title: Latino men and familial risk communication about prostate cancer.
abstract: OBJECTIVE
  To investigate how familial communication about prostate cancer (PCa) risk and screening affects sons of men with PCa.
  
  
  METHODS
  Qualitative grounded theory.
  
  
  METHODS
  Southern California.
  
  
  METHODS
  17 Latino sons of PCa survivors.
  
  
  METHODS
  The team conducted semistructured interviews and follow-up interviews. Therefore, the sample includes 25 transcripts. Data were analyzed with a mix of a priori topical codes and grounded theory techniques.
  
  
  RESULTS
  Sons were in need of information about familial risk and screening options. They became sensitized to PCa, desired information, and held protective intentions. Hopeful intentions came up against cultural taboos around sex, reproductive health, and intimacy that limited discussions between fathers and sons. Fathers were a valued source of information but play various roles, which affect sons' screening intentions. Open communication between father and son promoted awareness of screening and familial risk.
  
  
  CONCLUSIONS
  Uncertainty about familial risk and screening options, especially early detection strategies, was exacerbated by cultural taboos around PCa. Fathers could have been primary and credible advocates for shared decision making, but sons had difficulty learning from their fathers' experience.
  
  
  CONCLUSIONS
  FINDINGS from the study can help inform community-based interventions with Latino families, help to culturally tailor health messaging, and sensitize clinicians to a group that needs concerted counseling about PCa risk and screening.
authors.affiliation: School of Nursing, University of California, Los Angeles.
authors.forename: Elisabeth M
authors.initials: EM
authors.lastname: Hicks
authors.affiliation: Department of Urology, University of California, Los Angeles.
authors.forename: Mark S
authors.initials: MS
authors.lastname: Litwin
authors.affiliation: School of Nursing, University of California, Los Angeles.
authors.forename: Sally L
authors.initials: SL
authors.lastname: Maliski
mesh_terms: D000230:Adenocarcinoma / Q000235:genetics / Q000523:psychology*; D000328:Adult; D001294:Attitude to Health; D003144:Communication Barriers; D003469:Culture; D003657:Decision Making; D055088:Early Detection of Cancer / Q000523:psychology; D004522:Educational Status; D005219:Father-Child Relations; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007182:Income; D015141:Los Angeles; D008297:Male; D008571:Men / Q000523:psychology*; D008800:Mexico / Q000208:ethnology; D009679:Nuclear Family / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000235:genetics / Q000523:psychology*; D036301:Qualitative Research; D012306:Risk; D019529:Sexuality; D013609:Taboo
keywords: Latino; familial risk; prostate cancer; screening; taboo