Phase II: Understanding Factors Related to Prostate, Lung, and Colorectal Screening Among African American Men.

摘要

The study aims were to: (1) use a randomized trial to evaluate an ongoing innovative intervention designed to facilitate screening adherence among African American men aged 55(+) years in the screening arm of the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial and (2) develop a survey to assess perceptions of cancer screening among African American men. No statistically significant differences were found in age, education or income between the intervention (n=301) and control (n=300) groups. A total of 9,949 calls have been made to intervention group participants to address competing needs preventing screening adherence. Survey items found through a literature search were placed into the Preventive Health Model framework. Two focus groups were held to evaluate the developing survey. Focus group results show cognitive/ psychological factors of fear and anxiety regarding cancer diagnosis and lack of knowledge about screening tests and benefits. Wives and children were cited as the most important social support and influence persons affecting screening behavior. Programmatic/systemic screening-related factors included a trusted health care provider and health insurance. A final survey was developed. Abstracts were submitted for presentation at two national meetings. Study findings could help African American men benefit from participation in prostate cancer research.