African American patients’ intent to screen for colorectal cancer: Do cultural factors, health literacy, knowledge, age and gender matter?

Kelly Brittain, Shannon M. Christy, Susan Rawl

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

African Americans have higher colorectal cancer (CRC) mortality rates compared with all racial/ethnic groups. Research suggests that CRC screening interventions for African Americans target cultural variables. Secondary analysis of data from 817 African-Americans who had not been screened for CRC was conducted to examine: 1) relationships among cultural variables (provider trust, cancer fatalism, health temporal orientation [HTO]), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among cultural variables, health literacy, CRC knowledge, and CRC screening intention. Provider trust, fatalism, HTO, health literacy, and CRC knowledge demonstrated significant relationships among study variables. Stool blood test intention model explained 43% of the variance, with age and gender being significant predictors. Colonoscopy intention model explained 41% of the variance with gender a significant predictor. Results suggest when developing CRC interventions for African Americans, addressing cultural variables is important, but particular attention should be given to age and gender.

Original languageEnglish (US)
Pages (from-to)51-67
Number of pages17
JournalJournal of Health Care for the Poor and Underserved
Volume27
Issue number1
StatePublished - Feb 1 2016

Fingerprint

Health Literacy
African Americans
Colorectal Neoplasms
Early Detection of Cancer
Health
Hematologic Tests
Colonoscopy
Ethnic Groups
Mortality

Keywords

  • African Americans
  • Colorectal cancer knowledge
  • Colorectal cancer screening
  • Culture
  • Fatalism
  • Health care provider
  • Health literacy
  • Health temporal orientation
  • Trust

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{83822922708248c5b736fdb9847fb9b8,
title = "African American patients’ intent to screen for colorectal cancer: Do cultural factors, health literacy, knowledge, age and gender matter?",
abstract = "African Americans have higher colorectal cancer (CRC) mortality rates compared with all racial/ethnic groups. Research suggests that CRC screening interventions for African Americans target cultural variables. Secondary analysis of data from 817 African-Americans who had not been screened for CRC was conducted to examine: 1) relationships among cultural variables (provider trust, cancer fatalism, health temporal orientation [HTO]), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among cultural variables, health literacy, CRC knowledge, and CRC screening intention. Provider trust, fatalism, HTO, health literacy, and CRC knowledge demonstrated significant relationships among study variables. Stool blood test intention model explained 43{\%} of the variance, with age and gender being significant predictors. Colonoscopy intention model explained 41{\%} of the variance with gender a significant predictor. Results suggest when developing CRC interventions for African Americans, addressing cultural variables is important, but particular attention should be given to age and gender.",
keywords = "African Americans, Colorectal cancer knowledge, Colorectal cancer screening, Culture, Fatalism, Health care provider, Health literacy, Health temporal orientation, Trust",
author = "Kelly Brittain and Christy, {Shannon M.} and Susan Rawl",
year = "2016",
month = "2",
day = "1",
language = "English (US)",
volume = "27",
pages = "51--67",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "1",

}

TY - JOUR

T1 - African American patients’ intent to screen for colorectal cancer

T2 - Do cultural factors, health literacy, knowledge, age and gender matter?

AU - Brittain, Kelly

AU - Christy, Shannon M.

AU - Rawl, Susan

PY - 2016/2/1

Y1 - 2016/2/1

N2 - African Americans have higher colorectal cancer (CRC) mortality rates compared with all racial/ethnic groups. Research suggests that CRC screening interventions for African Americans target cultural variables. Secondary analysis of data from 817 African-Americans who had not been screened for CRC was conducted to examine: 1) relationships among cultural variables (provider trust, cancer fatalism, health temporal orientation [HTO]), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among cultural variables, health literacy, CRC knowledge, and CRC screening intention. Provider trust, fatalism, HTO, health literacy, and CRC knowledge demonstrated significant relationships among study variables. Stool blood test intention model explained 43% of the variance, with age and gender being significant predictors. Colonoscopy intention model explained 41% of the variance with gender a significant predictor. Results suggest when developing CRC interventions for African Americans, addressing cultural variables is important, but particular attention should be given to age and gender.

AB - African Americans have higher colorectal cancer (CRC) mortality rates compared with all racial/ethnic groups. Research suggests that CRC screening interventions for African Americans target cultural variables. Secondary analysis of data from 817 African-Americans who had not been screened for CRC was conducted to examine: 1) relationships among cultural variables (provider trust, cancer fatalism, health temporal orientation [HTO]), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among cultural variables, health literacy, CRC knowledge, and CRC screening intention. Provider trust, fatalism, HTO, health literacy, and CRC knowledge demonstrated significant relationships among study variables. Stool blood test intention model explained 43% of the variance, with age and gender being significant predictors. Colonoscopy intention model explained 41% of the variance with gender a significant predictor. Results suggest when developing CRC interventions for African Americans, addressing cultural variables is important, but particular attention should be given to age and gender.

KW - African Americans

KW - Colorectal cancer knowledge

KW - Colorectal cancer screening

KW - Culture

KW - Fatalism

KW - Health care provider

KW - Health literacy

KW - Health temporal orientation

KW - Trust

UR - http://www.scopus.com/inward/record.url?scp=84961744593&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84961744593&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84961744593

VL - 27

SP - 51

EP - 67

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 1

ER -