Trends in Testosterone Therapy use in Prostate Cancer Survivors in the United States

75 Background: Prostate cancer survivors face numerous health concerns after treatment. The type of treatment received may have a significant impact on the physical, emotional and practical concerns of the patient. Methods: We analyzed self-reported data from the 2010 LIVESTRONG survey for people affected by prostate cancer. Survey questions were divided into 3 sections including physical, emotional, and practical concerns in the survivorship period. Survey was administered online between June 20, 2010 and March 31, 2011 on the LIVESTRONG.org website. Results: Of the 12,307 respondents, 281 males were included in the analysis based on a primary diagnosis of prostate cancer and US residency status. Mean age was 60 years (range, 41-94) and the majority were white men (90%). The 3 most common physical concerns were decrease in sexual function (70%), urinary frequency (54%) and fatigue (35%). The leading emotional concerns were fear of cancer recurrence (61%), grief about death of other cancer patients (52%) and worry about cancer genes in family members (51%). Practical concerns were cost beyond insurance coverage (90%), financial debt (40%), and inability to continue previous work (6%). One way ANOVA was conducted to detect differences in number of physical, emotional and practical concerns across types of treatment received (surgery, radiation, hormonal and combination). Significant differences were seen in number of physical (p=0.02), emotional (p=0.04) and practical (p<0.001) concerns for patients receiving different treatments (Table 1). Patient concerns also varied based on length of follow-up after treatment. Conclusions: Based on treatment type, hormonal patients have the greatest physical and emotional concerns compared to other treatment options, while surgery patients demonstrate the most practical concerns. The results of the survey illuminate the principal physical, emotional and practical concerns of prostate cancer survivors, and can assist in prioritizing and addressing major patient concerns after prostate cancer treatment.

Download Full-text

Racial and Ethnic Differences in Health Behaviors and Preventive Health Services Among Prostate Cancer Survivors in the United States

Preventing Chronic Disease ◽

10.5888/pcd13.160148 ◽

2016 ◽

Vol 13 ◽

Cited By ~ 4

Author(s):

Jun Li ◽

Trevor D. Thompson ◽

Thomas B. Richards ◽

C. Brooke Steele

Keyword(s):

Prostate Cancer ◽

United States ◽

Health Services ◽

Health Behaviors ◽

Ethnic Differences ◽

Preventive Health Services ◽

The United States ◽

Preventive Health ◽

Racial And Ethnic Differences ◽

Prostate Cancer Survivors

Download Full-text

An Exploration of Precancer and Post-Cancer Diagnosis and Health Communication Among African American Prostate Cancer Survivors and Their Families

American Journal of Men s Health ◽

10.1177/1557988320927202 ◽

2020 ◽

Vol 14 (3) ◽

pp. 155798832092720

Author(s):

Sabrina L. Dickey ◽

Caneisaya Matthews ◽

Eugenia Millender

Keyword(s):

Prostate Cancer ◽

Health Communication ◽

Cancer Survivors ◽

Cancer Diagnosis ◽

Health Knowledge ◽

Treatment Options ◽

The United States ◽

Prostate Cancer Survivors ◽

Before And After ◽

The Life Course

Prostate cancer is the second most common cancer among American men, with Black men at the highest risk for the disease. Few studies have been published on how communication between Black prostate cancer survivors and their family members affect health outcomes and subsequent health communication. The purpose of this study was to understand cancer and health communication among Black prostate cancer survivors and their families before and after disclosing their diagnosis. Through a mixed method design, 11 Black prostate cancer survivors participated from the Southeastern region of the United States, completed questionnaires, and took part in a focus group. The study utilized 4 focus groups of Black prostate cancer survivors ranging in age from 51 to 76 years. Descriptive statistics revealed 91% ( n = 10) of participants indicated they could openly discuss health issues in their family and 82% ( n = 9) indicated a female relative as the person responsible for teaching about health. An analysis of the transcripts revealed four themes utilizing thematic network: (a) communication over the life course of the prostate cancer survivor, (b) parents’ communication with family, (c) disclosing prostate cancer diagnosis, and (d) treatment options for prostate cancer. Results suggested the participants recognized the importance of discussing prostate cancer with their families to reduce fears and misconceptions about the disease. Through the exploration of cancer and health communication within Black families, solutions can be derived for increasing health behaviors and health knowledge among men.

Download Full-text