title: Prostate cancer screening in African American and Caribbean males: detriment in delay.
abstract: Men of the African diaspora are diagnosed with prostate cancer much later than Caucasians and the mortality rate is significantly higher in these groups than among Caucasians. This study investigates health beliefs surrounding prostate health in a sample of African American and Caribbean men and identifies reasons men have for delaying or avoiding prostate screenings. One hundred African American and Caribbean men recruited from three churches, aged 37-89, were surveyed about their health seeking behaviors and knowledge of prostate cancer. Forty-five of these men also attended a seminar on the importance of early detection. Eighty percent of the men revealed they were embarrassed to have digital rectal examinations. Sixty percent feared impotence and incontinence after treatment if diagnosed with cancer. Findings reveal that attention to cultural realities may assist healthcare professionals in planning culturally sensitive educational interventions in the community that may narrow the health disparities gap in this population.
authors.affiliation: Florida International University, School of Nursing, North Miami Beach, Miami, Florida 33181, USA.
authors.forename: Yvonne D
authors.initials: YD
authors.lastname: Parchment
mesh_terms: D000328:Adult; D000349:Africa / Q000208:ethnology; D001741:Black or African American / Q000193:education / Q000208:ethnology*; D000368:Aged; D000369:Aged, 80 and over; D054521:Cultural Competency; D051517:Digital Rectal Examination / Q000523:psychology; D005239:Fear; D005431:Florida / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology*; D008571:Men / Q000193:education / Q000523:psychology*; D008875:Middle Aged; D020380:Needs Assessment / Q000458:organization & administration; D015404:Nursing Methodology Research; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010353:Patient Education as Topic / Q000458:organization & administration; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000208:ethnology; D011582:Psychological Theory; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014900:West Indies / Q000208:ethnology