Racial disparities in health among African American men (AAM) in the United States are extensive. In contrast to their White counterparts, AAM have more illnesses and die younger. AAM have colorectal cancer (CRC) incidence and mortality rates 25% and 50% higher, respectively, thanWhite men. Due to CRC's younger age at presentation and high incidence among AAM, CRC screening (CRCS) is warranted at the age of 45 rather than 50, but little is known about younger AAM's views of CRCS. Employing survey design, the purpose of the study was to describe the male role norms (MRN), knowledge, atti- tudes, perceived subjective norms, and perceived barriers associated with screening for CRC among a non-random sample of 157 young adult AAM (ages 19-45). Sixty-seven per- cent of the study sample received a passing knowledge score (85% or better), yet no significant differences were found among the three educational levels (i.e., low, medium, high). More negative attitudes toward CRCS correlated with the participants' strong per- ceptions of barriers, but no extremely negative or positive MRN and perceived subjective norms were found. The factors significantly associated with attitudes were family history of cancer (unsure), work status, and perceived barriers. Findings from this study provide a solid basis for developing structured health education interventions that address the salient factors shaping young adult AAM's view of CRC and early detection screening behaviors.
Bibliographical noteFunding Information:
The authors extend gratitude to the participants who made the study possible. This research was supported by the Transdisciplinary Center for Health Equity Research at Texas A&M University (TAMU), and the National Cancer Institute of the National Institutes of Health (NIH) under Award Number R25CA163184 (Drs. Jean Forster and Kola Okuyemi, Co-PIs). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or TAMU.
© 2014 Rogers and Goodson.
- African American
- Cancer prevention
- Colon cancer
- Health disparities