Abstract A56: Physician consultations, prostate cancer knowledge, and PSA screening in African American men: Are the conversations effective?

2017 ◽  
Author(s):  
Leanne Woods-Burnham ◽  
Laura Stiel ◽  
Colwick Wilson ◽  
Susanne Montgomery ◽  
Carlos A. Casiano
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
African American Men ◽  
Cancer Knowledge ◽  
Psa Screening ◽  
Prostate Cancer Knowledge

scholarly journals Development and Psychometric Properties of a Prostate Cancer Knowledge Scale for African American Men

2019 ◽  
Vol 13 (6) ◽  
pp. 155798831989245 ◽  
Author(s):  
Otis L. Owens ◽  
Abbas S. Tavakoli ◽  
Theda Rose ◽  
Nikki R. Wooten
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Factor Structure ◽  
African American Men ◽  
Warning Signs ◽  
Care Providers ◽  
Cancer Knowledge ◽  
Targeted Interventions ◽  
Prostate Cancer Knowledge ◽  
Knowledge Scale

African American men have the highest prostate cancer-related mortality nationally. In response to this disparity, targeted interventions are emerging to enhance African American men’s prostate cancer (PrCA) knowledge to ensure they are equipped to make informed decisions about PrCA screening with health-care providers. African American men’s PrCA knowledge has been measured inconsistently over time with limited psychometric evidence. The factor structure of this construct in African American men is relatively unknown. This study describes the development and psychometric evaluation of an 18-item Prostate Cancer Knowledge Scale among 352 African American men. Exploratory factor analysis (EFA) was conducted using weighted least square mean and variance estimation with Geomin rotation. EFA yielded three factors: PrCA Anatomy and Screening (6 items), Risk Factors (5 items), Warning Signs (7 items) with good internal consistency reliability at KR-20 = .80 for the total scale and .64, .66, and .75, respectively, for each subscale. Factor loadings ranged from .31 to .86. The standardized root mean square residual (0.08) indicated that the factor structure explained most of the correlations. The three-factor, 18-item Prostate Cancer Knowledge Scale demonstrates that PrCA knowledge is a multidimensional construct and has utility for reliably measuring PrCA knowledge among African American men. Future research is required to confirm this factor structure among socio-demographically diverse African Americans.

scholarly journals Patterns of Information Behavior and Prostate Cancer Knowledge Among African–American Men

2011 ◽  
Vol 26 (4) ◽  
pp. 708-716 ◽  
Author(s):  
Levi Ross ◽  
Tyra Dark ◽  
Heather Orom ◽  
Willie Underwood ◽  
Charkarra Anderson-Lewis ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
African American Men ◽  
Information Behavior ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge

scholarly journals A Randomized Trial Comparing Web-Based Decision Aids on Prostate Cancer Knowledge for African-American Men

2008 ◽  
Vol 100 (10) ◽  
pp. 1139-1145 ◽  
Author(s):  
Gary L. Ellison ◽  
Sally P. Weinrich ◽  
Mimi Lou ◽  
Hongyan Xu ◽  
Isaac J. Powell ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Randomized Trial ◽  
African American Men ◽  
Decision Aids ◽  
Cancer Knowledge ◽  
Web Based ◽  
Prostate Cancer Knowledge

scholarly journals Lack of Comprehension of Common Prostate Cancer Terms in an Underserved Population

2009 ◽  
Vol 27 (12) ◽  
pp. 2015-2021 ◽  
Author(s):  
Kerry L. Kilbridge ◽  
Gertrude Fraser ◽  
Murray Krahn ◽  
Elizabeth M. Nelson ◽  
Mark Conaway ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Informed Consent ◽  
Patient Education ◽  
Low Income ◽  
African American Men ◽  
Reading Level ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge ◽  
Incidence And Mortality

Purpose To assess the comprehension of common medical terms used in prostate cancer in patient education materials to obtain informed consent, and to measure outcomes after prostate cancer treatment. We address this issue among underserved, African-American men because of the increased cancer incidence and mortality observed in this population. Patients and Methods We reviewed patient education materials and prostate-specific quality-of-life instruments to identify technical terms describing sexual, urinary, and bowel function. Understanding of these terms was assessed in face-to-face interviews of 105, mostly African-American men, age ≥ 40, from two low-income clinics. Comprehension was evaluated using semiqualitative methods coded by two independent investigators. Demographics were collected and literacy was measured. Results Fewer than 50% of patients understood the terms “erection” or “impotent.” Only 5% of patients understood the term “incontinence” and 25% understood the term “bowel habits.” More patients recognized word roots than related terms or compound words (eg, “rectum” v “rectal urgency,” “intercourse” v “vaginal intercourse”). Comprehension of terms from all domains was statistically significantly correlated with reading level (P < .001). Median literacy level was fourth to sixth grade. Prostate cancer knowledge was poor. Many patients had difficulty locating key anatomic structures. Conclusion Limited comprehension of prostate cancer terms and low literacy create barriers to obtaining informed consent for treatment and to measuring prostate cancer outcomes accurately in our study population. In addition, the level of prostate cancer knowledge was poor. These results highlight the need for prostate cancer education efforts and outcomes measurements that consider literacy and use nonmedical language.

