Psychosocial risk profiles among black male veterans administration patients non-adherent with colorectal cancer screening

Rhonda Belue, Usha Menon, Anita Y. Kinney, Laura A. Szalacha

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: This study identifies unique psychosocial characteristics among African American men that put the men at risk for non-adherence to colorectal cancer (CRC) screening (colonoscopy, sigmoidoscopy, and fecal occult blood tests (FOBT)). Subgroups sharing similar psychosocial characteristics may be targeted with specific intervention strategies aimed at increasing participation in screening, which could lead to increased early detection and decreased morbidity and mortality. Methods: The male African American veterans in our sample (n = 260) had a mean age of 57.3 (SD = 7.3) years. Our study employs latent class analysis, a quantitative-based, audience segmentation method to identify homogeneous subgroups of African American men with similar psychosocial characteristics related to CRC screening, potentially in need of different health information and intervention strategies. Latent class regression was used to examine the relationships among latent class structure and demographic characteristics. Results: There were four psychosocial risk classes across the three screening tests. A significant subset of men had psychosocial characteristics indicative of willingness to be screened for each test (colonscopy = 21.8%, sigmoidoscopy = 31.5%, and FOBT = 10.8%), although they were currently non-adherent. Men who received a past screening test, had greater than a high school education, or were married were more likely to be represented in a latent class indicative of being prepared for getting colonoscopy or sigmoidoscopy. Sociodemographic variables were unrelated to FOBT latent class structure. Conclusions: Segmenting our sample of male African American veterans based on psychosocial risk characteristics can inform the development of more precisely targeted interventions for African American men who are non-adherent for CRC screening.

Original languageEnglish (US)
Pages (from-to)1151-1160
Number of pages10
JournalPsycho-Oncology
Volume20
Issue number11
DOIs
StatePublished - Nov 1 2011

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United States Department of Veterans Affairs
Early Detection of Cancer
Colorectal Neoplasms
African Americans
Sigmoidoscopy
Occult Blood
Hematologic Tests
Veterans
Colonoscopy
Demography
Morbidity
Education
Mortality
Health

All Science Journal Classification (ASJC) codes

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

Cite this

Belue, Rhonda ; Menon, Usha ; Kinney, Anita Y. ; Szalacha, Laura A. / Psychosocial risk profiles among black male veterans administration patients non-adherent with colorectal cancer screening. In: Psycho-Oncology. 2011 ; Vol. 20, No. 11. pp. 1151-1160.
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Psychosocial risk profiles among black male veterans administration patients non-adherent with colorectal cancer screening. / Belue, Rhonda; Menon, Usha; Kinney, Anita Y.; Szalacha, Laura A.

In: Psycho-Oncology, Vol. 20, No. 11, 01.11.2011, p. 1151-1160.

Research output: Contribution to journalArticle

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N2 - Objective: This study identifies unique psychosocial characteristics among African American men that put the men at risk for non-adherence to colorectal cancer (CRC) screening (colonoscopy, sigmoidoscopy, and fecal occult blood tests (FOBT)). Subgroups sharing similar psychosocial characteristics may be targeted with specific intervention strategies aimed at increasing participation in screening, which could lead to increased early detection and decreased morbidity and mortality. Methods: The male African American veterans in our sample (n = 260) had a mean age of 57.3 (SD = 7.3) years. Our study employs latent class analysis, a quantitative-based, audience segmentation method to identify homogeneous subgroups of African American men with similar psychosocial characteristics related to CRC screening, potentially in need of different health information and intervention strategies. Latent class regression was used to examine the relationships among latent class structure and demographic characteristics. Results: There were four psychosocial risk classes across the three screening tests. A significant subset of men had psychosocial characteristics indicative of willingness to be screened for each test (colonscopy = 21.8%, sigmoidoscopy = 31.5%, and FOBT = 10.8%), although they were currently non-adherent. Men who received a past screening test, had greater than a high school education, or were married were more likely to be represented in a latent class indicative of being prepared for getting colonoscopy or sigmoidoscopy. Sociodemographic variables were unrelated to FOBT latent class structure. Conclusions: Segmenting our sample of male African American veterans based on psychosocial risk characteristics can inform the development of more precisely targeted interventions for African American men who are non-adherent for CRC screening.

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