Reducing HPV Associated Cancers and Disparities: Engaging African American Men to Develop a Culturally-Appropriate Program that Addresses their Needs.

Jennifer Cunningham-Erves, Lanese Campbell, Calvin Barlow, Claudia Barajas, Tilicia Mayo-Gamble, Michel Perry, George Johnson
Author Information
  1. Jennifer Cunningham-Erves: Department of Internal Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, Tennessee, 37208-3599, United States.
  2. Lanese Campbell: Second Missionary Baptist Cooperative Ministries, 1000 Halcyon Ave, Nashville, Tennessee, 37204, United States.
  3. Calvin Barlow: Second Missionary Baptist Cooperative Ministries, 1000 Halcyon Ave, Nashville, Tennessee, 37204, United States.
  4. Claudia Barajas: Vanderbilt Ingram Cancer Center, 1301 Medical Center Dr #1710, Nashville, Tennessee, 37232.
  5. Tilicia Mayo-Gamble: Department Community Health Behavior and Education, Georgia Southern University, P.O. Box 8015, 501 Forest Drive, Statesboro, GA, 30460, United States.
  6. Michel Perry: Tennessee Department of Health, 665 Mainstream Drive, Nashville, Tennessee 37243, United States.
  7. George Johnson: School of Graduate Studies and Research, Meharry Medical College, Nashville, Tennessee 37208-3599, United States.

Abstract

BACKGROUND: The program aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities.
PURPOSE: We describe the development of an educational intervention using cultural-targeting strategies (i.e., linguistics, peripherals, evidence, socio-culture, and constituent-involving).
METHODS: After building capacity of community-based organization (CBO) leaders as research team members, we conducted 3 focus groups, 30 surveys, and a community review and program evaluation with African American men.
RESULTS: Focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data indicated men desired information on penile (52%) and oral cancers (48%). The preferred education format was a summit with speakers on various topics (96%). Post-summit evaluation indicated majority of males intended to get screened (73%), eat healthier (77%), and exercise more (64%). About 40% reported getting themselves, children, or grandchildren the HPV vaccine.
DISCUSSION: Our program demonstrated acceptability, feasibility, and preliminary efficacy. This work warrants further study as a potential program to improve HPV preventive behaviors among African American men.

Keywords

References

  1. J Biomed Inform. 2009 Apr;42(2):377-81 [PMID: 18929686]
  2. J Am Diet Assoc. 2009 Apr;109(4):610-5 [PMID: 19328255]
  3. AIDS Educ Prev. 2015 Dec;27(6):505-21 [PMID: 26595264]
  4. Health Informatics J. 2016 Dec;22(4):932-947 [PMID: 26324051]
  5. Cancer Epidemiol Biomarkers Prev. 2006 Nov;15(11):2179-88 [PMID: 17119044]
  6. Policy Insights Behav Brain Sci. 2014 Oct;1(1):204-212 [PMID: 25705721]
  7. Annu Rev Public Health. 2005;26:421-43 [PMID: 15760296]
  8. Urology. 2003 Feb;61(2):308-13 [PMID: 12597936]
  9. Adm Policy Ment Health. 2015 Sep;42(5):533-44 [PMID: 24193818]
  10. Ethn Dis. 2005 Summer;15(3):498-504 [PMID: 16108311]
  11. J Health Care Poor Underserved. 2013 Feb;24(1):311-31 [PMID: 23377736]
  12. Hum Vaccin Immunother. 2017 Nov 2;13(11):2713-2722 [PMID: 28853980]
  13. J Cancer Educ. 2016 Sep;31(3):506-13 [PMID: 26123763]
  14. Int J STD AIDS. 2005 Nov;16(11):739-43 [PMID: 16303069]
  15. J Am Acad Nurse Pract. 2008 Nov;20(11):555-62 [PMID: 19128339]
  16. J Clin Oncol. 2011 Nov 10;29(32):4294-301 [PMID: 21969503]
  17. Cancer Prev Res (Phila). 2018 Dec;11(12):735-778 [PMID: 30530635]
  18. J Cancer Educ. 2016 Dec;31(4):702-708 [PMID: 25948412]
  19. MMWR Morb Mortal Wkly Rep. 2016 Jul 08;65(26):661-6 [PMID: 27387669]
  20. J Health Care Poor Underserved. 2014 Aug;25(3):1262-77 [PMID: 25130238]
  21. J Obstet Gynecol Neonatal Nurs. 2008 May-Jun;37(3):329-37 [PMID: 18507603]
  22. Am J Mens Health. 2010 Sep;4(3):218-30 [PMID: 19477755]
  23. Cancer. 2009 Nov 1;115(21):5048-59 [PMID: 19637357]
  24. Health Educ Behav. 2003 Apr;30(2):133-46 [PMID: 12693519]
  25. Acad Pediatr. 2020 Apr;20(3):364-373 [PMID: 31108236]
  26. Am J Mens Health. 2016 Nov;10(6):533-536 [PMID: 26860126]
  27. Cancer. 2014 Nov 1;120(21):3385-92 [PMID: 24962590]
  28. Prev Chronic Dis. 2014 Sep 25;11:E164 [PMID: 25254982]
  29. Prev Med. 2009 Jan;48(1):32-8 [PMID: 19010349]
  30. Am J Mens Health. 2018 Jul;12(4):751-759 [PMID: 29658371]
  31. Health Educ Behav. 2013 Jun;40(3):286-95 [PMID: 22984216]
  32. Curr Obes Rep. 2018 Jun;7(2):130-138 [PMID: 29616469]
  33. Ethn Dis. 2008 Spring;18(2 Suppl 2):S2-179-84 [PMID: 18646345]
  34. Am J Mens Health. 2019 May-Jun;13(3):1557988319856738 [PMID: 31170862]
  35. J Urol. 1997 Jul;158(1):146-9 [PMID: 9186342]
  36. Annu Rev Public Health. 2016;37:295-311 [PMID: 26989830]
  37. Ethn Dis. 2005 Winter;15(1):40-52 [PMID: 15720048]
  38. J Cult Divers. 2007 Summer;14(2):68-73 [PMID: 19175246]
  39. Adv Cancer Res. 2020;146:189-217 [PMID: 32241389]
  40. J Cancer Educ. 2015 Sep;30(3):530-4 [PMID: 25330866]
  41. Am J Mens Health. 2012 Sep;6(5):365-7 [PMID: 22516566]
  42. Health Educ Behav. 2018 Feb;45(1):68-76 [PMID: 28595454]

Grants

  1. UL1 TR000445/NCATS NIH HHS
  2. U54 CA163069/NCI NIH HHS
  3. U54 MD007586/NIMHD NIH HHS
  4. K01 CA237748/NCI NIH HHS
  5. K12 HS022990/AHRQ HHS

Word Cloud

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