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Measuring Factors Associated with Colorectal Cancer Screening among Young Adult African American Men: A Psychometric Study

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Abstract

The Male Role Norms, Knowledge, Attitudes, and Perceptions associated with Colorectal Cancer Screening (MKAP-CRCS) survey was developed to assess the attitudes, knowledge, male role norms, perceived barriers, and perceived subjective norms associated with screening for colorectal cancer (CRC) among young adult African American men. There is a critical need for exploring the complex factors that may shape attitudes towards CRC screening among men who are younger (i.e., ages 19–45) than those traditionally assessed by clinicians and health promotion researchers (age 50 and older). Psychometrically sound measures are crucial for eliciting valid and reliable data on these factors. The current study, therefore, assessed the psychometric properties of the MKAP-CRCS instrument using an online sample of young adult African American men (N = 157) across the United States. Exploratory principal component factor analyses revealed that the MKAP-CRCS measure yielded construct valid and reliable scores, suggesting that the scale holds promise as an appropriate tool for assessing factors associated with CRC screening among younger African American men. Strengths and limitations of this study, along with directions for future research are discussed, including the need for more research examining the relationship between masculinity and CRC screening among African American men.

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Acknowledgements

The authors extend gratitude to the participants who made the study possible.

Funding

The authors disclose receipt of funding for the study and/or authorship of this article: Dr. Charles Rogers’ work on this article was supported by the Transdisciplinary Center for Health Equity Research at Texas A&M University (TAMU), and the National Cancer Institute of the National Institutes of Health (NIH) under Award Number R25CA163184. Dr. Patricia Goodson received no financial support for the research and/or authorship of this article. O. Jessica Obidike’s work on this article was supported by the NIH under Award Number R25CA163184 and the Office for Business & Community Economic Development at the University of Minnesota (UMN). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH, UMN, or TAMU.

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Correspondence to Charles R. Rogers.

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Dr. Charles Rogers declares he has no conflict of interest. Dr. Patricia Goodson declares she has no conflict of interest. Lastly, Ms. O. Jessica Obidike also declares she has no conflict of interest.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. As aforementioned in the Procedure section, informed consent was obtained from each participant prior to completing the survey.

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Rogers, C.R., Goodson, P. & Obidike, O.J. Measuring Factors Associated with Colorectal Cancer Screening among Young Adult African American Men: A Psychometric Study. J Immigrant Minority Health 20, 101–106 (2018). https://doi.org/10.1007/s10903-016-0523-y

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