An Exploration of Black Men’s Attitudes and Experiences Communicating with Dentists about Oral and Pharyngeal Cancer

Author:

Smith Patrick D.1ORCID,Weatherspoon Darien J.2ORCID,Bailey Tiosha3,Peterson Caryn E.3,Murray Marcus4,Bekoe Osei5,Shadamoro Anuoluwapo1,Osazuwa-Peters Nosayaba67ORCID,Nu-Tall Kimberly5

Affiliation:

1. College of Dentistry, University of Illinois Chicago, 801 S. Paulina St., Chicago, IL 60612, USA

2. School of Dentistry, University of Maryland, 650 W. Baltimore St., Baltimore, MD 21201, USA

3. School of Public Health, University of Illinois Chicago, 1603 W. Taylor St., Chicago, IL 60612, USA

4. Project Brotherhood, 1510 E. 55th Street, P.O. 15282, Chicago, IL 60615, USA

5. University of Illinois Cancer Center, 818 S. Wolcott St., Chicago, IL 60612, USA

6. Department of Head & Neck Surgery & Communications Sciences, School of Medicine, Duke University, Durham, NC 27710, USA

7. Duke Cancer Institute, Duke University, Durham, NC 27705, USA

Abstract

Background: Poor oral and pharyngeal cancer (OPC) survival among Black men is partially due to their limited knowledge about OPCs, which is exacerbated by dentists’ limited training and discomfort in discussing OPC risk factors. The purpose of this study was to assess the attitudes and experiences that Black men have communicating with dentists about OPCs. Methods: To qualitatively assess these attitudes and experiences, a focus group guide and recruitment strategy were developed using a community engagement approach. Data were analyzed using grounded theory. Results: Twenty-three self-identified Black men participated in three focus groups through the Zoom platform (mean age of 46.1 years). Four main themes emerged, which identified that participants: (1) had little knowledge of OPCs; (2) felt that addressing OPC risk among Black men was not a priority for dentists; (3) stressed the importance of dentists acknowledging the complexity of how race and gender affects Black men’s healthcare experiences; and (4) expressed a benefit to receiving information from multiple social networks. Conclusion: The focus groups provided context for how dentists might engage with Black men in discussions about OPC prevention and treatment.

Funder

American Cancer Society

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference30 articles.

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2. National Cancer Institute, Surveillance, Epidemiology, and End Results Program (2023, June 08). SEER Explorer. Oral Cavity and Pharynx, Available online: https://seer.cancer.gov/statistics-network/explorer/application.html?site=3&data_type=4&graph_type=5&compareBy=race&chk_race_1=1&chk_race_3=3&series=9&sex=2&age_range=1&stage=101&advopt_precision=1&advopt_show_ci=on&hdn_view=0#resultsRegion0.

3. Office of Disease Prevention and Health Promotion (ODPHP) (2021, September 02). nd. Healthy People 2030. Increase the Proportion of Oral and Pharyngeal Cancers Detected at the Earliest State-OH7, Available online: https://health.gov/healthypeople/objectives-and-data/browse-objectives/oral-conditions/increase-proportion-oral-and-pharyngeal-cancers-detected-earliest-stage-oh-07.

4. Overlooked and underserved: Improving the health of men of color;Satcher;Am. J. Public Health,2003

5. Awojobi, O., Scott, S.E., and Newton, T. (2012). Patients’ perceptions of oral cancer screening in dental practice: A cross-sectional study. BMC Oral Health, 12.

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