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

Int J Environ Res Public Health. 2023 Sep 28;20(19):6859. doi: 10.3390/ijerph20196859.

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.

Keywords: black men; health inequities; oral and pharyngeal cancers; oral health; patient–dentist communication.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude to Health / ethnology
  • Black People
  • Dentist-Patient Relations*
  • Dentists*
  • Focus Groups
  • Humans
  • Male
  • Men*
  • Middle Aged
  • Oropharyngeal Neoplasms*

Grants and funding

This research was funded by American Cancer Society, grant number CHER-MSI-21-168-01-CHERC-MSI.