Ever and Annual Use of Prostate Cancer Screening in African American Men

Halbert, Chanita Hughes; Gattoni‐Celli, Sebastiano; Savage, Stephen J.; Prasad, Sandip M.; Kittles, Rick A.; Briggs, Vanessa; Delmoor, Ernestine; Rice, La Shanta J.; Jefferson, Melanie; Johnson, Jerry

doi:10.1177/1557988315596225

Cited by 17 publications

(18 citation statements)

References 39 publications

(44 reference statements)

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“…Multiple studies have shown a significant association of physician communication and receipt of PSA testing. 16, 25, 26 In a small community-based cohort study from the Philadelphia area, 64% of men reported ever having a PSA test and 57% reported a PSA test within the prior year. 25 The overall likelihood of PSA testing was associated with physician communication, and recent testing was strongly associated with health insurance status.…”

Section: Discussionmentioning

confidence: 99%

“…16, 25, 26 In a small community-based cohort study from the Philadelphia area, 64% of men reported ever having a PSA test and 57% reported a PSA test within the prior year. 25 The overall likelihood of PSA testing was associated with physician communication, and recent testing was strongly associated with health insurance status. In a larger study utilizing SEER-Medicare data, independent factors associated with PSA screening among Black men aged 40–99 were higher education level, regular access to a healthcare provider, and a health care provider recommendation for PSA screening.…”

Section: Discussionmentioning

confidence: 99%

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The impact of sociodemographic factors and PSA screening among low-income Black and White men: data from the Southern Community Cohort Study

Moses

Zhao

et al. 2017

Prostate Cancer Prostatic Dis

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BACKGROUND Variation in PSA screening is a potential source of disparity in prostate cancer survival, particularly among underserved populations. We sought to examine the impact of race and socioeconomic status (SES) on receipt of PSA testing among low-income men. METHODS Black (n=22,167) and White (n=9,588) men age ≥40 completed a baseline questionnaire from 2002–2009 as part of the Southern Community Cohort Study. Men reported whether they had ever received PSA testing and had testing within the prior 12 months. To evaluate the associations between SES, race and receipt of PSA testing, odds ratios (ORs) and 95% confidence intervals (CIs) were estimated from the multivariable logistic models where age, household income, insurance status, marital status, body mass index, and educational level were adjusted. RESULTS Black men were younger, had a lower income, less attained education, and were more likely to be unmarried and uninsured (all p<0.001). Percentages of men having ever received PSA testing rose from <40% below age 45 to ~ 90% above age 65, with Whites >50 more likely than Blacks to have received testing. Lower SES was significantly associated with less receipt of PSA testing in both groups. After adjustment for SES, White men had significantly lower odds of PSA testing (OR 0.81, 95% CI 0.76–0.87). CONCLUSIONS Greater PSA testing among White than Black men over age 50 in this low income population appears to be mainly a consequence of SES. Strategies for PSA screening may benefit from tailoring to the social circumstances of the men being screened.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of sociodemographic factors and PSA screening among low-income Black and White men: data from the Southern Community Cohort Study

Moses

Zhao

et al. 2017

Prostate Cancer Prostatic Dis

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“…PCa diagnosis involves prostate-specific antigen (PSA) screening ( American Academy of Family Physicians, 2017 ; American Cancer Society, 2017 ; Halbert et al, 2017 ; Han et al, 2013 ; Moyer, 2012 ; Powell, Vigneau, Bock, Ruterbusch, & Helibrun, 2014 ; Saltzman et al, 2015 ; Shen & Kumar, 2016 ; Siegel et al, 2017 ). Circulating serum PSA levels are considered abnormal when detected above 4 ng/ml ( American Academy of Family Physicians, 2017 ; Moyer, 2012 ).…”

mentioning

confidence: 99%

“…ACS includes AA men in the high-risk category and recommends repeated annual PCa screening for men with PSA levels >2.5 ng/ml ( American Cancer Society, 2017 ). While informed decision-making is the current recommendation for PCa screening, recent studies highlight that AA men may not be making informed decisions about PCa screening ( Davis et al, 2010 ; Feng et al, 2013 ; Halbert et al, 2017 ; Han et al, 2013 ; Hoffman et al, 2009 ; Leyva et al, 2016 ; McCormack et al, 2009 ). This is largely due to patients having limited knowledge of PCa screening and providers either not offering sufficient up-to-date information or not asking patients about their preferences ( Davis et al, 2010 ; Hoffman et al, 2009 ; Leyva et al, 2016 ; McCormack et al, 2009 ).…”

