African American men significantly underestimate their risk of having prostate cancer at the time of biopsy

Hemmerich, Joshua; Ahmad, Faraz; Meltzer, David O.; Dale, William

doi:10.1002/pon.2098

Cited by 7 publications

(5 citation statements)

References 47 publications

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“…In addition to a lack of prostate knowledge, this study also reported that Black college men have a low perceived susceptibility or risk of getting prostate cancer. This finding is similar to other research findings that middle and older-aged Black men report being at low risk for developing prostate cancer [10, 22, 23]. Because a lack of prostate cancer risk exists among Black men of all ages, health programs should be developed that educate Black men across the life course on prostate cancer and their risk for developing prostate cancer [8–12].…”

Section: Discussionsupporting

confidence: 87%

Prostate Knowledge, Attitudes and Beliefs in Black College Men: A Qualitative Study

et al. 2017

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This qualitative study explores prostate cancer knowledge and risk in Black college men. Using the Health Belief Model as a guide, focus groups and interviews were conducted with 35 Black males at a historically black college and university. Thematic analysis was conducted and general themes were found. Results indicate that Black college males have very little knowledge and understanding of what their prostate is and what it does. They are also unaware of their risk of developing prostate cancer. Additionally, while many believe prostate cancer is severe, few believe they are susceptible to getting it. These findings suggest more work needs to be done to educate young Black males on not only their prostate and prostate cancer, but on their general health. Efforts should focus on increasing the health knowledge of younger Black males in addition to that of middle-aged and older Black males so that health disparities can decrease.

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Section: Discussionsupporting

confidence: 87%

Prostate Knowledge, Attitudes and Beliefs in Black College Men: A Qualitative Study

et al. 2017

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“…For example, osteoporotic patients underestimate fracture risk, 14 neurofibromatosis type 1 patients underestimate brain cancer risk, 21 patients with atrial fibrillation insufficiently appreciate associated risks, 17 and African-American men commonly underestimate their prostate cancer risk at the time of biopsy. 13 A recent study showed that patients' underestimation of risks was significantly greater than their overestimation of benefits associated with medical or surgical care. 22 Of particular relevance to this study, non-surgical patients at high risk for stroke typically underestimate this risk.…”

Section: Discussionmentioning

confidence: 99%

“…Survey items were generated after an initial review of the literature, including identification of perioperative stroke risk factors and associated mortality, 3,10,11 as well as a review of previous publications concerned with questioning of patients about risk estimation about stroke. [12][13][14][15][16][17] Survey questions were revised several times and reduced by study investigators who are experts in perioperative stroke. Ultimately, the survey contained 23 questions, which was within the recommended maximum of 25 questions.…”

Section: Survey Developmentmentioning

confidence: 99%

Knowledge and perceptions about perioperative stroke: a cross-sectional survey of patients scheduled for non-neurologic and non-cardiac surgery

Roughead

Chui

Gelb

et al. 2019

Can J Anesth/J Can Anesth

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Purpose Perioperative stroke is associated with significant morbidity and mortality yet patients may not be aware of their risk or receive appropriate counselling. Our objectives were to 1) compare patient's perceived vs calculated risk of stroke; 2) determine level of worry; and 3) assess prior discussion about perioperative stroke risk amongst elective patients undergoing non-cardiac, nonneurologic surgery. Methods Over a consecutive four-week period, surveys were distributed at two pre-anesthetic clinics to adult patients scheduled for non-cardiac, non-neurologic surgery. The survey included questions about demographics, perioperative stroke risk factors, patient perception of their quantitative and qualitative stroke risk, level of worry about stroke, and risk discussions. We identified independent predictors of risk underestimation amongst medium-and high-risk patients. Results Six hundred patients completed the survey (response rate 78%). Of these, 479, 104, and 15 patients were classified as low-, medium-, and high-risk, respectively (with two patients missing this data point). Most medium-(86%) and high-risk (80%) patients did not identify their elevated risk. Amongst medium-and high-risk patients, independent predictors of risk underestimation were lower education and absence of kidney disease. Medium-and high-risk patients were more worried than low-risk patients about perioperative stroke (median [interquartile range] visual analogue scale score 2 [0.5-4] vs 1 [0-2], P = 0.001). Fewer than half of patients had discussed perioperative stroke previously (40%, 23%, and Electronic supplementary material The online version of this article (

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“…It has also been reported that A‐A men more often estimated their likelihood of prostate cancer as 0% at biopsy, despite higher risk. Reasons for these low estimates and their potential contribution to poor treatment outcomes of A‐A patients require further investigation .…”

Section: Discussionmentioning

confidence: 99%

Detection of prostate cancer using magnetic resonance imaging/ultrasonography image‐fusion targeted biopsy in African‐American men

et al. 2017

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African American men significantly underestimate their risk of having prostate cancer at the time of biopsy

Abstract: At biopsy, AA more often estimated their likelihood of PCa as 0%, despite higher risks. Reasons for these low estimates and their potential contribution to poor treatment outcomes of AA patients require further investigation.

Cited by 7 publications

References 47 publications

Prostate Knowledge, Attitudes and Beliefs in Black College Men: A Qualitative Study

Prostate Knowledge, Attitudes and Beliefs in Black College Men: A Qualitative Study

Knowledge and perceptions about perioperative stroke: a cross-sectional survey of patients scheduled for non-neurologic and non-cardiac surgery

Detection of prostate cancer using magnetic resonance imaging/ultrasonography image‐fusion targeted biopsy in African‐American men

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