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More from Anthony Grissett, RN, MBA
LunchandLearn Presentation Men's Heatlh
- 1. Men’s Health Cancer Prevention Education Tony Grissett, Cancer Prevention Coordinator Duval County Health Department
- 2. Presentation Goals • To provide you with the tools needed to provide culturally competent cancer risk reduction education to minority males in Duval County. • This presentation will cover: 1. Risk Factors 2. Cultural Barriers to Cancer Screenings 3. Initiatives to Address Cultural Barriers to Screening
- 4. Colon Cancer is Treatable! Early Detection Saves Lives • The earlier it’s detected, the more treatment options available! • By the time most black men go to the doctor and get diagnosed, the cancer is in Stage IV! 4
- 5. Colorectal Cancer Disparities •African American men are disproportionately impacted by colorectal cancer •To effectively address this issue requires a keen understanding of the health practices and beliefs of African
- 7. High Risk Population African American Over 40 years old Family History of Cancer High Fat/Low Fiber Diet Overweight and/or Obese Smoker
- 8. Men Tackling The Big “C” In July 2010, 100 Black Men of Jacksonville Inc., received a 3-year $350,000 from the State of Florida’s Office of Minority Health to increase awareness of the importance of regular cancer screenings in improving cancer outcomes in Northeast Florida. In January 2011, the 100 Black Men of Jacksonville received a $30,000 grant from the American Cancer Society to specifically focus on preventing colorectal cancer among African American males in Duval County. 8
- 9. Barriers to Screening Lack of Knowledge Fear Distrust of Healthcare System
- 10. Reason Why Men Don’t Get Screened! Lack of Knowledge Where is my colon and what does it do? Fear of losing manhood A real man won’t do that! Distrust of the healthcare system •Tuskegee Experiment •Failure to communicate with physicians
- 11. Barrier #1 Increase Knowledge What is a colon? The last place food stops on it’s way out of the body. What does it do? Absorbs the remaining water and minerals the waste matter moves to the rectum. Why should I get it checked? Because you can die a painful death if you don’t
- 12. Barrier #2 Confront The Fear masculinity - the trait of behaving in ways considered typical for men • Real Men Get Screened! • Real Men Face Fears, Instead of Running From Them
- 13. Barrier #3 Find a physician you can trust! Creating a Partnership 1. Find a physician that you trust. 2. Work as a team to make health decisions that work best for you. Effective Communication 1. Write out your questions in advance. 2. If you don’t understand something your doctors says, stop him or her and have them explain it again. 3. Take an advocate with you to the appointment (wife, child, friend).
- 14. Colorectal Cancer is Beatable ! Don’t wait until it’s too late! 14
- 15. Men Tackling The Big “C” www.mentacklingthebigc.com 1. Colorectal Cancer is Preventable 2. Early Detection is the Key 3. Get Screened 15
- 16. www.mentacklingthebigc.com www.100blackmenjax.org www.cancer.org For more information visit these sites: 16
Editor's Notes
- Cancer is the second leading cause of death in America, exceeded only by heart disease. Every year, cancer claims the lives of more than half a million people in the United States. Many cancer deaths could be avoided if more people practiced regular preventive screenings. Yet many adults, especially black men, are not getting regular lifesaving screenings as recommended. Not only does cancer screening save lives by detecting breast, cervical, and colorectal cancers early; it also is the first step in preventing many cases of colorectal cancer from ever developing. The National Institutes of Heath estimated that in 2005, cancer cost this country $210 billion overall, which includes nearly $136 billion for lost productivity and over $70 billion for direct medical costs.
- African Americans are disproportionately impacted by cancer. While there has been great progress in educating African American women on the importance of breast cancer screenings; African American men have not been as fortunate regarding colorectal and prostate cancers.
- In the African American community, only 33% of the cases are detected in the early stages. Most are detected in Stages 3 and 4 when treatment options are very limited and the cancer has spread to other parts of the body.
- African American men are needlessly dying from preventable and/or treatable cancers.
- Age The disease is more common in people over 50, and the chance of getting colorectal cancer increases with each decade. However, colorectal cancer has also been known to develop in younger people. Polyps Polyps are non-cancerous growths on the inner wall of the colon or rectum. While they are fairly common in people over 50. Adenomas are non-cancerous polyps that are considered precursors, or the first step toward colon and rectal cancer. Family History Parents, siblings, and children of a person who has had colorectal cancer are somewhat more likely to develop colorectal cancer themselves.. Diet. A diet high in fat and calories and low in fiber may be linked to a greater risk of developing colorectal cancer. Lifestyle Factors. You may be at increased risk for developing colorectal cancer if you drink alcohol, smoke, don't enough exercise, and if you are overweight. Diabetes People with diabetes have a 30-40% increased risk of developing colon cancer.
