Gender and Ethnic Differences in Colorectal Cancer Screening Embarrassment and Physician Gender Preferences

Consedine, Nathan S.; Reddig, Maike K.; Ladwig, Inga; Broadbent, Elizabeth

doi:10.1188/11.onf.e409-e417

Cited by 23 publications

(20 citation statements)

References 54 publications

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“…Embarrassment during the examination was the major reason for same-gender preference. This finding is also supported by other studies among male and female patients that found embarrassment as one of the major reason for same-gender preference [3, 4]. …”

Section: Discussionsupporting

confidence: 87%

Do women prefer a female breast surgeon?

Groutz

Amir

Caspi

et al. 2016

Isr J Health Policy Res

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Background: Patient preferences regarding the gender of their physicians is a highly sensitive issue, which can be particularly salient in intimate medical situations. Previously published studies found that women tend to prefer female physicians, especially in the case of obstetricians and gynecologists. Data regarding other intimate specialties, such as breast surgery, are scarce. The present study was undertaken to assess gender preferences of women regarding their choice of a breast surgeon. Methods: Five hundred and fifteen consecutive women who attended breast clinics in two university-affiliated tertiary hospitals were prospectively enrolled. A 25-item anonymous questionnaire was completed by women independently and used to assess their preferences in selecting their breast surgeon. Of the 515 women, 500 (97 % response rate; mean age 50.6 ± 15.4 years) completed the anonymous questionnaire.

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Section: Discussionsupporting

confidence: 87%

Do women prefer a female breast surgeon?

Groutz

Amir

Caspi

et al. 2016

Isr J Health Policy Res

View full text Add to dashboard Cite

show abstract

“…This finding is supported by other studies among male and female patients who identified embarrassment as one of the major reason for same-gender preference (Consedine et al, 2011;Shah et al, 2011;Varia et al, 2014).…”

Section: Discussionsupporting

confidence: 87%

Do Urology Male Patients Prefer Same-Gender Urologist?

et al. 2016

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There are several studies on patients' preference for same-gender physicians, especially female preference for same-gender gynecologists. Data regarding the preferences of urology patients, of whom the majority are males, are scarce. The objective of this study is to assess provider gender preference among urology patients. One hundred and nineteen consecutive men (mean age 57.6 years) who attended a urology clinic in one university-affiliated medical center were prospectively enrolled. A self-accomplished 26-item anonymous questionnaire was used to assess patients' preferences in selecting their urologist. Of the 119 patients, 51 (42.8%) preferred a male urologist. Patients exhibited more same-gender preference for physical examination (38.3%), or urological surgery (35.3%), than for consultation (24.4%). Most patients (97%) preferred a same-gender urologist because they felt less embarrassed. Four patient characteristics were identified to be significantly associated with preference for a male urologist: religious status, country of origin, marital status, and a prior management by a male urologist. Of these, religious status was the most predictive parameter for choosing a male urologist. The three most important factors that affected actual selection, however, were professional skills (84.6%), clinical experience (72.4%), and medical knowledge (61%), rather than physician gender per se. Many male patients express gender bias regarding their preference for urologist. However, professional skills of the clinician are considered to be more important factors when it comes to actually making a choice.

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“…In addition to CRC screening research testing the DPM which integrates cognitive and affective factors (Manne et al, 2003), research has examined the role of affect toward cancer, CRC, and screening (e.g., embarrassment, worry, fear, anticipated regret) in CRC screening decisions (Consedine, Magai, Krivoshekova, Ryzewicz, & Neugut, 2004; Consedine, Reddig, Ladwig, & Broadbent, 2011; Power et al, 2008; Rawl et al, 2000). Definitions of constructs from relevant health behavior theories included in the proposed framework are listed in Table 1.…”

Section: Colorectal Cancer Screeningmentioning

confidence: 99%

“…Negative affect associated with cancer and CRC screening has been suggested as a barrier to screening in both qualitative and quantitative research (Consedine et al, 2004; Consedine et al, 2011; Rawl et al, 2000). It is important to note that the relationship between affect and health behaviors is complex.…”

Section: Proposed Conceptual Frameworkmentioning

confidence: 99%

Integrating Men’s Health and Masculinity Theories to Explain Colorectal Cancer Screening Behavior

2013

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Colorectal cancer (CRC) is the third most common cause of cancer deaths among men in the United States. Although CRC screening has been found to reduce CRC incidence and mortality, current screening rates among men are suboptimal due to various practical and psychosocial barriers. One potential barrier to CRC screening identified in qualitative studies with men is the threat to masculinity that endoscopic screening methods pose. Indeed, beliefs about masculinity have been predictive of other preventive health behaviors among men. In this review paper, we propose a novel conceptual framework to explain men’s CRC screening behavior that integrates masculinity norms, gender role conflict, men’s health care experiences, behaviors, and beliefs, and social and background variables. This framework has the potential to guide future research on men’s CRC screening behaviors and other health behaviors and may inform gender-sensitive interventions which target masculinity beliefs to increase preventive health behaviors.

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Gender and Ethnic Differences in Colorectal Cancer Screening Embarrassment and Physician Gender Preferences

Abstract: Discussing embarrassment and its causes, as well as providing an opportunity to choose a same-gender physician, may be promising strategies to reduce or manage embarrassment and increase CRC screening attendance.

Cited by 23 publications

References 54 publications

Do women prefer a female breast surgeon?

Do women prefer a female breast surgeon?

Do Urology Male Patients Prefer Same-Gender Urologist?

Integrating Men’s Health and Masculinity Theories to Explain Colorectal Cancer Screening Behavior

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