Masculinity Barriers to Ever Completing Colorectal Cancer Screening among American Indian/Alaska Native, Black, and White Men (Ages 45–75)

Charles R. Rogers, David G. Perdue, Kenneth Boucher, Kevin M. Korous, Ellen Brooks, Ethan Petersen, John M. Inadomi, Fa Tuuhetaufa, Ronald F. Levant and Electra D. Paskett
Additional contact information
Charles R. Rogers: Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
David G. Perdue: MNGI Digestive Health, Minneapolis, MN 55413, USA
Kenneth Boucher: Cancer Biostatistics Shared Resource, Huntsman Cancer Institute, Salt Lake City, UT 84112, USA
Kevin M. Korous: Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
Ellen Brooks: Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
Ethan Petersen: Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
John M. Inadomi: Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA
Fa Tuuhetaufa: Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
Ronald F. Levant: Department of Psychology, The University of Akron, Akron, OH 44325, USA
Electra D. Paskett: Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH 43210, USA

IJERPH, 2022, vol. 19, issue 5, 1-12

Abstract: Disparities in colorectal cancer (CRC) mortality among White, Black, and American Indian/Alaska Native (AIAN) men are attributable to differences in early detection screening. Determining how masculinity barriers influence CRC screening completion is critical for cancer prevention and control. To determine whether masculinity barriers to medical care are associated with lower rates of ever completing CRC screening, a survey-based study was employed from December 2020–January 2021 among 435 White, Black, and AIAN men (aged 45–75) who resided in the US. Logistic regression models were fit to four Masculinity Barriers to Medical Care subscales predicting ever completing CRC screening. For all men, being strong was associated with 54% decreased odds of CRC screening completion (OR 0.46, 95% CI 0.23 to 0.94); each unit increase in negative attitudes toward medical professionals and exams decreased the odds of ever completing CRC screening by 57% (OR 0.43, 95% CI 0.21 to 0.86). Black men who scored higher on negativity toward medical professionals and exams had decreased odds of ever screening. Consideration of masculinity in future population-based and intervention research is critical for increasing men’s participation in CRC screening, with more salience for Black men.

Keywords: colonic neoplasms; men’s health; early detection of cancer; minority health; Indigenous peoples; health equity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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