Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review
Colorectal cancer (CRC) is highly preventable when CRC screening is utilized, yet CRC screening completion among African American men is relatively low and their mortality rates remain 50% higher juxtaposed to their White counterparts. Since a growing body of literature indicates masculinity, racism...
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doaj-b928ec87c8194af6baebe691f0c9b6d82020-11-25T03:32:22ZengSAGE PublishingAmerican Journal of Men's Health1557-98831557-98912017-09-011110.1177/1557988315611227Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic ReviewCharles R. Rogers PhD, CHES0Jamie A. Mitchell PhD, MSW1Gabriel J. Franta2Margaret J. Foster MS, MPH, AHIP3Deirdre Shires MPH, MSW4University of Minnesota Medical School, Minneapolis, MN, USAUniversity of Michigan, Ann Arbor, MI, USAHennepin County Medical Center, Minneapolis, MN, USATexas A&M University, College Station, TX, USAWayne State University, Detroit, MI, USAColorectal cancer (CRC) is highly preventable when CRC screening is utilized, yet CRC screening completion among African American men is relatively low and their mortality rates remain 50% higher juxtaposed to their White counterparts. Since a growing body of literature indicates masculinity, racism, and social support each have strong influences on CRC screening uptake, this systematic review examined the connections between these three sociocultural factors and CRC screening uptake among African American men. Potential studies were retrieved from MEDLINE, CINAHL, EMBASE, and PsycINFO. Cited reference searching for the final sample was employed to identify and assess additional studies for inclusion using Scopus. The methodological quality of the reviewed evidence was also evaluated. Nineteen studies met inclusion/exclusion criteria. Thirteen studies employed nonexperimental research designs; a quasi-experimental design was present in four, and two utilized experimental designs. Studies were published between 2000 and 2014; the majority between 2009 and 2013. Social support was most frequently addressed (84%) while masculinity and racism were equally studied with paucity (11%) for their influence on CRC screening. After evaluating conceptual and methodological characteristics of the studies, 42% fell below average in quality and rigor. The need for increased attention to the sociocultural correlates of CRC screening for African American men are highlighted in this systematic review, and important recommendations for research and practice are provided. Alongside a call for more rigorous research, further research examining the influence of masculinity and racism on CRC screening completion among African American men is warranted.https://doi.org/10.1177/1557988315611227 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Charles R. Rogers PhD, CHES Jamie A. Mitchell PhD, MSW Gabriel J. Franta Margaret J. Foster MS, MPH, AHIP Deirdre Shires MPH, MSW |
spellingShingle |
Charles R. Rogers PhD, CHES Jamie A. Mitchell PhD, MSW Gabriel J. Franta Margaret J. Foster MS, MPH, AHIP Deirdre Shires MPH, MSW Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review American Journal of Men's Health |
author_facet |
Charles R. Rogers PhD, CHES Jamie A. Mitchell PhD, MSW Gabriel J. Franta Margaret J. Foster MS, MPH, AHIP Deirdre Shires MPH, MSW |
author_sort |
Charles R. Rogers PhD, CHES |
title |
Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review |
title_short |
Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review |
title_full |
Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review |
title_fullStr |
Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review |
title_full_unstemmed |
Masculinity, Racism, Social Support, and Colorectal Cancer Screening Uptake Among African American Men: A Systematic Review |
title_sort |
masculinity, racism, social support, and colorectal cancer screening uptake among african american men: a systematic review |
publisher |
SAGE Publishing |
series |
American Journal of Men's Health |
issn |
1557-9883 1557-9891 |
publishDate |
2017-09-01 |
description |
Colorectal cancer (CRC) is highly preventable when CRC screening is utilized, yet CRC screening completion among African American men is relatively low and their mortality rates remain 50% higher juxtaposed to their White counterparts. Since a growing body of literature indicates masculinity, racism, and social support each have strong influences on CRC screening uptake, this systematic review examined the connections between these three sociocultural factors and CRC screening uptake among African American men. Potential studies were retrieved from MEDLINE, CINAHL, EMBASE, and PsycINFO. Cited reference searching for the final sample was employed to identify and assess additional studies for inclusion using Scopus. The methodological quality of the reviewed evidence was also evaluated. Nineteen studies met inclusion/exclusion criteria. Thirteen studies employed nonexperimental research designs; a quasi-experimental design was present in four, and two utilized experimental designs. Studies were published between 2000 and 2014; the majority between 2009 and 2013. Social support was most frequently addressed (84%) while masculinity and racism were equally studied with paucity (11%) for their influence on CRC screening. After evaluating conceptual and methodological characteristics of the studies, 42% fell below average in quality and rigor. The need for increased attention to the sociocultural correlates of CRC screening for African American men are highlighted in this systematic review, and important recommendations for research and practice are provided. Alongside a call for more rigorous research, further research examining the influence of masculinity and racism on CRC screening completion among African American men is warranted. |
url |
https://doi.org/10.1177/1557988315611227 |
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