Barriers and Facilitators to Informed Decision-Making About Prostate Cancer Screening Among Black Men

Abstract

Background: Black men are disproportionately impacted by prostate cancer (PrCa). Current guidelines recommend that all men make informed decisions about whether to be screened for PrCa. Little is known about the barriers and facilitators of informed decision-making (IDM) about PrCa screening in Black men.Methods: We conducted focus groups with a convenience sample of Black men aged 55 to 69 years from a primary care practice (n = 21). Template analysis was used to evaluate themes related to barriers and facilitators of IDM about PrCa screening.Results: IDM was impacted by external factors, intrinsic factors, and personal beliefs about PrCa screening. Family, friends, and clinicians played a paramount role in shaping attitudes about PrCa screening. Distrust of the medical community impaired IDM, and lack of clinician communication about PrCa screening further engendered mistrust. Participants felt they lacked adequate knowledge to make an informed decision about PrCa screening. Identified areas to promote IDM included education on racial disparities, education that screening is a personal choice, and differentiating PrCa screening from colon cancer screening.Conclusions: Our results indicate that Black men may lack the prerequisite information to make informed decisions about PrCa screening, which is notable in light of known PrCa racial disparities. Clinicians can play an important role in facilitating IDM through fostering discussions about the benefits and risks of PrCa screening and educating Black men about racial disparities.

Preliminary Evaluation of a Citizen Scientist Educational Curriculum Aimed at Engaging Black Men in Lung Cancer Early Detection Screening

“…Barriers to cancer screening are well documented for African American men ( Alexis & Worsley, 2018 ; Earl et al, 2022 ; Rutter et al, 2021 ; Shungu & Sterba, 2021 ). Previously identified barriers to prostate and colorectal cancer screening have occurred at multiple levels, including the individual (fear, knowledge, attitudes, and beliefs), the provider (bias, poor communication, lack of cultural humility), and the health care system (inadequate access to high-quality health care, lack of insurance; Assari et al, 2019 ; Forrester-Anderson, 2005 ; Fyffe et al, 2008 ; Gelfand et al, 1995 ; Leyva et al, 2016 ; Machirori et al, 2018 ; Reynolds, 2008 ; Shi et al, 2010 ; Shungu & Sterba, 2021 ; Woods-Burnham et al, 2018 ).…”

As dificuldades no rastreio e diagnóstico do câncer de próstata: uma revisão integrativa

“…Por sua vez, no estudo 2, Shungu (2021) destaca barreiras e facilitadores potenciais na triagem do CaP entre homens negros. Compuseram a amostra homens negros autoidentificados com idade entre 55 e 69 anos durante visitas ao consultório médico através de entrevistas gravadas.…”

“…Ainda fazendo alusão ao estudo de Shungu (2021), é importante ressaltar que a taxa de incidência de CaP é 1,8 vezes maior em homens negros do que em brancos. Apesar disso, pesquisas mostraram que aqueles são menos propensos a receber triagem de PSA (antígeno específico prostático) que estes.…”

The Effect of Educational Program on Knowledge and Commitment of Male Employees at Tanta University Regarding Prostate Cancer Screening

“…No. 2 (Suppl) , May 2022 acceptable screening services; hence raise commitment of men (18,29) . Concerning the most obvious reason for not being screened in this study was ignorance of where to do (80.4%), don't know the screening and its importance (69.6%) and the expensiveness of screening tests (48.2%) (Table 2).…”