Gender and ethnic differences in colorectal cancer screening embarrassment and physician gender preferences.

Abstract:

PURPOSE/OBJECTIVES:To examine colorectal cancer (CRC) screening embarrassment among men and women from three ethnic groups and the associated physician gender preference by patient gender and ethnicity. DESIGN:Cross-sectional, purposive sampling. SETTING:Urban community in Brooklyn, NY. SAMPLE:A purpose-derived, convenience sample of 245 European American, African American, and immigrant Jamaican men and women (aged 45-70 years) living in Brooklyn, NY. METHODS:Participants provided demographics and completed a comprehensive measure of CRC screening embarrassment. MAIN RESEARCH VARIABLES:Participant gender and ethnicity, physician gender, and CRC screening embarrassment regarding feces or the rectum and unwanted physical intimacy. FINDINGS:As predicted, men and women both reported reduced fecal and rectal embarrassment and intimacy concern regarding same-gender physicians. As expected, Jamaicans reported greater embarrassment regarding feces or the rectum compared to European Americans and African Americans; however, in contrast to expectations, women reported less embarrassment than men. Interactions indicated that rectal and fecal embarrassment was particularly high among Jamaican men. CONCLUSIONS:Men and women have a preference for same-gender physicians, and embarrassment regarding feces and the rectum shows the most consistent ethnic and gender variation. IMPLICATIONS FOR NURSING:Discussing embarrassment and its causes, as well as providing an opportunity to choose a same-gender physician, may be promising strategies to reduce or manage embarrassment and increase CRC screening attendance.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Consedine NS,Reddig MK,Ladwig I,Broadbent EA

doi

10.1188/11.ONF.E409-E417

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

E409-17

issue

6

eissn

0190-535X

issn

1538-0688

pii

N0306051H2T5P077

journal_volume

38

pub_type

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