An individual’s motivation to screen for cancer is influenced by knowledge of cancer prevalence and perceived likelihood of being diagnosed. While the relationships between health and masculinity, identity, and attachment have been reported, much less is known as to how these factors influence the decision to screen for cancer. This study aimed to determine the influence identified health and social factors have on cancer screening among Black men. Participants (N = 369) were surveyed on questions assessing cancer knowledge, belief about cancer diagnoses, masculinity, self-esteem, attachment style, ethnic identity, and additional social and health characteristics. Results from the multivariate model showed that education, ethnic identity, masculinity, and attachment were significant indicators of cancer screening. Cancer screenings among Black men are contingent upon a myriad of psychological, social, and behavioral factors that are not exclusive, but rather coexisting determinants of health. Understanding the motivation for cancer screening among Black men may begin to diminish the prevalence of having an imminent and aggressive stage of diagnosis among this gendered population. Focusing exclusively on Black men enhances our understanding of this adult population by considering their identity as men of color, while recognizing unique factors that modify actions at the individual, institutional, and policy levels.
Addis, M. E., & Mahalik, J. R. (2003). Men, Masculinity and the Contexts of Help Seeking. American Psychologist, 58, 5-14. http://dx.doi.org/10.1037/0003-066X.58.1.5
Armitage, C. J., & Harris, P. R. (2006). The Influence of Adult Attachment on Symptom Reporting: Testing a Mediational Model in a Sample of the General Population. Psychology and Health, 21, 351-366. http://dx.doi.org/10.1080/14768320500223479
Baker, T. A., & Whitfield, K. E. (2006). Physical Functioning in Older Blacks: An Exploratory Study Identifying Psychosocial and Clinical Predictors. Journal of the National Medical Association, 98, 1114-1120.
Baker, T. A., Roker, R., Collins, H. R., Johnson-Lawrence, V., Thorpe, R. J., Mingo, C. A., & Vasquez, E. (2016). Beyond Race and Gender: Measuring Behavioral and Social Indicators of Pain Treatment Satisfaction in Older Black and White Cancer Patients. Gerontology & Geriatric Medicine, 1-8. http://dx.doi.org/10.1177/2333721415625688
Bowlby, J. (1982). Attachment and Loss: Retrospect and Prospect. American Journal of Orthopsychiatry, 52, 664. http://dx.doi.org/10.1111/j.1939-0025.1982.tb01456.x
Braveman, P. (2015). Health Inequalities by Class and Race in the US: What Can We Learn from the Patterns? Social Science & Medicine, 74, 665-667. http://dx.doi.org/10.1016/j.socscimed.2011.12.009
Brodie, M., Kjellson, N., Hoff, T., & Parker, M. (1999). Perceptions of Latinos, African Americans, and Whites on Media as a Health Information Source. Howard Journal of Communication, 10, 147-167. http://dx.doi.org/10.1080/106461799246799
Calnan, M., & Rutter, R. (1986). Preventive Health Practices and Their Relationship with Socio-Demographic Characteristics. Health Educational Resources, 1, 247-253. http://dx.doi.org/10.1093/her/1.4.247
Calvert, W. J., & Isaac-Savage, E. P. (2013). Motivators and Barriers to Participating in Health Promotions Behaviors in Black Men. Western Journal of Nursing Research, 35, 829-848. http://dx.doi.org/10.1177/0193945913480429
Calvert, W. J., Isacc, E. P., & Johnson, S. (2012). Health-Related Quality of Life and Health-Promoting Behaviors in Black men. Health & Social Work, 37, 19-27. http://dx.doi.org/10.1093/hsw/hls001
Centers for Disease Control. (2014). Leading Causes of Death in Males United States. http://www.cdc.gov/men/lcod/
Ciechanowski, P. S., Walker, E. A., Katon, W. J., & Russo, J. E. (2002). Attachment Theory: A Model for Health Care Utilization and Somatization. Psychosomatic Medicine, 64, 660-667.
Ciechanowski, P., Sullivan, M., Jensen, M., Romano, J., & Summers, H. (2003). The Relationship of Attachment Style to Depression, Catastrophizing and Health Care Utilization in Patients with Chronic pain. Pain, 104, 627-637. http://dx.doi.org/10.1016/S0304-3959(03)00120-9
Courtenay, W. H. (2000). Engendering Health: A Social Constructionist Examination of Men’s Health Beliefs and Behaviors. Psychology of Men & Masculinity, 1, 4-15. http://dx.doi.org/10.1037/1524-9220.1.1.4
Delva, J., O’Malley, P., & Johnston, L. (2006). Racial/Ethnic and Socioeconomic Status Differences in Overweight and Health-Related Behaviors among American Students: National Trends 1986-2003. Journal of Adolescent Health, 39, 536-545. http://dx.doi.org/10.1016/j.jadohealth.2006.02.013
Dovidio, J. F., & Fiske, S. T. (2012). Under the Radar: How Unexamined Biases in Decision-Making Processes in Clinical Interactions Can Contribute to Health Care Disparities. American Journal of Public Health, 102, 945-952. http://dx.doi.org/10.2105/AJPH.2011.300601
Ellemers, N., & Haslam, S. A. (2011). Social Identity Theory. Handbook of Theories of Social Psychology, 2, 379-398.
