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‘It don't make sense to worry too much’ : the experience of prostate cancer in African-Caribbean men in the UK

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Nanton, Veronica, 1951- and Dale, Jeremy, 1958-. (2011) ‘It don't make sense to worry too much’ : the experience of prostate cancer in African-Caribbean men in the UK. European Journal of Cancer Care, Vol.20 (No.1). pp. 62-71. ISSN 0961-5423

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Official URL: http://dx.doi.org/10.1111/j.1365-2354.2009.01155.x

Abstract

The incidence of prostate cancer among African-Caribbean men in the UK is three times that among men from the majority population. Little attention, however, has been given to the perceptions and experiences of treatment and care of men from these communities with prostate cancer. This qualitative study is the first such investigation, situating men's accounts within the context of their personal history and social environment. Using a community-based, snowball sampling method, 16 first generation African-Caribbean men living in Central England were recruited. Similarities and divergence in men's experience were identified through thematic analysis of interview transcripts. Men's responses to their situation were influenced by aspects of migration and historical context as well as culture. While medical treatment was highly valued, common difficulties were compounded by problems of health professional–patient communication, stereotyping and insensitivity of some staff. Lack of coordination between services and agencies adversely affected the well-being of frail men and widowers. Findings suggest the need for a more proactive approach to giving and eliciting information combined with cultural diversity training. More systematic referral procedures and information exchange between African-Caribbean men with prostate cancer and their general practitioner, hospital, social care and voluntary agencies, churches and community organisations are indicated.

Item Type: Journal Article
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Prostate -- Cancer -- Patients, Blacks -- Great Britain -- Health and hygiene, Health attitudes, Health behavior, Qualitative research
Journal or Publication Title: European Journal of Cancer Care
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0961-5423
Date: January 2011
Volume: Vol.20
Number: No.1
Page Range: pp. 62-71
Identification Number: 10.1111/j.1365-2354.2009.01155.x
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: Cancer Research UK (CRUK)
URI: http://wrap.warwick.ac.uk/id/eprint/37272

Data sourced from Thomson Reuters' Web of Knowledge

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