Abstract
Objectives: In Curaçao, men participate half as often as women in colorectal cancer (CRC) screening. Conformity to masculine norms may W ith nearly 2 million new cases and 1 million influence participation. This study aimed to assess the level of conformity to masculine norms and the intention to participate in CRC screening among deaths worldwide in 2020, colorectal cancer men in Curaçao. We also assessed the association between the two. (CRC) carries a significant global health bur- M th e ro t u h g od h s p : e Q r u so e n st a io l n d n is a tr i i r b e u s t w io e n r e a n c d o l s le no c w te b d a f l r l o s m am m p e lin n g ( . 5 T 0 h – e 75 C y o e n a fo rs r ) m in it C y u to ra çao, den. 1 CRC screening aims to detect CRC and its precur- Masculine Norms Inventory-30 (CMNI-30) was used. CRC screening sors at an earlier stage, thereby reducing CRC morbidity p ris a k r t p ic e i r p c a e t p io t n io , n a w tti e tu re d e a s ls t o o w m a e r a d s s u C re R d C u , s c in a g n c va er li d w a o t r e ry d , i s n e s l t f r – u ra m te e d n t h s. e R a e lt g h r e a s n s d io n C RC and mortality. 2–5 analysis determined association between CMNI-30 and intention, while CRC screening participation varies based on population ANOVA measured differences in CMNI-30 means.
Results: Of 109 men, 83 % reported a positive screening intention. Conformity attributes. 2 There are differences in CRC screening uptake to masculine norms was moderate, mean CMNI-30 was 75.2 ±11.3 (30–150). between the sexes, with men less likely to participate than C 0. M 98 N , I 9 -3 5 0 % s c C o I: r e 0. 9 w 4 a – s 1 . n 0 o 2 t ; P si g = n 0 ifi .4 c 7 a ) n . t S ly c o a r s in so g c h ia ig te h d er w o i n th t h sc e r e C e M n N in I g -3 i 0 n t p e la nt y io b n o y ( OR: women. 5–8 CRC incidence and CRC-related mortality are subscale (OR:0.73, 95 % CI: 0.54–0.99; P = 0.04) was associated with negative higher in men. 2 , 4 , 5 Fur ther more, men tend to be diagnosed CRC screening intention. Overall, 89 % of the men had a positive attitude towards CRC screening, cancer worry was high for 68 %, 75 % rated their with CRC at a younger age. 2 , 6–8 Sex-based differences in h sig ea ni l fi th c a a n s t “ ly g l o o o w d e ” r a fo n r d m ri e sk n p w e h rc o e p p a ti r o tic n ip w a a t s e l d o w in f C or R 8 C 8 s % c . r e C e M n N in I g -3 ( 0 P m = e 0 a .0 n 4 w ) a a n s d participation have also been observed in the CRC screensignificantly higher for those with high cancer worry ( P = 0.002). ing program on the Caribbean Island, Curaçao. During the
Conclusions: The men in this study showed moderate conformity to masculine first three years of the program (2020–2023), men particinorms, high CRC screening intention and no association between the two. The CMNI-30 mean was significantly lower for those who participated in CRC pated half as often as women. 9 screening and higher for high cancer worry. A poss