Brooks Ellen, Islam Jessica Y, Perdue David G, Petersen Ethan, Camacho-Rivera Marlene, Kennedy Carson, Rogers Charles R
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.
Center for Immunization and Infections in Cancer, Cancer Epidemiology Program, H. Lee Moffitt Cancer and Research Institute, Tampa, FL, United States.
Front Public Health. 2022 Apr 6;10:814596. doi: 10.3389/fpubh.2022.814596. eCollection 2022.
To determine if masculinity barriers to medical care and the death from colorectal cancer (CRC) of actor Chadwick Boseman (The Black Panther) influenced CRC early-detection screening intent among unscreened American Indian/Alaska Native (AIAN) and Non-Hispanic-Black (Black) men compared with Non-Hispanic-White (White) men.
Using a consumer-panel, we surveyed U.S. men aged 18-75 years ( = 895) using the 24-item Masculinity Barriers to Medical Care (MBMC) scale. We calculated the median score to create binary exposures to evaluate associations with CRC screening intent and conducted multivariable logistic regression to evaluate independent associations stratified by race/ethnicity.
Overall, Black respondents were most likely to have a high MBMC score (55%) compared to White (44%) and AIAN (51%) men ( = 0.043). AIAN men were least likely to report CRC screening intent (51.1%) compared with Black (68%) and White men (64%) ( < 0.001). Black men who reported the recent death of Chadwick Boseman increased their awareness of CRC were more likely (78%) to report intention to screen for CRC compared to those who did not (56%) ( < 0.001). Black men who exhibited more masculinity-related barriers to care were more likely to intend to screen for CRC (OR: 1.76, 95% CI: 0.98-3.16) than their counterparts, as were Black men who reported no impact of Boseman's death on their CRC awareness (aOR: 2.96, 95% CI: 1.13-7.67). Conversely, among AIAN men, those who exhibited more masculinity-related barriers to care were less likely to have CRC screening intent (aOR: 0.47, 95% CI: 0.27-0.82) compared with their counterparts.
Masculinity barriers to medical care play a significant role in intention to screen for CRC. While Black men were most likely to state that The Black Panther's death increased their awareness of CRC, it did not appear to modify the role of masculine barriers in CRC screening intention as expected. Further research is warranted to better understand how masculine barriers combined with celebrity-driven health-promotion interventions influence the uptake of early-detection screening for CRC.
Our study provides formative data to develop behavioral interventions focused on improving CRC screening completion among diverse men.
确定医疗保健中的男性气质障碍以及演员查德维克·博斯曼（《黑豹》主演）因结直肠癌（CRC）去世，与未接受筛查的美国印第安/阿拉斯加原住民（AIAN）和非西班牙裔黑人（黑人）男性相比，对非西班牙裔白人（白人）男性的CRC早期检测筛查意愿的影响。
我们使用消费者面板，对年龄在18 - 75岁的美国男性（n = 895）进行了调查，采用了包含24个项目的医疗保健男性气质障碍（MBMC）量表。我们计算了中位数得分以创建二元暴露，以评估与CRC筛查意愿的关联，并进行多变量逻辑回归，以评估按种族/族裔分层的独立关联。
总体而言，与白人（44%）和AIAN男性（51%）相比，黑人受访者最有可能获得较高的MBMC得分（55%）（P = 0.043）。与黑人（68%）和白人男性（64%）相比，AIAN男性报告CRC筛查意愿的可能性最小（51.1%）（P < 0.001）。报告查德维克·博斯曼近期去世且提高了对CRC认识的黑人男性，与未提高认识的相比，更有可能（78%）报告有进行CRC筛查的意愿（P < 0.001）。表现出更多与男性气质相关的医疗保健障碍的黑人男性，比其同龄人更有可能打算进行CRC筛查（比值比：1.76，95%置信区间：0.98 - 3.16），报告博斯曼去世对其CRC认识无影响的黑人男性也是如此（调整后比值比：2.96，95%置信区间：1.13 - 7.67）。相反，在AIAN男性中，表现出更多与男性气质相关的医疗保健障碍的人，与同龄人相比，进行CRC筛查意愿的可能性较小（调整后比值比：0.47，95%置信区间：0.27 - 0.82）。
医疗保健中的男性气质障碍在CRC筛查意愿中起重要作用。虽然黑人男性最有可能表示《黑豹》主演的去世提高了他们对CRC的认识，但这似乎并未如预期那样改变男性气质障碍在CRC筛查意愿中的作用。有必要进行进一步研究，以更好地了解男性气质障碍与名人驱动的健康促进干预措施如何共同影响CRC早期检测筛查的接受情况。
我们的研究提供了形成性数据，以制定侧重于提高不同男性群体CRC筛查完成率的行为干预措施。
