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Masculinity Barriers to Ever Completing Colorectal Cancer Screening among American Indian/Alaska Native, Black, and White Men (Ages 45–75)

Author

Listed:
  • Charles R. Rogers

    (Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA)

  • David G. Perdue

    (MNGI Digestive Health, Minneapolis, MN 55413, USA)

  • Kenneth Boucher

    (Cancer Biostatistics Shared Resource, Huntsman Cancer Institute, Salt Lake City, UT 84112, USA)

  • Kevin M. Korous

    (Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA)

  • Ellen Brooks

    (Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA)

  • Ethan Petersen

    (Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA)

  • John M. Inadomi

    (Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA)

  • Fa Tuuhetaufa

    (Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA)

  • Ronald F. Levant

    (Department of Psychology, The University of Akron, Akron, OH 44325, USA)

  • Electra D. Paskett

    (Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH 43210, USA)

Abstract

Disparities in colorectal cancer (CRC) mortality among White, Black, and American Indian/Alaska Native (AIAN) men are attributable to differences in early detection screening. Determining how masculinity barriers influence CRC screening completion is critical for cancer prevention and control. To determine whether masculinity barriers to medical care are associated with lower rates of ever completing CRC screening, a survey-based study was employed from December 2020–January 2021 among 435 White, Black, and AIAN men (aged 45–75) who resided in the US. Logistic regression models were fit to four Masculinity Barriers to Medical Care subscales predicting ever completing CRC screening. For all men, being strong was associated with 54% decreased odds of CRC screening completion (OR 0.46, 95% CI 0.23 to 0.94); each unit increase in negative attitudes toward medical professionals and exams decreased the odds of ever completing CRC screening by 57% (OR 0.43, 95% CI 0.21 to 0.86). Black men who scored higher on negativity toward medical professionals and exams had decreased odds of ever screening. Consideration of masculinity in future population-based and intervention research is critical for increasing men’s participation in CRC screening, with more salience for Black men.

Suggested Citation

  • Charles R. Rogers & David G. Perdue & Kenneth Boucher & Kevin M. Korous & Ellen Brooks & Ethan Petersen & John M. Inadomi & Fa Tuuhetaufa & Ronald F. Levant & Electra D. Paskett, 2022. "Masculinity Barriers to Ever Completing Colorectal Cancer Screening among American Indian/Alaska Native, Black, and White Men (Ages 45–75)," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3071-:d:764882
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    References listed on IDEAS

    as
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    2. White, M.C. & Espey, D.K. & Swan, J. & Wiggins, C.L. & Eheman, C. & Kaur, J.S., 2014. "Disparities in cancer mortality and incidence among American Indians and Alaska natives in the United States," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 377-387.
    3. Perdue, D.G. & Haverkamp, D. & Perkins, C. & Daley, C.M. & Provost, E., 2014. "Geographic variation in colorectal cancer incidence and mortality, age of onset, and stage at diagnosis among American Indian and Alaska native people, 1990û2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 404-414.
    4. Pacheco, C.M. & Daley, S.M. & Brown, T. & Filippi, M. & Greiner, K.A. & Daley, C.M., 2013. "Moving forward: Breaking the cycle of mistrust between American Indians and researchers," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 2152-2159.
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