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Knowledge and barriers related to prostate and colorectal cancer prevention in underserved black men
Denise C Fyffe1, Shawna V Hudson, Joanne K Fagan
1Institute for the Elimination of Health Disparities, School of Public Health, University of Medicine and Dentistry of New Jersey, 65 Bergen Street, Newark, NJ 07101, USA. fyffedc@umdnj.edu
Objectives:
This qualitative study examined underserved black males' perspectives about prostate and colorectal cancer screening.
Methods:
Black male residents of Newark, NJ, > or =18 years of age, were recruited to participate in focus groups. Two groups were conducted with a total of 24 participants. Transcripts were analyzed using an immersion/crystallization approach.
Results:
Three major themes were identified, while men reflected on their experiences with prostate and colorectal cancer screening: (1) motivation for seeking screening; (2) fear associated with screenings: and (3) healthcare system barriers (e.g., patient-doctor relationships, insurance and mistrust of healthcare professionals). Participants also gave recommendations on how to increase preventive screening.
Discussion:
Fear and past experiences with healthcare serve as motivators and demotivators of preventive screening behavior. Interventions that address motivation and fear are recommended to increase preventive screening among this population.
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