scholarly journals A pilot study of prostate cancer knowledge among African American men and their health care advocates: implications for screening decisions

2018 ◽  
Vol 29 (7) ◽  
pp. 699-706 ◽  
Author(s):  
JoAnn S. Oliver ◽  
Rebecca S. Allen ◽  
Morgan K. Eichorst ◽  
Lisa Mieskowski ◽  
Patrick J. Ewell ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
African American ◽  
Pilot Study ◽  
African American Men ◽  
Cancer Knowledge ◽  
Prostate Cancer Knowledge

scholarly journals Predictors of prostate cancer screening among African American men treated at an Academic Medical Center in the Southern United States

2021 ◽  
Vol 3 (1) ◽  
pp. 81-94
Author(s):  
Steven S. Coughlin ◽  
◽  
Deepak Nag Ayyala ◽  
John S. Luque ◽  
Justin Xavier Moore ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Cancer Screening ◽  
African American Men ◽  
Prostate Cancer Screening ◽  
Decision Making Process ◽  
Cancer Knowledge ◽  
Psa Test ◽  
Psa Testing ◽  
Prostate Cancer Knowledge

Background: The controversy surrounding prostate cancer screening, coupled with the high rates of incidence and mortality among African American men, increase the importance of African American men engaging in an informed decision-making process around prostate cancer screening. Purpose: To examine predictors of prostate cancer screening via the prostatespecific antigen (PSA) test. Secondary objectives were to examine whether African American men have been screened for prostate cancer; their confidence in making an informed choice about whether PSA testing is right for them; and whether they have talked with their provider about PSA testing and engaged in an informed decision-making process around prostate cancer screening. Methods: We conducted a study among a sample of African American men patients ages > 40 years. Results: A total of 65 men completed the questionnaire (response rate = 6.5%). The mean age of the men was 64.4 years. Most of the participants (90.8%) reported a regular healthcare provider and that their provider had discussed the PSA test with them (81.3%). About 84.1% of the men ever had a PSA test, but only 38.0% had one in the past year. Most of the men reported that they make the final decision about whether to have a PSA test on their own (36.5%) or after seriously considering their doctor’s opinion (28.6%). About 31.8% of the men reported that they share responsibility about whether to have a PSA test with their doctor. About half of the participants (49.2%) reported that they have made a decision about whether to have a PSA test and they are not likely to change their mind. The majority of the men (75%) perceived their risk of prostate cancer to be about the same level of risk as other men who were their age. The men’s knowledge of prostate cancer was fair to good (mean prostate cancer knowledge scale = 10.37, SD 1.87). Knowledge of prostate cancer was positively associated with receipt of a PSA test (p < 0.0206). Discussion: The modest overall prostate cancer knowledge among these participants, including their risk for prostate cancer, indicates a need for prostate cancer educational interventions in this patient population.

scholarly journals Word on the Street

2016 ◽  
Vol 10 (5) ◽  
pp. 377-388 ◽  
Author(s):  
Elinor R. Schoenfeld ◽  
Linda E. Francis
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
African American ◽  
Cancer Care ◽  
Cancer Education ◽  
African American Men ◽  
Community Based Participatory Research ◽  
Cancer Information ◽  
Cancer Knowledge ◽  
African American Communities

African American men face the highest rates of prostate cancer, yet with no consensus for screening and treatment, making informed health care decisions is difficult. This study aimed to identify approaches to empowering African American men as proactive participants in prostate cancer decision making using an established community–campus partnership employing elements of community-based participatory research methods. Community stakeholders with an interest in, and knowledge about, health care in two local African American communities were recruited and completed key informant interviews ( N = 39). Grounded theory coding identified common themes related to prostate cancer knowledge, beliefs, attitudes, and responses to them. Common barriers such as gender roles, fear, and fatalism were identified as barriers to work-up and treatment, and both communities’ inadequate and inaccurate prostate cancer information described as the key problem. To build on community strengths, participants said the change must come from inside these communities, not be imposed from the outside. To accomplish this, they suggested reaching men through women, connecting men to doctors they can trust, making men’s cancer education part of broader health education initiatives designed as fun and inexpensive family entertainment events, and having churches bring community members in to speak on their experiences with cancer. This study demonstrated the success of community engagement to identify not only barriers but also local strengths and facilitators to prostate cancer care in two suburban/rural African American communities. Building collaboratively on community strengths may improve prostate cancer care specifically and health care in general.

The relationship between prostate cancer knowledge and beliefs and intentions to attend PSA screening among at-risk men

2009 ◽  
Vol 74 (2) ◽  
pp. 244-249 ◽  
Author(s):  
David Hevey ◽  
Maria Pertl ◽  
Kevin Thomas ◽  
Laura Maher ◽  
Siobhan Ní Chuinneagáin ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
At Risk ◽  
Cancer Knowledge ◽  
Psa Screening ◽  
Knowledge And Beliefs ◽  
Prostate Cancer Knowledge ◽  
The Relationship

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]

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