The Black Panther, Masculinity Barriers to Medical Care, and Colorectal Cancer Screening Intention Among Unscreened American Indian/Alaska Native, Black, and White Men

Brooks, Ellen; Islam, Jessica Y.; Perdue, David G.; Petersen, Ethan; Camacho-Rivera, Marlene; Kennedy, Carson; Rogers, Charles R.

doi:10.3389/fpubh.2022.814596

Cited by 5 publications

(4 citation statements)

References 67 publications

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“…Similarly, a 2013 study with American Indians under age 50 found that Native men did not like to talk about CRC, partly because of a “homophobe type thing” and partly because they might be viewed as “a softy” [ 40 ]. Finally, a study that focused on the role of “masculinity barriers” to medical care in racially diverse populations found that American Indian/Alaska Native men were least likely to report CRC screening intent (51.1%) compared with African American (68%) and White men (64%) ( p < 0.001); moreover, Native men who exhibited more masculinity-related barriers to care were less likely to have CRC screening intent compared to other racial groups [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

“Sorry for laughing, but it’s scary”: humor and silence in discussions of Colorectal Cancer with Urban American Indians

Buchwald,

Bassett,

Van Dyke

et al. 2023

BMC Cancer

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Background Given high rates of cancer mortality in Native communities, we examined how urban American Indian and Alaska Native elders talk about colorectal cancer (CRC) and CRC screening. Methods We conducted seven focus groups with a total of 46 participants in two urban clinics in the Pacific Northwest to assess participant awareness, perceptions, and concerns about CRC and CRC screening. Using speech codes theory, we identified norms that govern when and how to talk about CRC in this population. Results Our analyses revealed that male participants often avoided screening because they perceived it as emasculating, whereas women often avoided screening because of embarrassment and past trauma resulting from sexual abuse. Both men and women used humor to mitigate the threatening nature of discussions about CRC and CRC screening. Conclusions We offer our analytic results to assist others in developing culturally appropriate interventions to promote CRC screening among American Indians and Alaska Natives.

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Section: Discussionmentioning

confidence: 99%

“Sorry for laughing, but it’s scary”: humor and silence in discussions of Colorectal Cancer with Urban American Indians

Buchwald,

Bassett,

Van Dyke

et al. 2023

BMC Cancer

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“…Reinforcing this idea, a study by Heslin et al discovered that men who self-identify as gay or bisexual exhibited a 67% higher likelihood of completing colonoscopies than those identifying as heterosexual [ 35 ]. The findings further bring to light the intricate interplay between the norms associated with masculine roles, the decision to undergo invasive screening procedures, and apprehensions about being labeled as gay [ 36 ].…”

Section: Reviewmentioning

confidence: 99%

“…Traditional gender roles are highly ingrained in many African American communities. Men are frequently portrayed as strong, stoic defenders, whereas women are portrayed as caregivers [ 36 ]. While these roles are evolving, they can affect health perceptions and behaviors, including decisions on preventative healthcare such as colonoscopies.…”

Section: Reviewmentioning

confidence: 99%

Factors Affecting the Rate of Colonoscopy Among African Americans Aged Over 45 Years

Ajufo,

Adigun,

Mohammad

et al. 2023

Cureus

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African Americans continue to have a low rate of colonoscopy screening despite the U.S. Preventive Services Taskforce's (USPSTF) recommendations and its proven benefits. Colonoscopy has proven to be an effective screening and therapeutic procedure. Understanding the root cause of the problem is a crucial step toward achieving the desired colonoscopy rate among this population. This paper evaluates factors that contribute to the underutilization of colonoscopy. The paper also analyzes strategies that could be maximized to increase colonoscopy rates, minimize colorectal cancer inequalities, and promote optimal colorectal health among African Americans.

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“…Lower screening rates and higher CRC rates are attributed to many factors, including masculinity barriers and medical mistrust [ 8 ]. Indigenous masculinity barriers are closely correlated with decreased CRC screening intentions [ 9 ]. Other screening barriers include language, discrimination, cultural insensitivity, fear, discomfort, and screening preparation [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Indigenizing and Ruralizing NCI Screen to Save Program: Resources, Optimizing Outreach, Teaching, Science (ROOTS)

Maybee,

Henry,

Lazore-Swan

et al. 2023

J Canc Educ

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Colorectal cancer (CRC) is a complex health disparity in many Indigenous and rural populations. While it affects anyone regardless of race, age, gender, or other common differences among people, Indigenous and rural populations are at a higher risk of dying from colorectal cancer. An NCI Screen to Save (S2S) program was culturally tailored to promote awareness and knowledge of colorectal cancer and screening in both Indigenous and rural communities across a sector in Northeastern USA. Indigenous and rural community outreach teams at an NCI-designated cancer center partnered with a community advisory board to provide an indigenized/ruralized version of the NCI Screen to Save program delivered to both Indigenous and rural/suburban communities. In total, n = 79 pre/post surveys were obtained from n = 82 participants, who had an average age of 49 years. Findings demonstrated that Indigenous/rural participants in both off-territory/non-reservation communities and a tribal community that received a culturally tailored version of NCI’s S2S program were able to identify both smoking and tobacco use along with lack of physical activity as risk factors for colorectal cancer. Post-intervention, participants reported being more likely to increase physical activity. Most importantly, participants said they would be more likely to be screened for colorectal cancer along with their family and friends based on their cancer screening experiences. Culturally tailored CRC messaging is an effective means for increasing screening intentions and decreasing cancer health disparities among both indigenous and rural populations. Future research should include the relationship of diet to obesity-related cancers, greater integration of Indigenous-rural patient navigation programs, creation of more information on genetic screening, and quality improvement to service translational science initiatives.

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The Black Panther, Masculinity Barriers to Medical Care, and Colorectal Cancer Screening Intention Among Unscreened American Indian/Alaska Native, Black, and White Men

Cited by 5 publications

References 67 publications

“Sorry for laughing, but it’s scary”: humor and silence in discussions of Colorectal Cancer with Urban American Indians

“Sorry for laughing, but it’s scary”: humor and silence in discussions of Colorectal Cancer with Urban American Indians

Factors Affecting the Rate of Colonoscopy Among African Americans Aged Over 45 Years

Indigenizing and Ruralizing NCI Screen to Save Program: Resources, Optimizing Outreach, Teaching, Science (ROOTS)

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