Colorectal cancer is the third most common cancer in the United States and the second leading cause of cancer deaths. African American men are at the greatest risk for developing and dying from colorectal cancer. Using the Health Belief Model and the theory of Social Support as a framework, a cross-sectional, correlation design was used to gather data from a convenience sample of 52 older African American men. Measures used for this study were Champion's Health Belief Model Scale as adapted by Jacobs, the Multidimensional Scale of Perceived Social Support and a self designed tool for intent to screen for colorectal cancer as suggested by Ajzen.
The mean age of participants was 61 years. The majority of men were employed, married, had at least one additional person in the household, were high school graduates, and 63% had had a previous colonoscopy.
Older African American men reported mixed findings on construct scale scores. Seriousness was rated as low with susceptibility and barriers rated just below average. Benefits, self-efficacy, social support and rated above average or high. No significant correlations were found between the HBM constructs, social support and past colonoscopy and intent to screen. Seriousness and barriers were significant with past colonoscopy with an independent t-test. While multiple regressions did show a significant increase between model scores, significance was small and social support did not add to the variance in intent to screen for colorectal cancer.
|Advisor:||Blue, Carolyn L.|
|Commitee:||Kautz, Donald, Rossen, Eileen, Taylor, Martha|
|School:||The University of North Carolina at Greensboro|
|Department:||School of Nursing|
|School Location:||United States -- North Carolina|
|Source:||DAI-B 72/08, Dissertation Abstracts International|
|Subjects:||African American Studies, Nursing, Public health|
|Keywords:||African American men, Colorectal cancer, Health belief model, Older men, Screening, Social support|
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