Feeney, J. A. (2000). Implications of Attachment Style for Patterns of Health and Illness. Child: Care, Health and Development, 26, 277-288. http://dx.doi.org/10.1046/j.1365-2214.2000.00146.x
Gadson, S. L. (2006). The third World Health Status of Black American Males, Journal of the National Medical Association, 98, 488-491.
Gatchel, R. J. (2004). Comorbidity of Chronic Pain and Mental Health Disorders: the Biopsychosocial Perspective. American Psychologist, 59, 795-805. http://dx.doi.org/10.1037/0003-066X.59.8.795
Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health Behavior and Health Education: Theory, Research, and Practice. New York: John Wiley & Sons.
Harrison, J., Chin, J., &Ficarrotto, T. (1992). Warning: Masculinity May Be Dangerous to Your Health. In M. S. Kimmel, & M. A. Messner (Eds.), Men’s Lives (pp. 271-285). New York: Macmillan Press.
Haslam, S. A., Jetten, J., Postmes, T., & Haslam, C. (2009). Social Identity, Health and Well-Being: An Emerging Agenda for Applied Psychology. Applied Psychology, 58, 1-23. http://dx.doi.org/10.1111/j.1464-0597.2008.00379.x
Himmelstein, M. S., & Sanchez, D. T. (2014). Masculinity Impediments: Internalized Masculinity Contributes to Healthcare Avoidance in Men and Women. Journal of Health Psychology, Published Online before Print. http://dx.doi.org/10.1177/1359105314551623
Huntsinger, E. T., & Luecken, L. J. (2004). Attachment Relationships and Health Behavior: The Mediational Role of Self-Esteem. Psychology & Health, 19, 515-526. http://dx.doi.org/10.1080/0887044042000196728
Jetten, J., Haslam, C., & Alexander, S. H. (Eds.). (2012). The Social Cure: Identity, Health and Well-Being. Psychology Press.
Kaplan, M., Newson, J., McFarland, B., & Lu, L. (2001). Demographic and Psychosocial Correlates of Physical Activity in Late Life. American Journal of Preventive Medicine, 21, 306-312. http://dx.doi.org/10.1016/S0749-3797(01)00364-6
Laverie, D. A. (1998). Motivations for Ongoing Participation in a Fitness Activity. Leisure Sciences, 20, 277-302. http://dx.doi.org/10.1080/01490409809512287
Levant, F., Hall, J., & Rankin, T. (2013). Male Role Norms Inventory-Short Form (MRNI-SF): Development, Confirmatory Factor Analytic Investigation of Structure, and Measurement Invariance across Gender. Journal of Counselling Psychology, 60, 228-238. http://dx.doi.org/10.1037/a0031545
Levin, B., Lieberman, D. A., McFarland, B., Smith, R. A., Brooks, D., Andrews, K. S., Pickhardt, P., et al. (2008). Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous Polyps, 2008: A Joint Guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA: Cancer Journal for Clinicians, 58, 130-160. http://dx.doi.org/10.3322/ca.2007.0018
Lo, C., Walsh, A., Mikulincer, M., Gagliese, L., Zimmermann, C., & Rodin, G. (2009). Measuring Attachment Security in Patients with Advanced Cancer: Psychometric Properties of a Modified and Brief Experiences in Close Relationships Scale. Psycho-Oncology, 18, 490-499. http://dx.doi.org/10.1002/pon.1417
Lumpkins, C. Y., Vanchy M. S., Baker, T. A., Daley, C., Ndikum-Moffor, F. & Greiner, K. A. (2015). Marketing a Healthy Mind, Body and Soul—An Analysis of How African American Men View the Church as a Social Marketer and Health Promoter of Colorectal Cancer Risk and Prevention. Health Education & Behavior, Epub Ahead of Print. http://dx.doi.org/10.1177/1090198115604615
Mahalik, J. R., & Burns, S. M. (2011). Predicting Health Behaviors in Young Men That Put Them at Risk for Heart Disease. Psychology of Men & Masculinity, 12, 1-12. http://dx.doi.org/10.1037/a0021416
Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007). Masculinity and Perceived Normative Health Behaviors as Predictors of Men’s Health Behaviors. Social Science & Medicine, 64, 2201-2209. http://dx.doi.org/10.1016/j.socscimed.2007.02.035
Mahalik, J. R., Pierre, M. R., & Wan, S. S. C. (2006). Examining Racial Identity and Masculinity as Correlates of Self-Esteem and Psychological Distress in Black Men. Journal of Multicultural Counseling and Development, 34, 94-104. http://dx.doi.org/10.1002/j.2161-1912.2006.tb00030.x
