1. Beliefs that contribute to delays in diagnosis of prostate cancer among Afro‐Caribbean men in Trinidad and Tobago
- Author
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Anne Arber, Sara Faithfull, and Michelle King-Okoye
- Subjects
Paper ,Adult ,Male ,medicine.medical_specialty ,Health Knowledge, Attitudes, Practice ,prediagnosis ,media_common.quotation_subject ,Black People ,Experimental and Cognitive Psychology ,Afro-Caribbean ,Disease ,urologic and male genital diseases ,Grounded theory ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Early Detection of Cancer ,media_common ,Aged ,Afro‐Caribbean men ,Distrust ,business.industry ,Prostatic Neoplasms ,Middle Aged ,medicine.disease ,prostate cancer ,Psychiatry and Mental health ,Health promotion ,Trinidad and Tobago ,Caribbean Region ,030220 oncology & carcinogenesis ,Family medicine ,Papers ,oncology ,experiences ,business ,Hegemonic masculinity - Abstract
Objective: The aim of this study was to explore TT men’s pre-diagnosis experiences of prostate cancer (PCa). This study is part of a wider project that examined men and their partners’ experiences of routes to diagnosis for PCa in TT. Methods: Men (n=51) were voluntarily recruited to semi-structured interviews from four centres. Data were analysed following principles of Grounded Theory. Results: Major barriers to medical help-seeking were highlighted as lack of knowledge and awareness of the prostate gland and symptoms of PCa, the digital rectal exam (DRE), PSA, cultural and religious beliefs and hegemonic masculinity norms and non-reporting of bodily changes to GPs. Fear of DRE, distrust in providers and misinterpretation of bodily changes as related to ageing and diabetes mellitus also contributed to delays towards seeking medical help. Men’s interactions with pharmacists and traditional healers lengthened the time taken to consult with Health Care Providers for prostate concerns. Conclusions: TT men’s PCa pre-diagnosis experiences are important to unearth barriers and facilitators to care along routes to diagnosis for this disease. This can help target specific health promotion strategies to motivate men to seek medical care for symptoms in a timely manner.
- Published
- 2019