailored health promotion materials will influence screening outcome. We used an integrated theoretical approach to explore participants' perceptions of CRC risk and prevention and how promotion messages should be developed and socially marketed by the church. Six focus groups were conducted with men from predominately AA churches in the Midwest. Themes from focus group discussions showed participants lacked knowledge about CRC, feared cancer diagnosis, and feared the procedure for screening. Roles of masculinity and the mistrust of physicians were also emergent themes. Participants did perceive the church as a trusted marketer of CRC but believed that promotional materials should be cosponsored and codeveloped by reputable health organizations. Employing the church as a social marketer of CRC screening promotion materials may be useful in guiding health promotions and addressing barriers that are distinct among African American men.
疾病控制与预防中心将结直肠癌(CRC)列为美国男性中第三大最常被诊断出的癌症;非裔美国(AA)男性面临的风险甚至更高。本研究来自一项更大规模的研究,该研究调查了教会作为结直肠癌风险及预防信息的社会营销者的作用,以及针对宗教群体定制的健康促进材料是否会影响筛查结果。我们采用综合理论方法来探究参与者对结直肠癌风险及预防的认知,以及教会应如何制定和进行结直肠癌预防信息的社会营销。我们对来自美国中西部主要为非裔美国人教会的男性进行了六个焦点小组访谈。焦点小组讨论的主题表明,参与者缺乏对结直肠癌的了解,害怕癌症诊断,也害怕筛查程序。男子气概的作用以及对医生的不信任也是突出的主题。参与者确实将教会视为结直肠癌可靠的营销者,但认为宣传材料应由知名健康组织共同赞助和共同制定。将教会作为结直肠癌筛查宣传材料的社会营销者,可能有助于指导健康促进工作,并消除非裔美国男性中特有的障碍。