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Colorectal Cancer Risk Perceptions Among Black Men in Florida.

Daramola N Cabral1,2, Meng-Han Tsai3,4, Jemal Gishe5

  • 1Department of Health, Human Services, and Public Policy, College of Health Sciences and Human Services, California State University, Monterey Bay, Seaside, CA, USA.

Journal of Racial and Ethnic Health Disparities
|June 13, 2023
PubMed
Summary

Black men aged 60+ and those who are overweight or obese show higher colorectal cancer (CRC) risk perceptions. A personal or family history of CRC also increases risk perception, highlighting the need for targeted health interventions.

Keywords:
Black menColorectal cancerRisk perceptionsSocio-demographic characteristics

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Area of Science:

  • Oncology
  • Public Health
  • Health Disparities

Background:

  • Colorectal cancer (CRC) remains a significant health concern, particularly among Black men who may face unique barriers to screening and risk awareness.
  • Understanding risk perceptions is crucial for developing effective cancer prevention strategies.

Purpose of the Study:

  • To investigate the factors associated with colorectal cancer (CRC) risk perceptions in Black men.
  • To identify socio-demographic characteristics, health behaviors, and medical history correlations with CRC risk awareness.

Main Methods:

  • A cross-sectional survey was administered to 331 Black men across five Florida cities between April 2008 and October 2009.
  • Descriptive statistics and multivariable logistic regression analyses were employed to examine the data.

Main Results:

  • Older age (≥60 years), American nativity, and higher body mass index (obese/overweight) were significantly associated with increased CRC risk perceptions.
  • Utilizing the internet for health information and having a personal or family history of CRC strongly correlated with higher risk perceptions.
  • Men aged ≥60 had three times greater odds of higher CRC risk perception compared to younger men (≤49). Obese men had four times greater odds, and overweight men had twice the odds.

Conclusions:

  • Higher CRC risk perceptions in Black men are linked to older age, obesity, overweight status, internet health information seeking, and a history of CRC.
  • Culturally tailored health promotion interventions are essential to enhance CRC risk perceptions and encourage screening among Black men.