Examining Constructs of the Health Belief Model as Predictors of Haitian Men's Intention Regarding Prostate Cancer Screening
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Background: The most recent report of Global Burden of Cancer (GLOBOCAN) indicated the incidence rate of prostate cancer in Haiti as 38.6 and the mortality rate as 32.3 per 100,000. The literature supports a high correlation between early prostate cancer screening and low mortality rate from the disease. Yet, the participation of Haitian men in prostate cancer screening remains low (Kleier, 2010). The literature has a lack of research on this matter, which presented the gap to be examined.
Purpose: The purpose of this study was to determine which of these selected constructs of the Health Belief Model (perceived susceptibility, perceived benefits, and perceived barriers) are predictors to the intention of Haitian men regarding prostate cancer screening. Other modifying variables were also considered as predictors to the outcome variable.
Theoretical Framework: The Health Belief Model (HBM) was utilized as the primary guide for the study; the Purnell Model for Cultural Competence served a complementary lens to account for any cultural gap studying this population.
Method: A correlational, predictive cross-section design was used to obtain a convenience sample in Haiti (N = 200). The Champion HBM scale was adapted and modified for prostate cancer; it was administered in Haitian Creole and French. Data were analyzed through descriptive, correlation, logistic regression, and the nonparametric Kruskal-Wallis (H) analysis of variance (ANOVA) to determine predictive correlation among the variables.
Results: Seven hypotheses were tested; all but one was supported. Perceived benefits were found to have a predictive relationship to Haitian men’s intent to screen for prostate v cancer [ c2 (3) = 14.47, p = .00]. Further, the nonsignificant Hosmer and Lemeshow statistic, c2 (8) = 4.33, p = .83 supports that the data was a good fit for the model. No other variable was found to be significant.
Conclusion: The findings from this study can be utilized by nurses and other healthcare professionals to generate and implement culturally appropriate interventions; consequently, these interventions will decrease the morbidity and mortality rates of prostate cancer among Haitian men in Haiti and abroad.
|Review Type||None: Degree-based Submission|
|Evidence Level||Cross-Sectional Study|
|Research Approach||Quantitative Research|
|CINAHL Subject(s)||Health Belief Model;
Prostatic Neoplasms--Prevention and Control;
Prostatic Neoplasms--Psychosocial Factors;
Attitude to Health;
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