Rogers Charles R, Goodson Patricia, Dietz Lindsey R, Okuyemi Kola S
1 University of Minnesota Medical School, Minneapolis, MN, USA.
2 Texas A&M University, College Station, TX, USA.
Am J Mens Health. 2018 Jul;12(4):851-862. doi: 10.1177/1557988316647942. Epub 2016 May 8.
Racial disparities in health among African American men in the United States are appalling. African American men have the highest mortality and incidence rates from colorectal cancer compared with all other ethnic, racial, and gender groups. Juxtaposed to their white counterparts, African American men have colorectal cancer incidence and mortality rates 27% and 52% higher, respectively. Colorectal cancer is a treatable and preventable condition when detected early, yet the intricate factors influencing African American men's intention to screen remain understudied. Employing a nonexperimental, online survey research design at the Minnesota State Fair, the purpose of this study was to explore whether male role norms, knowledge, attitudes, and perceptions influence intention to screen for colorectal cancer among 297 African American men. As hypothesized, these Minnesota men (ages 18 to 65) lacked appropriate colorectal cancer knowledge: only 33% of the sample received a "passing" knowledge score (85% or better). In a logistic regression model, the three factors significantly associated with a higher probability of obtaining colorectal cancer screening were age, perceived barriers, and perceived subjective norms. Findings from this study provide a solid basis for informing health policy and designing health promotion and early-intervention colorectal cancer prevention programs that are responsive to the needs of African American men in Minnesota and beyond.
美国非裔男性在健康方面的种族差异令人震惊。与所有其他族裔、种族和性别群体相比，非裔男性患结直肠癌的死亡率和发病率最高。与白人男性相比，非裔男性患结直肠癌的发病率和死亡率分别高出27%和52%。结直肠癌如果早期发现是可治疗和可预防的疾病，但影响非裔男性筛查意愿的复杂因素仍未得到充分研究。本研究采用非实验性在线调查研究设计，于明尼苏达州博览会上进行，目的是探讨男性角色规范、知识、态度和认知是否会影响297名非裔美国男性筛查结直肠癌的意愿。正如所假设的，这些明尼苏达州的男性（年龄在18至65岁之间）缺乏适当的结直肠癌知识：只有33%的样本获得了“及格”的知识分数（85%或更高）。在逻辑回归模型中，与接受结直肠癌筛查可能性较高显著相关的三个因素是年龄、感知到的障碍和感知到的主观规范。本研究结果为制定卫生政策以及设计针对明尼苏达州及其他地区非裔美国男性需求的健康促进和早期干预结直肠癌预防项目提供了坚实基础。
