Examining the relationship between external cues to action and prostate cancer screenings among African-American males

Nesbitt, Matthew Lee

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Description

Title

Examining the relationship between external cues to action and prostate cancer screenings among African-American males

Author(s)

Nesbitt, Matthew Lee

Issue Date

2016-04-21

Director of Research (if dissertation) or Advisor (if thesis)

Alston, Reginald

Doctoral Committee Chair(s)

Alston, Reginald

Committee Member(s)

• Quick, Brian
• Farner, Susan
• Graber, Kim

Department of Study

Kinesiology & Community Health

Discipline

Community Health

Degree Granting Institution

University of Illinois at Urbana-Champaign

Degree Name

Ph.D.

Degree Level

Dissertation

Keyword(s)

• Cues to Action
• Prostate Cancer
• African American Males

Abstract

African American men have the highest incidence, morbidity, and mortality rates in the United States. The purpose of this study was to examine the relationship between External Cues to Action and Prostate Cancer screenings among African American males ages 40-65. Specifically, the study evaluated the relationship between the influence of external cues and the decision to undergo prostate screenings in African American males while examining four external cues: media/advertising, friends/family, medical professionals, and church/community. This study also considered the role of culture among African American males and its influence on their decision making process for participating in screenings. A convenience sampling of 100 African American men were recruited from churches and barbershops in the Champaign-Urbana community and surrounding areas. A mixed methods research approach was used in this study; a quantitative survey along with two focus groups was used to explore cues to action and cultural influence in this population. Descriptive statistics, ordinal regression, and the usage of themes were used for the analysis. For the category of media/advertising there was significance for the cues, Internet (Mean 1.67, SD .957) and Television (Mean 1.62, SD .924). Specific advice from family (Mean 2.09, SD .982) was significant within friends/family. Within the category of medical professional, specific advice from the physician (Mean 2.19, SD .910) was significant and highest ranking mean for all cues to action. For the category, church/community, health fair (Mean 1.97, SD .945) and information received from church (Mean 1.77, SD 1.049) were significant. The results also revealed that the African American men viewed the testimony of experience, influential persons, and the physician recommendations as Enablers. Social groups (fraternity, community organization, church), the church (pastors, parishioners, spirituality), and family/spouse were Nurturers. The results revealed that trust, a sense of connectedness, and culturally sensitive messaging were significant Perceptions. This study leads to positive implications for African American men and prostate cancer screenings. The use of the churches, social networks, family/spouse, influential voices, while strengthening physician/provider relationships, using the context of culturally sensitive and tailored education and promotion could lead to positive change, increasing the usage of prostate cancer screenings in this population.

Graduation Semester

2016-05

Type of Resource

text

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Copyright and License Information

Copyright 2016 Matthew L Nesbitt

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