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An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA

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Abstract

African Americans (AA) are more likely to develop and die from cancer than any other racial or ethnic group. This study assessed older and younger/middle-aged African-American (AA) men’s (1) knowledge and attitudes about prostate cancer (PrCA) and PrCA screening, (2) participation in clinical research, and (3) health and cancer-related decision making. Twenty-eight AA men (14 older, mean age 59.8; 14 younger/middle age, mean age 30.4) received a PrCA education program and completed pre/post-education program surveys, as well as qualitative post-education interviews. Younger/middle-aged men were more knowledgeable about PrCA and PrCA screening than older men. Older men reported being invited to participate in a clinical trial more often than younger men but were more likely to report that participation in clinical trials was risky and they did not plan to participate in medical research in the future. Younger/middle-aged men were more willing to participate in a clinical trial in the future and reported fewer barriers to participation in clinical research. There is potential for using intergenerational communication strategies with older/younger AA male dyads in PrCA interventions.

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References

  1. Drake BF, Keane TE, Mosley CM et al (2006) Prostate cancer disparities in South Carolina: early detection, special programs, and descriptive epidemiology. J S C Med Assoc 102:241–249

    PubMed  Google Scholar 

  2. American Cancer Society. Cancer facts and figures 2013. Atlanta, GA; 2013

  3. Baquet CR, Ellison GL, Mishra SI (2008) Analysis of Maryland cancer patient participation in national cancer institute-supported cancer treatment clinical trials. J Clin Oncol 26:3380–3386

    Article  PubMed Central  PubMed  Google Scholar 

  4. Andriole GL, Crawford ED, Grubb RL 3rd et al (2009) Mortality results from a randomized prostate-cancer screening trial. N Engl J Med 360:1310–1319

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Schroder FH, Hugosson J, Roobol MJ et al (2009) Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 360:1320–1328

    Article  PubMed  Google Scholar 

  6. US Preventive Services Task Force. Screening for prostate cancer: US Preventive Services Task Force Recommendation Statement DRAFT. 2011

  7. Smith RA, Brooks D, Cokkinides V, Saslow D, Brawley OW (2013) Cancer screening in the United States, 2013: a review of current American Cancer Society guidelines, current issues in cancer screening, and new guidance on cervical cancer screening and lung cancer screening. CA Cancer J Clin 63:88–105

    Article  PubMed  Google Scholar 

  8. Friedman DB, Hoffman-Goetz L (2006) Assessment of cultural sensitivity of cancer information in ethnic print media. J Health Commun 11:425–447

    Article  PubMed  Google Scholar 

  9. Friedman DB, Johnson KM, Owens OL et al (2012) Developing partnerships and recruiting dyads for a prostate cancer informed decision making program: lessons learned from a community-academic-clinical team. J Cancer Educ 27:243–249

    Article  PubMed Central  PubMed  Google Scholar 

  10. Friedman DB, Thomas TL, Owens OL, Hebert JR (2012) It takes two to talk about prostate cancer: a qualitative assessment of African American men’s and women’s cancer communication practices and recommendations. Am J Mens Health 6:472–484

    Article  PubMed Central  PubMed  Google Scholar 

  11. Kreuter MW, Sugg-Skinner C, Holt CL et al (2005) Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers. Prev Med 41:53–62

    Article  PubMed  Google Scholar 

  12. Husaini BA, Reece MC, Emerson JS, Scales S, Hull PC, Levine RS (2008) A church-based program on prostate cancer screening for African American men: reducing health disparities. Ethn Dis 18(S2):179–184

    Google Scholar 

  13. Mayo R, Scott DB, Williams DG (2009) The Upstate Witness Project: addressing breast and cervical cancer disparities in African American churches. J S C Med Assoc 105:290–296

    PubMed  Google Scholar 

  14. Luque JS, Rivers BM, Gwede CK, Kambon M, Green BL, Meade CD (2011) Barbershop communications on prostate cancer screening using barber health advisers. Am J Mens Health 5:129–139

    Article  PubMed Central  PubMed  Google Scholar 

  15. Sadler GR, Ko CM, Cohn JA, White M, Weldon RN, Wu P (2007) Breast cancer knowledge, attitudes, and screening behaviors among African American women: the Black cosmetologists promoting health program. BMC Public Health 7:57

