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Health Education Research Advance Access originally published online on May 9, 2008
Health Education Research 2009 24(2):280-291; doi:10.1093/her/cyn018
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© The Author 2008. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

What is needed for informed decisions about prostate cancer screening: perspectives of African-American and Hispanic men

Stephanie L. McFall1,*, John Ureda2, Theresa L. Byrd3, Adriana Valdes4, Pat Morales4, Delores B. Scott5, Deloris Williams5, Jessica Calderon-Mora3, Myryam E. Casillas3 and Evelyn C. Y. Chan6

1 The University of Texas School of Public Health, San Antonio Regional Campus, San Antonio, TX 78229, USA
2 Insights Consulting, Inc., Columbia, SC 29205, USA
3 The University of Texas Prevention Research Center and The University of Texas School of Public Health, El Paso Regional Campus, El Paso, TX 79902, USA
4 Cancer and Chronic Disease Consortium, El Paso, TX 79905, USA
5 Carolina Community Based Health Supports Networks, Inc., Columbia, SC 29202, USA
6 The University of Texas Prevention Research Center and Division of General Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA

* Correspondence to: S. L. McFall. E-mail: stephanie.l.mcfall{at}uth.tmc.edu.

Professional guidelines suggest that men should learn about risks and benefits of screening to make informed decisions consistent with their preferences. We used concept mapping to investigate views of informed decision making (IDM) of minority men. Statements about what men need for IDM about prostate cancer screening were sorted by similarity and rated for importance by 16 Hispanic and 15 African-American men. Multidimensional scaling and cluster analysis were used to develop a concept map for IDM. The 10-cluster solution was selected. The clusters rated most important were labeled Future Considerations, What to Know and Decision to Make. Clusters labeled Social Support and Sharing Perspectives depicted social aspects of the decision and were intermediate in importance. There was strong correlation in relative importance ratings of clusters by African-American and Hispanic men. However, African-American men gave higher importance ratings than Hispanic men. Concept mapping, a method with strong participatory elements, was useful in identifying conceptual frameworks for IDM of African-American and Hispanic men. Health education to support IDM requires some shifts in focus and strategy. It is important that interventions with minority men build upon a strong conceptual framework.

Received on October 9, 2007; accepted on March 23, 2008


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