title: What is needed for informed decisions about prostate cancer screening: perspectives of African-American and Hispanic men.
abstract: Professional guidelines suggest that men should learn about risks and benefits of screening to make informed decisions consistent with their preferences. We used concept mapping to investigate views of informed decision making (IDM) of minority men. Statements about what men need for IDM about prostate cancer screening were sorted by similarity and rated for importance by 16 Hispanic and 15 African-American men. Multidimensional scaling and cluster analysis were used to develop a concept map for IDM. The 10-cluster solution was selected. The clusters rated most important were labeled Future Considerations, What to Know and Decision to Make. Clusters labeled Social Support and Sharing Perspectives depicted social aspects of the decision and were intermediate in importance. There was strong correlation in relative importance ratings of clusters by African-American and Hispanic men. However, African-American men gave higher importance ratings than Hispanic men. Concept mapping, a method with strong participatory elements, was useful in identifying conceptual frameworks for IDM of African-American and Hispanic men. Health education to support IDM requires some shifts in focus and strategy. It is important that interventions with minority men build upon a strong conceptual framework.
authors.affiliation: The University of Texas School of Public Health, San Antonio Regional Campus, San Antonio, TX 78229, USA. stephanie.l.mcfall@uth.tmc.edu
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: McFall
authors.forename: John
authors.initials: J
authors.lastname: Ureda
authors.forename: Theresa L
authors.initials: TL
authors.lastname: Byrd
authors.forename: Adriana
authors.initials: A
authors.lastname: Valdes
authors.forename: Pat
authors.initials: P
authors.lastname: Morales
authors.forename: Delores B
authors.initials: DB
authors.lastname: Scott
authors.forename: Deloris
authors.initials: D
authors.lastname: Williams
authors.forename: Jessica
authors.initials: J
authors.lastname: Calderon-Mora
authors.forename: Myryam E
authors.initials: ME
authors.lastname: Casillas
authors.forename: Evelyn C Y
authors.initials: EC
authors.lastname: Chan
mesh_terms: D000328:Adult; D001741:Black or African American; D003657:Decision Making; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D013022:South Carolina