All ETDs from UAB

Advisory Committee Chair

Connie Kohler

Advisory Committee Members

Laura Forbes

Nataliya Ivankova

Brad Lian

John Waterbor

Document Type

Dissertation

Date of Award

2012

Degree Name by School

Doctor of Public Health (DrPH) School of Public Health

Abstract

THE IMPACT OF COMMUNITY HEALTH CENTERS ON PROSTATE CANCER SCREENING BEHAVIORS OF AFRICAN AMERICAN MALES: A MIXED METHODS STUDY MICHAEL C. TAYLOR UAB SCHOOL OF PUBLIC HEALTH DEPARTMENT OF HEALTH BEHAVIOR ABSTRACT Federally qualified community health centers have a significant impact upon uninsured and low income populations in the United States by providing low cost primary care and preventive services. The purpose of this mixed methods study was to determine the impact of community health centers (CHCs) on African American males' prostate cancer screening behavior in a major Southern city. A sequential explanatory mixed method model was used to assess the differences between community health centers and similar low income clinics. Factors examined between the two groups were benefits of and barriers to prostate cancer screening trust in provider, prostate cancer knowledge, and susceptibility. A total of 135 African American males were surveyed and seven individual interviews conducted. Benefits, barriers, susceptibility, and trust scores were not statistically significant between the two groups. Findings suggest that, regardless of income, education, and insurance African American males who receive care within a CHC or other clinic lack knowledge related to prostate cancer and screening options. Keywords: African American, Prostate Cancer, Screening, CHC

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