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

Oliver, JoAnn S.; Allen, Rebecca S.; Eichorst, Morgan K.; Mieskowski, Lisa; Ewell, Patrick J.; Payne-Foster, Pamela; Ragin, Camille

doi:10.1007/s10552-018-1041-0

Cited by 16 publications

(16 citation statements)

References 19 publications

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“…Knowledge about prostate cancer risk, as determined by a composite measure, was found to be low. This was confirmed by both Consedine et al 26 and Oliver et al 27 Consedine surveyed 180 U.S.‐born African American, U.S.‐born White, and immigrant Jamaican men, who reported poorer knowledge of prostate cancer than White men. Oliver et al 27 reported that prostate cancer knowledge was somewhat low, with individuals correctly answering approximately 6 questions out of 10 at multiple time points.…”

Section: Resultsmentioning

confidence: 66%

Knowledge of prostate cancer among African American men: A systematic review

et al. 2020

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ObjectiveRecent studies indicate that many African American men may not be making informed decisions about prostate cancer early detection. This is partly due to patients having limited knowledge about early detection of the disease.MethodsThe present review is based upon bibliographic searches in PubMed and CINAHL and relevant search terms. Articles (n = 235) published in English from 1993 through July 31, 2020 were identified using the following MESH search terms and Boolean algebra commands: prostate cancer and knowledge and African Americans.ResultsForty‐two articles were eligible for inclusion. The results of this literature review indicate that many African American men have inadequate knowledge of prostate cancer and prostate cancer early detection. Studies indicate that knowledge of prostate cancer is particularly low among older, less‐educated, lower‐income, and unmarried men, along with those who lack a regular physician or health insurance. Many African American men are unaware that they are at increased risk of prostate cancer because of their age or race.ConclusionsCulturally appropriate educational efforts are needed to inform African‐ American men about the pros and cons of prostate cancer early detection and about risk factors for the disease so that they can make an informed decision about whether prostate cancer early detection is right for them. Of particular concern is the prostate cancer knowledge of low‐income and less‐educated men, along with those who lack health care insurance or a regular provider.

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Section: Resultsmentioning

confidence: 66%

Knowledge of prostate cancer among African American men: A systematic review

et al. 2020

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“…The issue with using shared decision-making to receive a prostate cancer screening is that it requires men to be educated and willing to communicate about prostate cancer. Researchers observed that Black men were unaware of their increased risk for prostate cancer and had poor knowledge about the disease (Gwede et al, 2015;Jones et al, 2009;Lepore et al, 2017;Mofolo et al, 2015;Oliver et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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

2020

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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.

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“…Unfortunately, the medical literature consistently supports the concerning reality that African American men are insufficiently screened for both BPH and prostate cancer [29]. Consistent with other healthcare issues, African American men are more likely to be disproportionately impacted by insufficient healthcare literacy [30][31][32]. Interestingly, previous studies have shown that black men are more likely to report a lower bother score relative to white populations with similar LUTS severity [33].…”

Section: Screening Literacy and Community Interventionmentioning

confidence: 99%

“…It contains seven questions related to BPH symptoms and one question related to the patient's perceived quality of life. BPH symptom severity is proportionate to the IPSS score, which ranges from 0 to 35 and categorizes symptoms as mild (1-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), or severe (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35). The IPSS survey is widely used in Urology and the AUA also encourages its use in primary care settings.…”

Section: Screening Literacy and Community Interventionmentioning

confidence: 99%

“…However, it is unclear if such an intervention has been studied in the context of BPH/ LUTS. Deliberate interventions that address health literacy in respect to prostate cancer have been shown to enhance shared decision making in African American Men [30,37]. Generally, the authors believe that research regarding prostate cancer in African American men may be helpful reference in discerning more effective BPH treatment, especially in areas where analogous research is lacking.…”

Section: Screening Literacy and Community Interventionmentioning

confidence: 99%

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Benign Prostatic Hyperplasia in African American Men Merits Greater Consideration in Academic Medicine

Wiedemer¹

2021

AABSc

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Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, which is highly prevalent in aging men. This process of benign prostate enlargement is known to occur more rapidly in African American men, which has resulted in a disproportionately increased prevalence relative to the general population. In the United States, the cause of this disproportionately increased risk in African Americans is believed to be due to both genetic factors as well as a complex myriad of variables related to health disparities. Despite a robust increase in research related to prostate cancer in African American men, the issue of BPH/LUTS in the African American community deserves equally increased attention in academic medicine. The purpose of this article is to provide a brief review of the medical literature on BPH/LUTS in the African American community to highlight unknown components of the disease and to demonstrate the need for more equitable urologic healthcare.

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

Cited by 16 publications

References 19 publications

Knowledge of prostate cancer among African American men: A systematic review

Knowledge of prostate cancer among African American men: A systematic review

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

Benign Prostatic Hyperplasia in African American Men Merits Greater Consideration in Academic Medicine

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