A Community-Driven Intervention for Prostate Cancer Screening in African Americans

Autor/inn/en	Patel, Kushal; Ukoli, Flora; Liu, Jianguo; Beech, Derrick; Beard, Katina; Brown, Byron; Sanderson, Maureen; Kenerson, Donna; Cooper, Leslie; Canto, Marie; Blot, Bill; Hargreaves, Margaret
Titel	A Community-Driven Intervention for Prostate Cancer Screening in African Americans
Quelle	In: Health Education & Behavior, 40 (2013) 1, S.11-18 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198111431275
Schlagwörter	African Americans; Males; Cancer; Screening Tests; Intervention; Community Programs; Program Effectiveness; Health Behavior; Older Adults; Community Education; Interviews; Pretests Posttests; Barriers; Educational Attainment; Family Income; Knowledge Level; School Community Programs; Health Promotion; Marital Satisfaction; Health Insurance; Employment Level; Tennessee + Suchen Sie Ihr Suchwort? Afroamerikaner; Male; Männliches Geschlecht; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Screening-Verfahren; Health behaviour; Gesundheitsverhalten; Älterer Erwachsener; ; Gemeinschaftserziehung; Nachbarschaftserziehung; Interviewing; Interviewtechnik; Bildungsabschluss; Bildungsgut; Familieneinkommen; Wissensbasis; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Krankenversicherung; Beschäftigungsgrad
Abstract	The purpose of the study was to assess the impact of an educational intervention on prostate cancer screening behavior and knowledge. Participants were 104 African American men, 45 years and older, who had not been screened for prostate cancer with a prostate-specific antigen and/or digital rectal exam within the past year. All participants received an intervention delivered by trained lay community educators using a prostate cancer educational brochure developed in collaboration with the community, with structured interviews preintervention and 3 months postintervention. The main study outcomes included prostate-specific antigen screening rates during the 3-month interval and knowledge, barriers to screenings, and decisional conflict around screening. Compared with the 46 men who did not get screened, the 58 participants who got screened were more likely to have greater than a high school education, annual household incomes greater than or equal to $25,000, and a family history of non-prostate cancer ("p" less than 0.05). Average knowledge scores increased, and barriers to screening scores decreased, from preintervention to postintervention only for participants who had been screened ("p" less than 0.05). The results of this study demonstrate the feasibility and efficacy of an academic institution collaborating with the African American community to develop a successful prostate cancer educational intervention, an approach that can be expanded to other cancers and other chronic diseases. (Contains 2 figures and 2 tables.) (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10