As the third most common cause of cancer death among United States men, colorectal cancer (CRC) represents a significant threat to men's health. Although adherence to CRC screening has the potential to reduce CRC mortality by approximately half, men's current rates of adherence fall below national screening objectives. In qualitative studies, men have reported forgoing screenings involving the rectum (e.g., colonoscopy) due to concern about breaching masculinity norms. However, the extent to which masculinity beliefs predict men's CRC screening adherence has yet to be examined. The current study tested the hypothesis that greater endorsement of masculinity beliefs (i.e., self-reliance, risk-taking, heterosexual self-presentation, and primacy of work) would be associated with a lower likelihood of adherence to CRC screening with any test and with colonoscopy specifically. Participants were 327 men aged 51-75 at average risk for CRC who were accessing primary care services at a Midwestern Veterans Affairs Medical Center. Contrary to hypotheses, masculinity beliefs did not predict CRC screening outcomes in hierarchical regression analyses that controlled for demographic predictors of screening. Although results are largely inconsistent with masculinity theory and prior qualitative findings, further research is needed to determine the degree to which findings generalize to other populations and settings.

中文翻译：

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男性退伍军人的男性气质信念和结直肠癌筛查。

结直肠癌（CRC）是美国男性中第三大最常见的癌症死亡原因，对男性健康构成了重大威胁。尽管坚持CRC筛查有可能将CRC死亡率降低约一半，但男性目前的坚持率仍低于国家筛查目标。在定性研究中，由于担心违反男性气概规范，男性报告了涉及直肠的上述筛查（例如结肠镜检查）。但是，男性气概在多大程度上预测了男性对CRC筛查的依从性尚待检验。当前的研究检验了以下假设：男性气概信念（即自力更生，冒险，异性恋自我表现，和工作的首要性）与通过任何测试特别是结肠镜检查坚持CRC筛查的可能性较低相关。参与者是327名年龄在51-75岁之间，平均患CRC的男性，他们正在中西部退伍军人事务医疗中心接受初级保健服务。与假设相反，男性气质的信念并未在控制人口统计学预测因素的分层回归分析中预测CRC的筛查结果。尽管结果在很大程度上与男性气概理论和先前的定性研究结果不一致，但仍需要进一步的研究来确定研究结果在多大程度上适用于其他人群和环境。参与者是327名年龄在51-75岁之间，平均患CRC的男性，他们正在中西部退伍军人事务医疗中心接受初级保健服务。与假设相反，男性气质的信念并未在控制人口统计学预测因素的分层回归分析中预测CRC的筛查结果。尽管结果在很大程度上与男性气概理论和先前的定性研究结果不一致，但仍需要进一步的研究来确定研究结果在多大程度上适用于其他人群和环境。参与者是327名年龄在51-75岁之间，平均患CRC的男性，他们正在中西部退伍军人事务医疗中心接受初级保健服务。与假设相反，男性气质的信念并未在控制人口统计学预测因素的分层回归分析中预测CRC的筛查结果。尽管结果在很大程度上与男性气概理论和先前的定性研究结果不一致，但仍需要进一步的研究来确定研究结果在多大程度上适用于其他人群和环境。