Objective African-American men die from prostate cancer at higher rates than white men, a health disparity that may result from differences in knowledge and beliefs about prostate cancer and screening. Studies conflict on whether race or socioeconomic status affects knowledge of prostate cancer and screening. This study compared education, race, and screening status to determine how each factor alone or together shape men’s knowledge of prostate cancer and screening. Methods In-depth interviews were conducted with 65 African-American and white men with diverse education backgrounds, aged 40–64. Results Education, not race or screening status, was associated with knowledge about the prostate gland, prostate cancer symptoms and screening tests, and fear of prostate cancer. The exception was knowledge about the prostate specific antigen blood test which was associated with education and screening status. Conclusion Education, not race, is associated with prostate cancer and screening knowledge. Interventions should focus on all men with low education to correct their misinformation about prostate cancer and to engage them in shared decision making about screening.
Past research on prostate and colorectal cancer disparities finds that barriers to screening, such as embarrassment and offensiveness, are often reported. Yet none of this literature investigates why. This study uses masculinity and health theory to examine how men experience two common screenings: digital rectal exams (DREs) and colonoscopies. In-depth interviews were conducted with 64 African American and White men from diverse backgrounds, aged 40 to 64, from North Carolina. Regardless of race or education, men experienced DREs more negatively than colonoscopies because penetration with a finger was associated with a gay sexual act. Some men disliked colonoscopies, however, because they associated any penetration as an affront to their masculinity. Because beliefs did not differ by race, future research should focus on structural issues to examine why disparities persist with prostate and colorectal cancer. Recommendations are provided for educational programs and physicians to improve men's experiences with exams that involve the rectum.
This study analyzes personal accounts of women's menopausal experiences to understand why most women view menopause as an insignificant event, despite negative cultural and medical constructions of menopause as a time of "loss." We analyze 16 in-depth interviews with a diverse sample of women to examine how social contexts affect women's experiences with menopause and the meaning of those experiences. We find that most women view menopause as inconsequential because other events of midlife are more important or stressful to them. However, when cultural and medical contexts are examined, we find that some women do not avoid others' negative constructions of menopause as a time of "loss."
In this article, I analyze interviews with a diverse group of 30 women aged 46-71 to understand how they experience signs of aging, such as weight gain, gray hair, and facial hair, in everyday life. I find that some women's responses are in line with normative femininity and appearance norms. Others, however, focus on different gendered meanings of the body that are connected to care-taking, work, ageist treatment, and past abuse. I argue that feminists should apply the theoretical concept of femininity more broadly than appearance and attraction issues to gain a deeper understanding of the multiple meanings of living in an aging female body in a gendered society. In the conclusion, I discuss the implications of this study for public health policies as well as future research on gender and the body.
Past research finds that after menopause some women experience negative changes such as vaginal dryness, decreased libido, and decreased orgasm quality; very little research inquires about positive changes. In contrast, this study shifts the research focus from whether women experience menopausal changes to how women view any changes in sex life. Based on 30 in-depth interviews with heterosexual and lesbian women, the author finds that most women emphasize cultural and social issues, such as relationship status and quality, health, and sexual history, rather than menopausal changes when they describe sex after menopause. However, she finds a difference by sexual orientation in how women handle problems in sex. The author concludes by discussing the implication of this research for future menopause and sex research; most important, she emphasizes studying sex in the context of women's lives rather than as a result of the biological changes of menopause.
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