title: Perceptions of prostate cancer fatalism and screening behavior between United States-born and Caribbean-born Black males.
abstract: Cancer fatalism is believed to be a major barrier for cancer screening in Black males. Therefore, the purpose of this study was to compare perceptions of prostate cancer (CaP) fatalism and predictors of CaP screening with Prostate Specific Antigen (PSA) testing between U.S.-born and Caribbean-born Black males. The Powe Fatalism Inventory and the Personal Integrative Model of CaP Disparity Survey were used to collect the following data from males in South Florida. Multivariate logistic regression models were constructed to examine the statistically significant predictors of CaP screening. A total of 211 U.S.-born and Caribbean-born Black males between ages 39-75 were recruited. Nativity was not a significant predictor of CaP screening with PSA testing within the last year (Odds ratio [OR] = 0.80, 95% confidence interval [CI] = 0.26, 2.48, p = 0.70). Overall, higher levels of CaP fatalism were not a significant predictor of CaP screening with PSA testing within the last year (OR = 1.37, 95% CI = 0.48, 3.91, p = 0.56). The study results suggest that nativity did not influence CaP screening with PSA testing. However, further studies are needed to evaluate the association between CaP screening behavior and levels of CaP fatalism.
authors.affiliation: Division of Hematology and Oncology, School of Medicine and Gillings School of Global Public Health, UNC Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 170 Manning Drive, 3185E (CB# 7305), Chapel Hill, NC, 27599-7594, USA, ecobran@med.unc.edu.
authors.forename: Ewan K
authors.initials: EK
authors.lastname: Cobran
authors.forename: Anthony K
authors.initials: AK
authors.lastname: Wutoh
authors.forename: Euni
authors.initials: E
authors.lastname: Lee
authors.forename: Folakemi T
authors.initials: FT
authors.lastname: Odedina
authors.forename: Camille
authors.initials: C
authors.lastname: Ragin
authors.forename: William
authors.initials: W
authors.lastname: Aiken
authors.forename: Paul A
authors.initials: PA
authors.lastname: Godley
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health / Q000208:ethnology; D017691:Caribbean Region; D003431:Cross-Cultural Comparison; D003469:Culture; D016208:Databases, Factual; D055088:Early Detection of Cancer / Q000379:methods / Q000706:statistics & numerical data*; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010465:Perception; D017430:Prostate-Specific Antigen / Q000097:blood*; D011471:Prostatic Neoplasms / Q000097:blood / Q000208:ethnology* / Q000517:prevention & control*; D012189:Retrospective Studies; D018570:Risk Assessment; D014481:United States / Q000453:epidemiology
chemical_list: D017430:Prostate-Specific Antigen