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American Journal of Men's Health, Vol. 1, No. 1, 73-80 (2007)
DOI: 10.1177/1557988306295305
© 2007 SAGE Publications

Testicular Cancer Among African American College Men: Knowledge, Perceived Risk, and Perceptions of Cancer Fatalism

Barbara D. Powe, PhD, RN

Behavioral Research Center, American Cancer Society, Atlanta, GA, Barbara.Powe{at}cancer.org

Louie Ross, PhD

Centers for Disease Control and Prevention, Atlanta, GA

Donoria Wilkerson, BS

Behavioral Research Center, American Cancer Society, Atlanta, GA

Patrice Brooks, BA

Behavioral Research Center, American Cancer Society, Atlanta, GA

Dexter Cooper, MPH

Behavioral Research Center, American Cancer Society, Atlanta, GA

African American men present at later stages of testicular cancer and have higher mortality rates than Caucasian men. Lack of awareness, beliefs, and access to care may influence this disparity. Guided by the Powe fatalism model, this comparative study assessed knowledge of testicular cancer, perceived risk, and cancer fatalism among African American and Caucasian men who attended selected colleges and universities. Data were collected using the Powe Fatalism Inventory, the Testicular Cancer Knowledge Survey, and the Perceived Cancer Risk Survey. The majority (n = 190) of men were African American (70%), and the remainder were Caucasian. African American men were significantly younger than Caucasian men. African American men also had lower testicular cancer knowledge scores, higher perceptions of cancer fatalism, and lower perceived risk for the disease. Rates of testicular cancer screening were low for all the men. Research should focus on further understanding the relationship between cancer fatalism and health-promoting behaviors among African American men.

Key Words: testicular cancer • knowledge • cancer fatalism • African American men • historical Black colleges and universities


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