V. Diane Woods, DrPH(c), MSN, RN, Susanne B. Montgomery, PhD, MPH, MS, Juan Carlos Belliard, PhD, MPH, Johnny Ramírez-Johnson, EdD, and Colwick M. Wilson, PhD. "Culture, Black Men, and Prostate Cancer: What Is Reality?." Cancer Control. 2004 Nov-Dec;11(6):388-96. 11.6 (2004): 388-396. ( 11/2004 )
Background: The worldwide incidence of prostate cancer is higher among American black men than any other
male group. In the United States, lack of participation in screening for prostate cancer by black men is influenced
by several cultural factors, including knowledge, health beliefs, barriers, and relationships with primary healthcare
Methods: We used the qualitative and paralleling descriptive quantitative findings of a mixed-method longitudinal
study exploring prostate cancer screening behaviors among 277 black men.
Results: Five themes were identified as critical elements affecting men?s screening for prostate cancer: lack of
knowledge, communication, social support, quality of care, and sexuality. These themes were associated with a sense
of disconnectedness by black men from the healthcare system and contributed to nonparticipation in prostate
cancer early detection activities.
Conclusions: Lack of discussion about the decision to screen for prostate cancer and general lack of culturally
appropriate communication with healthcare providers has engendered distrust, created fear, fostered disconnect, and
increased the likelihood of nonparticipation in prostate cancer screening among black men.