Abstract
African-American (AA) women could be instrumental in communicating positive prostate screening behavior to the significant males in their lives. However, little is known about AA women’s prostate cancer attitudes, perceived behavioral control, subjective norms, intentions, behaviors, and knowledge regarding prostate cancer screening. This study describes the development and psychometric testing of the Eastland Prostate Cancer Survey (EPCS). A nonexperimental, correlational study with 200 AA women was used to test the psychometric properties of the six-subscale EPCS with 66 items. Construct validity, internal consistency, and test–retest reliability for the EPCS were acceptable and resulted in an eight-subscale EPCS with 56 items. Cronbach’s alphas for the subscales ranged from 0.69 to 0.92. The EPCS is a culturally sensitive, gender-relevant instrument that could be used by community health providers to develop community health programs aimed at engaging AA women in the promotion of prostate cancer screening for AA men.
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References
American Cancer Society. 2011.Cancer facts and figures for African Americans 2011–2012. http://www.cancer.org. Accessed 11 July 2012.
National Cancer Institute. 2011. Surveillance epidemiology and end reports (SEER) stat facts sheet. http://seer.cancer.gov/statfacts/html/prost.html. Accessed 11 July 2012
Allen JD, Kennedy M, Wilson-Glover A, Gilligan TD (2007) African-American men’s perceptions about prostate cancer: implications for designing educational interventions. Soc Sci Med 64:2189–2200
Toles CA (2008) Black men are dying from prostate cancer. ABNF J 19:92–95
Myers RE, Hyslop T, Jennings-Dozier K, Wolf TA, Burgh DY, Diehl JA, Lerman C, Chodak GW (2000) Intention to be tested for prostate cancer risk among African-American men. Cancer Epidemiol Biomarkers Prev 9:1323–1328
Forrester-Anderson IT (2005) Prostate cancer screening perceptions, knowledge and behaviors among African American men: focus group findings. J Health Care Poor Underserved 16:22–30
Wolff M, Bates T, Beck B, Young S, Ahmed S, Maurana C (2003) Cancer prevention in underserved African American communities: barriers and effective strategies—a review of the literature. Wisconsin Medical Journal 102:36–40
Blocker DE, Romocki LS, Thomas KB, Jones BL, Jackson EJ, Reid L, Campbell MK (2006) Knowledge, beliefs and barriers associated with prostate cancer prevention and screening behaviors among African-American men. J Natl Med Assoc 98:1286–1295
Jernigan JC, Trauth JM, Neal-Ferguson D, Cartier-Ulrich C (2001) Factors that influence cancer screening in older African American men and women: focus group findings. Fam Community Health 24:27–33
Greiner KA, Born W, Nollen N, Ahluwalia JS (2005) Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 20:977–983
Odedina FT, Campbell ES, LaRose-Pierre M, Scrivens J, Hill A (2008) Personal factors affecting African-American men’s prostate cancer screening behavior. J Natl Med Assoc 100:724–733
Griffith DM, Mason MA, Rodela M, Matthews DD, Tran A, Royster M, Cotten M, Eng E (2007) A structural approach to examining prostate cancer risk for rural southern African American men. J Health Care Poor Underserved 18:73–101
Fearing A, Bell D, Newton M, Lambert S (2000) Prostate screening health beliefs and practices of African American men. ABNF J 11:141–144
Friedman DB, Corwin SJ, Rose ID, Dominick GM (2009) Prostate cancer communication strategies recommended by older African-American men in South Carolina: a qualitative analysis. J Cancer Educ 24:204–209
Hughes GD, Sellers DB, Fraser L, Teague R, Knight B (2007) Prostate cancer community collaboration and partnership: education, awareness, recruitment, and outreach to southern African-American males. J Cult Divers 14:68–73
Ajzen I (1985) From intentions to actions: A theory of planned behavior. In: Beckmann JKJ (ed) Action-control: from cognition to behavior. Springer, Heidelberg
Blanchard K, Proverbs-Singh T, Katner A, Lifsey D, Pollard S, Rayford W (2005) Knowledge, attitudes and beliefs of women about the importance of prostate cancer screening. J Natl Med Assoc 97:1378–1385
Clarke-Tasker VA, Dutta AP (2005) African-American men and their reflections and thoughts on prostate cancer. J Natl Black Nurses Assoc 16:1–7
Martin BJ, Finlay JA, Sterling K, Ward M, Lifsey D, Mercante D, Jainto JM, Martin L, Rayford W (2004) Early detection of prostate cancer in African-American men through use of multiple biomarkers: human kallikrein 2 (hK2), prostate-specific antigen (PSA), and free PSA (fPSA). Prostate Cancer Prostatic Dis 7:132–137
Radosevich DM, Partin MR, Nugent S, Nelson D, Flood AB, Holtzman J, Dillon N, Haas M, Wilt TJ (2004) Measuring patient knowledge of the risks and benefits of prostate cancer screening. Patient Educ Couns 54:143–152
Weinrich SP, Seger R, Miller BL, Davis C, Kim S, Wheeler C, Weinrich M (2004) Knowledge of the limitations associated with prostate cancer screening among low-income men. Cancer Nurs 27:442–453
Baffoe-Bonnie AB, Kittles RA, Gillanders E, Ou L, George A, Robbins C, Ahaghotu C, Bennett J, Boykin W, Hoke G et al (2007) Genome-wide linkage of 77 families from the African American Hereditary Prostate Cancer study (AAHPC). Prostate 67:22–31
Dancy BL, Wilbur J, Talashek M, Bonner G, Barnes-Boyd C (2004) Community-based research: barriers to recruitment of African Americans. Nurs Outlook 52:234–240
Habing B (2003) Exploratory factor analysis http://www.stat.sc.edu/~habing/courses/530EFA.pdf. Accessed 16 April 2009.
Nunnally JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York
Acknowledgments
This research was supported in part by the NIH/NINR Training Grant (T-32 NR07964) Reducing Health Disparities in Underserved Populations (PI Dancy, B.) and by Mu Omega Chapter of Sigma Theta Tau International.
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Eastland, T.Y., Dancy, B.L. The Eastland Prostate Cancer Survey: Instrument Development and Psychometric Testing. J Canc Educ 28, 179–186 (2013). https://doi.org/10.1007/s13187-012-0447-8
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DOI: https://doi.org/10.1007/s13187-012-0447-8