Factors associated with intention to undergo annual prostate cancer screening among African American men in Philadelphia

• Published in: Cancer Vol. 78; no. 3; pp. 471 - 479
• Main Authors: Myers, Ronald E., Wolf, Thomas A., McKee, Linda, McGrory, Gene, Burgh, Desiree Y., Nelson, Gregory, Nelson, Gail A.
• Format: Journal Article
• Language: English
• Published: New York Wiley Subscription Services, Inc., A Wiley Company 01.08.1996; Wiley-Liss
• Subjects: adherence; Adult; African American; African Americans - psychology; Aged; Attitude to Health; Biological and medical sciences; cancer; Data Collection; Humans; intention; Male; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; Patient Acceptance of Health Care; prostate; Prostatic Neoplasms - diagnosis; Prostatic Neoplasms - prevention & control; Prostatic Neoplasms - psychology; Regression Analysis; screening; Socioeconomic Factors; Tumors of the urinary system; Urinary tract. Prostate gland; United States; North America; America; Pennsylvania; Human; Urinary system disease; Prostate disease; Intention; Diagnosis; Black American; Malignant tumor; Medical screening; Male genital diseases; Prostate; Public health
• ISSN: 0008-543X; 1097-0142
• DOI: 10.1002/(SICI)1097-0142(19960801)78:3<471::AID-CNCR14>3.0.CO;2-W

BACKGROUND This study assesses whether African American men in Philadelphia are receptive to annual prostate cancer screening. Factors associated with intention to undergo prostate cancer screening are also identified. METHODS The authors randomly selected 218 African American men from the patient population of a large primary care practice in Philadelphia. The men were 40 to 70 years of age and were available for a telephone survey. Responses to survey items defined by the Preventive Health Model were collected from 154 respondents (71%). Univariate and multivariate analyses of screening intention were performed using survey data on sociodemographic background and medical history; knowledge, attitudes, and beliefs about prostate cancer and screening; social support and influence; and, intention to undergo a screening examination. RESULTS Overall, 69% of subjects reported that they intended to have annual prostate cancer screening. Logistic regression analyses showed that subject belief in screening efficacy (P = 0.0001) and receptivity to health care professional influence (P = 0.0002) were positively and significantly associated with intention to screen. CONCLUSIONS Findings reported here show that African American men in an urban primary care practice setting are receptive to annual prostate cancer screening and that psychologic and social influence factors are associated with screening intention. The data highlight the need for health care professionals to provide education and advice regarding prostate cancer care to men in this population. Cancer 1996;78:471‐9.