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This version was published on June 1, 2007
Health Education & Behavior, Vol. 34, No. 3, 422-440 (2007)
DOI: 10.1177/1090198106290751
© 2007 Society for Public Health Education

Toward a Model of Prostate Cancer Information Seeking

Identifying Salient Behavioral and Normative Beliefs Among African American Men

Levi Ross, PhD, MPH, CHES

Institute of Public Health, College of Pharmacy and Pharmaceutical Sciences, Florida A&M University, Tallahassee, levi.ross{at}famu.edu

Connie L. Kohler, DrPH

Department of Health Behavior, School of Public Health, University of Alabama at Birmingham

Diane M. Grimley, PhD

Department of Health Behavior, School of Public Health, University of Alabama at Birmingham

B. Lee Green, PhD

Department of Health & Kinesiology, Center for the Study of Health Disparities, Texas A&M University, College Station

Charkarra Anderson-Lewis, PhD, MPH, CHES

Department of Community Health Sciences, University of Southern Mississippi, Hattiesburg

Public health actions to improve African American men's ability to make informed decisions about participation in prostate cancer control activities have a greater likelihood of success when they are theory driven and informed by members of the target population. This article reports on formative research to evaluate the usefulness of the theory of reasoned action as a model to explain and predict prostate cancer information-seeking behavior by African American men. Fifty-two men participated in eight focus group interviews. Positive behavioral beliefs for obtaining prostate cancer information from physicians included increasing awareness of and obtaining accurate information about the disease, early detection and screening, and treatment. Negative beliefs included fear, distrust, and inconvenience. Significant others, peers, siblings, and religious leaders were identified as individuals who could influence this behavior. These findings provide additional insight into ways to reach and intervene with African American men to influence this important cancer control activity.

Key Words: African American men • focus groups • information seeking • theory of reasoned action


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