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confidence: 99%

Physician Consultations, Prostate Cancer Knowledge, and PSA Screening of African American Men in the Era of Shared Decision-Making

et al. 2018

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African American (AA)/Black men are more likely to develop aggressive prostate cancer (PCa), yet less likely to be screened despite guidelines espousing shared decision-making regarding PCa screening and prostate-specific antigen (PSA) testing. Given the documented racial disparities in PCa incidence and mortality, engaging interactions with physicians are especially important for AA/Black men. Thus, this study evaluated occurrence of physician–patient conversations among AA/Black men, and whether such conversations were associated with PCa knowledge. We also quantified the serum PSA values of participants who had, and had not, discussed testing with their physicians. Self-identified AA/Black men living in California and New York, ages 21–85, donated blood and completed a comprehensive sociodemographic and health survey (n = 414). Less than half (45.2%) of participants had discussed PCa screening with their physicians. Multivariate analyses were used to assess whether physician–patient conversations predicted PCa knowledge after adjusting for key sociodemographic/economic and health-care variables. Increased PCa knowledge was correlated with younger age, higher income and education, and having discussed the pros and cons of PCa testing with a physician. Serum PSA values were measured by ELISA. Higher-than-normal PSA values were found in 38.5% of men who had discussed PCa screening with a physician and 29.1% who had not discussed PCa screening. Our results suggest that physician–AA/Black patient conversations regarding PCa risk need improvement. Encouraging more effective communication between physicians and AA/Black men concerning PCa screening and PSA testing has the potential to reduce PCa health disparities.

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“…A growing body of literature documents factors associated with African American men’s decisions to undergo prostate cancer screening ( Pedersen, Armes, & Ream, 2012 ). In general, men with higher levels of income, education, insurance coverage, and those with a family member who has been diagnosed with the disease are more likely to be screened than their counterparts ( Halbert et al, 2015 ; Harmon, 2014 ; Pedersen et al, 2012 ; Sanchez, Bowen, & Hart, 2007 ). Other factors that may impact African American men’s screening decisions include lack of awareness of heightened risk of the disease ( Shavers, Underwood, & Moser, 2009 ; Shaw, Scott, & Ferrante, 2013 ), diminished access to health care ( Forrester-Anderson, 2005 ), mistrust of health-care providers, ( Allen, Stoddard, & Sorenson, 2007 ; Spain, Carpenter, Talcott, 2008 ), and poor communication with health-care providers ( Allen et al, 2007 ; Halbert et al, 2015 ; Hughes, Sellers, Fraser, Teague, & Knight, 2007 ; Shaw et al, 2013 ).…”

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confidence: 99%

African American Women’s Involvement in Promoting Informed Decision-Making for Prostate Cancer Screening Among Their Partners/Spouses

et al. 2018

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Routine prostate cancer screening is not recommended but African American men who are at higher risk for the disease should be offered the opportunity for shared decision-making with their health-care providers. This qualitative study sought to better understand the potential role of women in educating their male spouses/partners about prostate cancer screening. Nine focus groups were conducted (n = 52). Women were recruited from a variety of community venues. Those eligible were African American and married to or in a partnership with an African American male age ≥ 45. Women provide numerous types of support to their male partners in an effort to facilitate participation in preventive health care. While women agreed that they would like to educate their partners about prostate cancer screening, they had little information about screening guidelines or the potential harms and limitations. The current findings suggest that women are eager information-seekers and can disseminate information to men and facilitate their efforts to make more informed decisions about prostate cancer screening. Women should be included in educational interventions for to promote informed decision-making for prostate cancer screening.

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Ever and Annual Use of Prostate Cancer Screening in African American Men

Cited by 17 publications

References 39 publications

The impact of sociodemographic factors and PSA screening among low-income Black and White men: data from the Southern Community Cohort Study

The impact of sociodemographic factors and PSA screening among low-income Black and White men: data from the Southern Community Cohort Study

Physician Consultations, Prostate Cancer Knowledge, and PSA Screening of African American Men in the Era of Shared Decision-Making

African American Women’s Involvement in Promoting Informed Decision-Making for Prostate Cancer Screening Among Their Partners/Spouses

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