Date of Conferral

2015

Degree

Ph.D.

School

Health Services

Advisor

Robert E. Hoye

Abstract

Despite the high incidence of prostate cancer (PC) amongst men of African descent, there is a paucity of qualitative data that explores how Afro-Caribbean men perceive their risk, susceptibility to, and management of this disease. This phenomenological study sought to explore and analyze beliefs about PC in a sample of Afro-Caribbean men who reside in the United States (U.S.). The research questions considered the perceptions, beliefs, and lived experiences of participants. The conceptual framework is a synthesis of the health belief model (HBM) and the theory of reasoned action (TRA), primarily because the TRA allows for a culturally-based relevance and perspective that is lacking in the HBM. Data were collected using in-depth interviews from a purposive sample of 13 U.S. participants from 7 Caribbean territories, who provided detailed descriptions of their perceptions. Data management and inductive, iterative analysis were facilitated through the use of the NVivo 10 software program. This study found that participants had a low level of awareness and education about PC, but they also believed that if PC were caught early, they have a good chance of a long life. There was no indication that culture played a significant role in their attitudes, beliefs, and perceptions of the disease. Education about PC should be targeted to this population as well as their significant others. In addition, qualitative research is needed to compare perspectives of Afro-Caribbean, African American, and African men who all reside in the United States. This study may contribute to positive social change by providing practical strategies that may increase screening and early diagnosis among Afro-Caribbean men, thereby reducing the mortality from this disease.  

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