title: African American patients' intent to screen for colorectal cancer: Do cultural factors, health literacy, knowledge, age and gender matter?
abstract: African Americans have higher colorectal cancer (CRC) mortality rates. Research suggests that CRC screening interventions targeting African Americans be based upon cultural dimensions. Secondary analysis of data from African-Americans who were not up-to-date with CRC screening (n=817) was conducted to examine: 1) relationships among cultural factors (i.e., provider trust, cancer fatalism, health temporal orientation (HTO)), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among the variables and CRC screening intention. Provider trust, fatalism, HTO, health literacy and CRC knowledge had significant relationships among study variables. The FOBT intention model explained 43% of the variance with age and gender being significant predictors. The colonoscopy intention model explained 41% of the variance with gender being a significant predictor. Results suggest that when developing CRC interventions for African Americans, addressing cultural factors remain important, but particular attention should be given to the age and gender of the patient.
authors.affiliation: College of Nursing, Michigan State University, East Lansing.
authors.forename: Kelly
authors.initials: K
authors.lastname: Brittain
authors.affiliation: Department of Psychology, Purdue School of Science, Indiana University-Purdue University Indianapolis.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Christy
authors.affiliation: School of Nursing, Indiana University, Indianapolis.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rawl
keywords: African Americans; colorectal cancer knowledge; colorectal cancer screening; culture; fatalism; health care provider; health literacy; health temporal orientation; trust