    Article  PubMed Central  PubMed  Google Scholar 

  16. Wilson TE, Fraser-White M, Feldman J et al (2008) Hair salon stylists as breast cancer prevention lay health advisors for African American and Afro-Caribbean women. J Health Care Poor Underserved 19:216–226

    Article  PubMed  Google Scholar 

  17. Sadler GR, York C, Madlensky L et al (2006) Health parties for African American study recruitment. J Cancer Educ 21:71–76

    Article  PubMed  Google Scholar 

  18. Martin EP (1980) The Black extended family. University of Chicago Press, Chicago

    Google Scholar 

  19. Guilamo-Ramos V, Jaccard J, Dittus P, Gonzalez B, Bouris A, Banspach S (2010) The Linking Lives health education program: a randomized clinical trial of a parent-based tobacco use prevention program for african american and latino youths. Am J Public Health 100:1641–1647

    Article  PubMed Central  PubMed  Google Scholar 

  20. Mosavel M (2012) Health promotion and cervical cancer in South Africa: why adolescent daughters can teach their mothers about early detection. Health Promot Int 27:157–166

    Article  PubMed Central  PubMed  Google Scholar 

  21. Mosavel M, Thomas T (2009) Daughter-initiated health advice to mothers: perceptions of African-American and Latina daughters. Health Educ Res 24:799–810

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  22. Olvera N, Bush JA, Sharma SV, Knox BB, Scherer RL, Butte NF (2010) BOUNCE: a community-based mother-daughter healthy lifestyle intervention for low-income Latino families. Obesity (Silver Spring) 18(Suppl 1):S102–S104

    Article  Google Scholar 

  23. Schinke SP, Fang L, Cole KC (2009) Preventing substance use among adolescent girls: 1-year outcomes of a computerized, mother-daughter program. Addict Behav 34:1060–1064

    Article  PubMed Central  PubMed  Google Scholar 

  24. Swanson M, Studts CR, Bardach SH, Bersamin A, Schoenberg NE (2011) Intergenerational energy balance interventions: a systematic literature review. Health Educ Behav 38:171–197

    Article  PubMed Central  PubMed  Google Scholar 

  25. Warren-Findlow J, Seymour RB, Shenk D (2011) Intergenerational transmission of chronic illness self-care: results from the caring for hypertension in African American families study. Gerontologist 51:64–75

    Article  PubMed Central  PubMed  Google Scholar 

  26. Washington PK, Burke NJ, Joseph G, Guerra C, Pasick RJ (2009) Adult daughters’ influence on mothers’ health-related decision making: an expansion of the subjective norms construct. Health Educ Behav 36:129S–144S

    Article  PubMed Central  PubMed  Google Scholar 

  27. Owens OL, Jackson DD, Thomas TL, Friedman DB, Hebert JR (2013) African-American men’s and women’s perceptions of clinical trials research: focusing on prostate cancer among a high risk population in the south. J Health Care Poor Underserved 24:1784–1800

    Article  PubMed  Google Scholar 

  28. Freedman DA, Choi SK, Hurley T, Anadu E, Hebert JR (2013) A farmers’ market at a federally qualified health center improves fruit and vegetable intake among low-income diabetics. Prev Med 56:288–292

    Article  PubMed Central  PubMed  Google Scholar 

  29. Freedman DA, Whiteside YO, Brandt HM, Young V, Friedman DB, Hebert JR (2012) Assessing readiness for establishing a farmers’ market at a community health center. J Community Health 37:80–88

    Article  PubMed Central  PubMed  Google Scholar 

  30. SPSS Inc. SPSS 18 ed. Chicago, IL; 2009

  31. Strauss A, Corbin J (1998) Basics of qualitative research: techniques and procedures for developing grounded theory. Sage Publications, Thousand Oaks, CA

    Google Scholar 

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Acknowledgments

This study is funded by the National Cancer Institute (NCI) Community Networks Program Centers U54/CA153461 (PI: Hébert; Pilot Project Leader: Friedman), and is partially supported by an Established Investigator Award in Cancer Prevention and Control from the NCI Cancer Training Branch to Hébert (K05/CA136975). We gratefully acknowledge the community advisory council, partners, and participants.

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Correspondence to Daniela B. Friedman.

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Jackson, D.D., Owens, O.L., Friedman, D.B. et al. An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA. J Canc Educ 29, 649–656 (2014). https://doi.org/10.1007/s13187-014-0618-x

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  • DOI: https://doi.org/10.1007/s13187-014-0618-x

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