Perspectives of African American Men with Prostate Cancer on Trust versus Distrust

Date of Conferral

11-6-2023

Degree

Ph.D.

School

Health Services

Advisor

Kenneth Feldman

Abstract

Prostate cancer continues to be a significant disparity impacting African American men at a higher rate in the United States. The study aim was to understand if trust versus distrust influenced African American men with advanced stage prostate cancer to seek and utilize health care services. The conceptual framework for this study included Andersen’s behavioral model and access to medical care. A phenomenological generic approach was used to describe participants’ perspectives of the phenomenon. Nine participants were interviewed with a semistructured interview guide. The thematic approach and NVivo were used for data analysis. Findings indicated that there were factors that influenced the decision to seek and utilize health care services. From thematic analysis emerged five themes: (a) trust, (b) fear, (c) support system, (d) denial, and (e) decision-making. This study may influence positive social change by providing information that could help providers and other health care professionals seek preventative methods and strategies to reduce distrust within the African American community. These strategies could lead to a decrease in the number of African American men being diagnosed with advanced stage prostate cancer.

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