lunes, 6 de octubre de 2014

Preventing Chronic Disease | A Cancer Center’s Approach to Engaging African American Men About Cancer: The Men’s Fellowship Breakfast, Southeastern Michigan, 2008–2014 - CDC

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Preventing Chronic Disease | A Cancer Center’s Approach to Engaging African American Men About Cancer: The Men’s Fellowship Breakfast, Southeastern Michigan, 2008–2014 - CDC



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A Cancer Center’s Approach to Engaging African American Men About Cancer: The Men’s Fellowship Breakfast, Southeastern Michigan, 2008–2014

Aisha T. Langford, PhD, MPH; Derek M. Griffith, PhD; Derrick D. Beasley, MPH; Effat Id-Deen Braxton, MSW

Suggested citation for this article: Langford AT, Griffith DM, Beasley DD, Braxton EI. A Cancer Center’s Approach to Engaging African American Men About Cancer: The Men’s Fellowship Breakfast, Southeastern Michigan, 2008–2014. Prev Chronic Dis 2014;11:140187. DOI: http://dx.doi.org/10.5888/pcd11.140187External Web Site Icon.
PEER REVIEWED

Abstract

Background
Despite disproportionate rates of cancer morbidity and mortality among African American men, few community-based efforts have been developed and sustained to educate African American men about cancer. The University of Michigan Comprehensive Cancer Center implemented a series of breakfasts to improve cancer awareness, screening, and education among African American men. This article describes the rationale for and history of the community intervention.
Community Context
The 21 breakfasts were held from 2008 through mid-2014 in Ypsilanti and Ann Arbor, Michigan. Ypsilanti ranks below Michigan and the nation on most socioeconomic indicators, although most residents are high school graduates (88% in Ypsilanti and 96.5% in Ann Arbor). African American men in Ypsilanti have higher death rates for diseases associated with poor diet and inadequate physical activity compared with Ypsilanti whites and general populations in Michigan and the nation.
Methods
We conducted a multicomponent qualitative process evaluation including staff meetings, conversations with participants, and focus groups. We collected 425 post-event surveys to evaluate the breakfasts quantitatively.
Outcomes
Participants were African American (85%), were aged 51 to 70 years (54%), had health insurance (89%), and had some college education (38%). Fifty-three percent of participants reported interest in the breakfast topics including nutrition; 46%, prostate cancer; 34%, colorectal cancer, and 32%, pain management; 62% reported willingness to participate in a clinical trial.




Interpretation
African American men are interested in learning about health and are willing to attend a health-focused breakfast series. The Men’s Fellowship Breakfast is a promising strategy for bringing men together to discuss cancer screening and risk reduction.

Acknowledgments

The authors thank the University of Michigan Comprehensive Cancer Center for its funding and support of the MFB.

Author Information

Corresponding Author: Aisha T. Langford, PhD, MPH, Postdoctoral Fellow, University of Michigan, Center for Bioethics and Social Sciences in Medicine, 2800 Plymouth Rd, Building 16, Room 400S-15, Ann Arbor, MI 48109. Telephone: 734-615-7974. E-mail: alangfor@umich.edu.
Author Affiliations: Derek M. Griffith, Vanderbilt University Institute for Research on Men’s Health, Nashville, Tennessee; Derrick D. Beasley, Centers for Disease Control and Prevention, Atlanta, Georgia; Effat Id-Deen Braxton, University of Michigan, Ann Arbor, Michigan. Dr Langford is also affiliated with VA Health Services Research and Development Service, Ann Arbor, Michigan.

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