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Area of Science:

  • Public Health
  • Health Disparities
  • Men's Health

Background:

  • Colorectal cancer screening is crucial for risk reduction, yet adherence varies among men.
  • Previous research suggested links between anti-gay prejudice, masculinity, race, and screening, but lacked quantitative data.
  • This study quantitatively examines these associations in a diverse sample of US men.

Purpose of the Study:

  • To quantitatively assess the relationship between anti-gay prejudice, traditional masculine self-concept, racial identity, and colorectal cancer screening behaviors in Black and White men.
  • To identify sociodemographic correlates associated with these screening outcomes.

Main Methods:

  • A nationally representative sample of 909 Black and White men aged 45-74 without a colorectal cancer diagnosis was recruited.
  • Participants completed an online survey measuring anti-gay prejudice, traditional masculine self-concept, sociodemographics, and screening awareness, intention, and adherence.
  • Data were analyzed to explore associations between psychosocial factors, race, and screening outcomes.

Main Results:

  • Black men reported higher levels of anti-gay prejudice and traditional masculine self-concept compared to White men.
  • Increased anti-gay prejudice was significantly associated with lower screening awareness and intention.
  • While Black men reported higher screening intention, no significant difference in actual adherence was observed compared to White men.

Conclusions:

  • Anti-gay prejudice is linked to reduced awareness and intention regarding colorectal cancer screening among men.
  • Findings highlight the need for targeted interventions to address prejudice and improve screening uptake in diverse male populations.
  • Future research should explore longitudinal impacts and develop tailored interventions to overcome barriers to colorectal cancer screening.