Sociocultural Differences and Colorectal Cancer Screening Among African American Men and Women Excerpts: .......... The colorectal cancer (CRC) mortality rate among African Americans is 45% higher than Caucasians (American Cancer Society [ACS], 2011). Routine CRC screening is a key factor in CRC prevention (ACS, 2011). In general, 50% of individuals eligible for CRC screening have not been screened and the rates of adherence to CRC screening recommendations are low (ACS, 2011). However, almost 50% of eligible individuals have insurance coverage for CRC screening (Ward, Barnes, Freeman, & Schiller, 2011). Studies have shown that African Americans aged 50–64 years are less likely to be screened for colorectal cancer and be screened within the recommended time interval than Caucasians (ACS, 2011; Seeff et al., 2004). Increasing CRC screening rates is crucial in reducing the CRC disparity among African Americans. Results of intervention research to increase CRC screening (e.g., mass mailings, reminders, mass screenings) have had limited success (Powe, Faulkenberry, & Harmond, 2010; Rimer, Briss, Zeller, Chan, & Woolf, 2004; Stone et al., 2002). ........ Conclusion Family support significantly predicted CRC beliefs and CRC beliefs significantly predicted an informed decision among older African American men and women. The results suggest that a new variable, family support, may help to increase understanding of factors that influence informed decisions and that CRC beliefs, as reported in previous studies, continue to affect CRC screening informed decisions. In addition, the findings revealed that African American men and women differed significantly in their responses to most survey items. Collectivism, racial pride, present-time orientation, CRC beliefs, and family support also were significant correlates of an informed CRC screening decision among African American men. The findings showed that, for African American women, CRC beliefs were the singular correlate of an informed CRC screening decision, unlike African American men. Therefore, nursing interventions to increase CRC screening completion among African Americans should include assessments of family support, CRC beliefs, racial pride, and present-time and future-time orientation. ............... ncbi.nlm.nih.gov/pmc/articles/PMC3354616/
Posted on: Sun, 23 Mar 2014 18:04:38 +0000
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