Mankowski, E. S., & Maton, K. I. (2010). A Community Psychology of Men and Masculinity: Historical and Conceptual Review. American Journal of Community Psychology, 45, 73-86. http://dx.doi.org/10.1007/s10464-009-9288-y
Marmot, M. (2003). Self-Esteem and Health: Autonomy, Self-Esteem, and Health Are Linked Together. BMJ, 327, 574-575. http://dx.doi.org/10.1136/bmj.327.7415.574
Marmot, M. (2005). Social Determinants of Health Inequalities. Lancet, 365, 1099-1104. http://dx.doi.org/10.1016/S0140-6736(05)74234-3
Marmot, M., Friel, S., Bell, R., Houweling, T. A. J., & Taylor, S. (2008). Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Lancet, 372, 1661-1669. http://dx.doi.org/10.1016/S0140-6736(08)61690-6
Mayer, D. K., Terrin, N. C., Kreps, G. L., Menon, U., McCance, K., Parsons, S. K., & Mooney, K. H. (2007). Cancer Survivors Information Seeking Behaviors: A Comparison of Survivors Who Do and Do Not Seek Information about Cancer. Patient Education and Counseling, 65, 342-350. http://dx.doi.org/10.1016/j.pec.2006.08.015
Mikulincer, M., & Shaver, P. R. (2007). Boosting Attachment Security to Promote Mental Health, Prosocial Values, and Inter-Group Tolerance. Psychological Inquiry, 18, 139-156. http://dx.doi.org/10.1080/10478400701512646
National Cancer Institute (2016). Surveillance, Epidemiology, and End Results Program, Fast Facts, Age-Adjusted SEER Incidence Rates by Sex All Sites All Ages. http://seer.cancer.gov/statfacts/html/prost.html
Oyserman, D., Fryberg, S. A., & Yoder, N. (2007). Identity-Based Motivation and Health. Journal of Personality and Social Psychology, 93, 1011-1027. http://dx.doi.org/10.1037/0022-3514.93.6.1011
Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press.
Sakaluk, J. K., & Gillath, O. (2015). The Causal Effects of Relational Security and Insecurity on Condom Use Attitudes and Acquisition Behavior. Archives of Sexual Behavior, 45, 339-352. http://dx.doi.org/10.1007/s10508-015-0618-x
Schulz, A., & Northridge, M.E. (2004). Social Determinants of Health: Implications for Environmental Health Promotion. Health Education & Behavior, 31, 455-470. http://dx.doi.org/10.1177/1090198104265598
Simpson, J. A., Rholes, W. S., Orina, M. M., & Grich, J. (2002). Working Models of Attachment, Support Giving, and Support Seeking in a Stressful Situation. Personality and Social Psychology Bulletin, 28, 598-608. http://dx.doi.org/10.1177/0146167202288004
Smith, R. A., Cokkinides, V., von Eschenbach, A. C., Levin, B., Cohen, C., Runowicz, C. D., Eyre, H. J., et al. (2002). American Cancer Society Guidelines for the Early Detection of Cancer. CA: Cancer Journal for Clinicians, 52, 8-22. http://dx.doi.org/10.3322/canjclin.52.1.8
Tajfel, H. (1972). Experiments in a Vacuum. In J. Israel, & H. Tajfel (Eds.), The Context of Social Psychology: A Critical Assessment (pp. 69-119). London: Academic Press.
US Department of Health and Human Services, Office of Minority Health (2013). Profile: Black/African Americans. http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61
Warner, D. F., & Brown, T. H (2011). Understanding How Race/Ethnicity and Gender Define Age-Trajectories of Disability: An Intersectionality Approach. Social Science & Medicine, 72, 1236-1248. http://dx.doi.org/10.1016/j.socscimed.2011.02.034
Welch, H. G., & Albertsen, P. C. (2009). Prostate Cancer Diagnosis and Treatment after the Introduction of Prostate-Specific Antigen Screening: 1986-2005. Journal of the National Cancer Institute, 101, 1325-1329. http://dx.doi.org/10.1093/jnci/djp278
Williams, D. R. (2003). The Health of Men: Structured Inequalities and Opportunities. American Journal of Public Health, 93, 724-731. http://dx.doi.org/10.2105/AJPH.93.5.724
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/Ethnic Discrimination and Health: Findings from Community Studies. American Journal of Public Health, 93, 200-208. http://dx.doi.org/10.2105/AJPH.93.2.200
Zamora, H., & Clingerman, E. M. (2011). Health Literacy among Older Adults: A Systematic Literature Review. Journal of Gerontological Nursing, 37, 41-51. http://dx.doi.org/10.3928/00989134-20110503-02