- We do not fully understand the causes of many cancers. However, we know it is risky not to get regular check ups and screening tests (more will be said about this later). Cancer is caused by both external factors (tobacco, chemicals, radiation, and infectious organisms) and internal factors (inherited mutations, hormones, immune conditions, and mutations that occur from metabolism). Some people are more sensitive than others to factors that can cause cancer. Cancer develops gradually as a result of a complex mix of factors related to environment, lifestyle, aging, and heredity. Scientific evidence suggests that about one third of cancer deaths will be related to obesity, physical inactivity, and nutrition and thus could also be prevented. Certain cancers are related to infectious agents, such as hepatitis B virus (HBV), human papillomavirus (HPV), and human immunodeficiency virus (HIV) and could be prevented through behavioral changes, vaccines, or antibiotics. In addition, many of the more than 1 million skin cancers that are expected to be diagnosed in 2007 could have been prevented by protection from the sun’s rays. Ten or more years may pass between the time we are exposed to things that may cause cancer and the time cancer is actually detected. Having one or more of these risk factors does not guarantee that you will develop colorectal cancer. However, you should talk about these risk factors with your doctor. He or she may be able to suggest ways to reduce your chances of developing colorectal cancer.
- Men Tackling The Big C is a program that provides cancer prevention education to African American men in Northeast Florida. This program trains barbers to provide cancer risk reduction education to their clients. These barbers are trained to overcome the barriers that prevent men from screening.
- Knowledge – Ask the average man where his colon is and what it’s function is and some may have a general idea, but most won’t be able to easily articulate the answer. Breast and Lung Cancers are easy to talk about because there is a general understanding as to how cancer affects those sites. However, if a man isn’t sure of where his colon is and/or what its used for then he had no motivation to fight for it’ Fear – A real man ain’t going to let anyone play with his backside. In fact, he’d die first. Distrust- The United States healthcare system is plagued with examples of harming as opposed to helping men of color. The Tuskegee Experiment maybe the most infamous, but fathers, grandfathers and great grandfathers easily relay personal accounts of feeling dehumanized, emasculated and disrespected when pursing medical treatment. Also, many men have a difficult time communicating with physicians, who metaphorically and many times literally speak a different language.
- Overcoming the “Knowledge” barrier. As a Cancer Prevention Coach, your first task is to educate men on “What the colon is” and “What the colon does”. Don’t use medical terms. Break it down to the basics. The colon is the last place food goes before it leaves the body!
- Black men seem to be more afraid of the screening than the cancer. Participating in colorectal screenings won’t make you gay or less masculine. This fear of emasculation is something that men joke about, but behind the laughter is a paralyzing fear that you, as a Cancer Prevention Coach, must tackle. A strategy to overcome this fear is utilizing the Steve Harvey: I’m Still Laughing DVD. As well as, having men you know who have undergone a colonoscopy share their story. This will also address the second barrier… fear of pain. There is NO PAIN associated with having a colonoscopy. Those who have completed the screening will tell you that the most uncomfortable part of the process is the cleansing process the day before the screening. Finally, we must help men understand that it is better “to know” than “not knowing”. In the early stages there will be no signs and symptoms associated with colorectal cancer. However, if not diagnosed the cancer will continue to grow out of control causing unintentional weight loss, fatigue, bleeding, cramps, nausea and vomiting with bought of both constipation and diarrhea. Not knowing, only leads to a painful, debilitating illness that could have easily been prevented.
- It is very hard to believe something told to you by someone you distrust. That’s why it is so important to find a physician that you can relate too, and one you feel has your best interest at heart. We must also begin to look at the physician/patient relationships differently. Physician are “partners” not “dictators”. There role is to provide information and opinions, then discuss with you, what is best for your. You have the final say when it comes to treatment.
- This graph shows the five year survival rate based on the stage at which colon cancer is discovered. The later the stage, the less likely you are to survive. Unfortunately, most black men with colon cancer are diagnosed in Stage 3 or Stage 4.
- This is a resource that nurses can share with their African American male patients.