Obesity and prostate cancer screening among african-american and caucasian men

The Prostate ◽  
2006 ◽  
Vol 66 (13) ◽  
pp. 1371-1380 ◽  
Author(s):  
Jay H. Fowke ◽  
Lisa B. Signorello ◽  
Willie Underwood ◽  
Flora A.M. Ukoli ◽  
William J. Blot
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Caucasian Men

scholarly journals Prostate Cancer Screening in African American Men: Barriers and Methods for Improvement

2008 ◽  
Vol 2 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Diane Reynolds
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
Access To Health Care ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Medical Profession ◽  
Inadequate Knowledge ◽  
Incidence And Mortality ◽  
Caucasian Men

African American men have the highest rate of incidence for prostate cancer in the world and are more likely to die from the disease than other ethnic groups (National Institutes of Health, 1996). Routine screening for prostate cancer can lead to early detection of the disease, thereby reducing negative outcomes, but studies have shown that African American men are less likely than Caucasian men to engage in screening practices. Lack of access to health care, socioeconomic status, inadequate knowledge, fear, patient-provider communication, distrust of the medical profession, and aversion to digital rectal exam have been identified as possible barriers to prostate cancer screening in African American men. This literature review explores causes of this striking disparity between prostate cancer incidence and mortality in African American men and cites strategies used to improve prostate cancer screening rates among this population.

Contemporary racial disparities in PSA screening in a large, integrated health care system.

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 308-308
Author(s):  
James T. Kearns ◽  
Oluwaseun Adeyemi ◽  
William E. Anderson ◽  
Timothy C. Hetherington ◽  
Yhenneko J. Taylor ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
Racial Disparities ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Psa Screening ◽  
Psa Testing ◽  
Caucasian Men ◽  
Clinical Records

308 Background: The USPSTF prostate cancer screening guidelines have changed significantly in the past decade, from a recommendation of do not screen in 2012 to a 2018 recommendation that focuses on shared decision making. Additionally, most guidelines further acknowledge that African American men should be screened more intensively than Caucasian men due to increased incidence of prostate cancer and increased prostate cancer mortality. Our objective was to characterize racial disparities in PSA screening in a large healthcare system with a diverse patient population to understand contemporary trends. Methods: This retrospective cohort study used data from the Atrium Health Enterprise Data Warehouse, which includes clinical records from over 900 care locations across North Carolina, South Carolina, and Georgia. Participants included all men ≥ 40 years seen in the ambulatory or outpatient setting during 2014-2018. PSA testing was determined through laboratory data. Clinical and demographic data were collected. Between-group comparisons were conducted using generalized estimating equations models to account for within-subject correlation. Statistical significance was defined as p < 0.05. Results: There were 582,846 individual men seen from 2014-2018, including 416,843 Caucasians (71.5%) and 85,773 African Americans (14.7%). Screening rates declined among all groups from 2014-2018 (see table). African American men were screened at a similar or lower rate than Caucasian men in each year (from 18.6% vs 19.0% in 2014 to 11.9% vs 12.2% in 2018, respectively). Conclusions: PSA screening declined significantly between 2014 and 2018. African American men screened at a similar or lower rate than Caucasian men each year. Given the consensus that African American men should be more intensively screened for prostate cancer, significant racial disparities remain in prostate cancer screening. Further study is warranted to understand patient, provider, and system factors that contribute to disparities in prostate cancer care and outcomes.[Table: see text]

Prostate cancer screening between low-income African-American and Caucasian men☆

2005 ◽  
Vol 23 (5) ◽  
pp. 333-340 ◽  
Author(s):  
Jay H. Fowke ◽  
David Schlundt ◽  
Lisa B. Signorello ◽  
Flora A.M. Ukoli ◽  
William J. Blot
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
Low Income ◽  
Prostate Cancer Screening ◽  
Caucasian Men

Religious Involvement and Prostate Cancer Screening Behaviors Among Southeastern African American Men

2008 ◽  
Vol 3 (3) ◽  
pp. 214-223 ◽  
Author(s):  
Cheryl L. Holt ◽  
Theresa A. Wynn ◽  
Jasmine Darrington
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Specific Antigen ◽  
Digital Rectal Examination ◽  
Religious Involvement ◽  
Educational Interventions ◽  
Religious Behaviors

This study examined the relationship between religious involvement and prostate cancer screening behavior among a probability sample of 199 African American men. Religious involvement was assessed by telephone via a multidimensional instrument. Engaging in religious behaviors was predictive of reporting a digital rectal examination (DRE) within the past year. Religious beliefs and behaviors were predictive of behavioral intention for DRE in the next 6 months. Religious behaviors were predictive of reporting an appointment for a DRE in the next 6 months. All analyses were controlled for age, education, and marital status. None of the predictions were significant for prostate-specific antigen testing. Understanding the role of religious involvement in cancer beliefs and screening is important. Such knowledge can inform educational interventions for this group, which is disproportionately affected by prostate cancer.

scholarly journals Affecting African American Men’s Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

2014 ◽  
Vol 25 (3) ◽  
pp. 1262-1277 ◽  
Author(s):  
Dawood H. Sultan ◽  
Brian M. Rivers ◽  
Ben O. Osongo ◽  
Danyell S. Wilson ◽  
April Schenck ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
African American ◽  
Cancer Screening ◽  
Prostate Cancer Screening

scholarly journals African American Women’s Involvement in Promoting Informed Decision-Making for Prostate Cancer Screening Among Their Partners/Spouses

2018 ◽  
Vol 12 (4) ◽  
pp. 884-893 ◽  
Author(s):  
Jennifer D. Allen ◽  
Ifedayo C. Akinyemi ◽  
Amanda Reich ◽  
Sasha Fleary ◽  
Shalini Tendulkar ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Decision Making ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Informed Decision ◽  
Informed Decision Making ◽  
Care Providers

Routine prostate cancer screening is not recommended but African American men who are at higher risk for the disease should be offered the opportunity for shared decision-making with their health-care providers. This qualitative study sought to better understand the potential role of women in educating their male spouses/partners about prostate cancer screening. Nine focus groups were conducted ( n = 52). Women were recruited from a variety of community venues. Those eligible were African American and married to or in a partnership with an African American male age ≥ 45. Women provide numerous types of support to their male partners in an effort to facilitate participation in preventive health care. While women agreed that they would like to educate their partners about prostate cancer screening, they had little information about screening guidelines or the potential harms and limitations. The current findings suggest that women are eager information-seekers and can disseminate information to men and facilitate their efforts to make more informed decisions about prostate cancer screening. Women should be included in educational interventions for to promote informed decision-making for prostate cancer screening.

scholarly journals Strategies for Recruiting African American Men Into Prostate Cancer Screening Studies

2009 ◽  
Vol 58 (6) ◽  
pp. 452-456 ◽  
Author(s):  
Randy A. Jones ◽  
Richard Steeves ◽  
Ishan Williams
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening
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