Perceived family history risk and symptomatic diagnosis of prostate cancer

Spain, Pamela; Carpenter, William R.; Talcott, James A.; Clark, Jack A.; Kyung, Young; Hamilton, Robert J.; Galanko, Joseph A.; Jackman, Anne; Godley, Paul A.

doi:10.1002/cncr.23801

Cited by 21 publications

(25 citation statements)

References 21 publications

(27 reference statements)

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“…Moreover, AA men received less aggressive treatment (ie, less surgery and more radiation): 31.0% of AA patients and 38.2% of white patients underwent RP, whereas 26.8% of AAs and 22.7% of whites underwent RT . Although published studies have consistently described less treatment overall and less aggressive treatment among AA men with prostate cancer, the reasons behind this disparity are not well understood, and few studies have examined the factors influencing patients’ decisions that may contribute to this disparity …”

Section: Introductionmentioning

confidence: 99%

Factors influencing prostate cancer treatment decisions for African American and white men

Gordon

Basak

Carpenter

et al. 2019

Cancer

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Background Prostate cancer racial disparities in mortality outcomes are the largest in all of oncology, and less aggressive treatment received by African American (AA) patients versus white patients is likely a contributing factor. However, the reasons underlying the differences in treatment are unclear. Methods This study examined a prospective, population‐based cohort of 1170 men with newly diagnosed nonmetastatic prostate cancer enrolled from 2011 to 2013 before treatment throughout North Carolina. By phone survey, each participant was asked to rate the aggressiveness of his cancer, and his response was compared to the actual diagnosis based on a medical record review. Participants were also asked to rate the importance of 10 factors for their treatment decision‐making process. Results Among AA and white patients with low‐risk cancer (according to National Comprehensive Cancer Network guidelines), 78% to 80% perceived their cancers to be “not very aggressive.” However, among high‐risk patients, 54% of AA patients considered their cancers to be “not very aggressive,” whereas 24% of white patients did (P < .001). Although both AA and white patients indicated that a cure was a very important decision‐making factor, AAs were significantly more likely to consider cost, treatment time, and recovery time as very important. In a multivariable analysis, perceived cancer aggressiveness and cure as the most important factor were significantly associated with receiving any aggressive treatment and were associated with surgery (vs radiation). After adjustments for these factors and sociodemographic factors, race was not significantly associated with the treatment received. Conclusions Racial differences in perceived cancer aggressiveness and factors important in treatment decision making provide novel insights into reasons for the known racial disparities in prostate cancer as well as potential targets for interventions to reduce these disparities.

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Section: Introductionmentioning

confidence: 99%

Factors influencing prostate cancer treatment decisions for African American and white men

Gordon

Basak

Carpenter

et al. 2019

Cancer

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“…Cancer knowledge was measured using 25 true/false items that also had a ''don't know'' response option. Items were selected from Webpages of UCLA's Jonsson Comprehensive Cancer Center (Cancer Fact Sheet), 21 Women's Health (Women and Cancer), 22 the American Cancer Society (Learn about Cancer), 20 and the Cancer Fact Sheet. 23 True/false items related to knowledge about general cancer and specific questions about breast, cervical, and colorectal cancer included the following questions:…”

Section: Methodsmentioning

confidence: 99%

Understanding Perceived Benefit of Early Cancer Detection: Community-Partnered Research with African American Women in South Los Angeles

Bazargan

Lucas-Wright

Jones

et al. 2015

Journal of Women's Health

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Background: African American women have lower 5-year cancer survival rates than non-Latino White women. Differences in perceived benefits of early cancer detection among racial/ethnic groups may affect cancerscreening behaviors. This study assessed correlates of perceived benefits of early breast, cervical and colorectal cancer detection among 513 African American women. Methods: Using a community-partnered participatory research approach, we conducted a survey on cancer screening, risk behaviors, and related knowledge and attitudes among African American parishioners at 11 churches in South Los Angeles, a neighborhood that experiences one of the highest cancer mortality rates in California. Results: African American women who participated in this study were more likely to believe that chances for survival are very good or good after early detection of breast cancer (74%) than after early detection of colorectal (51%) and cervical cancer (52%). Multivariate analyses show that perceived benefit of early cancer detection is associated with higher cancer knowledge and having discussed one's cancer risk with a doctor. Conclusions: Given that 5-year survival rates for early stage breast, cervical, and colorectal cancer range from 84% to 93%, our data suggest that a substantial proportion of African American women in South Los Angeles are not aware of the benefits of early detection, particularly of colorectal and cervical cancers. Programs that increase cancer knowledge and encourage a discussion of individual's cancer risk with a doctor may be able to increase perceived benefit of early detection, a construct that has been shown to be associated with cancer screening in some studies.

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“…Items were selected from Webpages of UCLA's Jonsson Comprehensive Cancer Center (Cancer Fact Sheet)[16], Women's Health (Women and Cancer)[29], the American Cancer Society (Learn about Cancer)[28] and the Cancer Fact Sheet. [30].…”

Section: Methodsmentioning

confidence: 99%

Correlates of Perceived Risk of Developing Cancer Among African-Americans in South Los Angeles

et al. 2013

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Background There are differences in cancer-risk perception among racial/ethnic groups that may affect health risk behaviors. Methods Using a community partnered-participatory research approach, we conducted a survey on cancer screening, risk behaviors, and related knowledge/attitudes within 11 churches in South Los Angeles with predominantly African-American parishioners. This analysis examines correlates of perceived risk of developing cancer among 755African American adults. Results Almost 15% of participants indicated higher perceived risk for cancer compared to the average man/woman of the same age, 38% indicated same risk, whereas 48% perceived lower risk. Sixty-nine individuals (9%) reported a cancer history and 63% reported at least one blood relative with cancer. Controlling for demographic characteristics and healthcare access, participants who reported higher risk of cancer had higher level of cancer-related knowledge; were current and ex-smokers; had poorer health status; had a blood relative with cancer; had a cancer history; and had discussed their risk of cancer with their doctor. The bivariate association between high perceived cancer risk and lack of exercise and obesity disappeared after adjusting for demographic characteristics and perceived health status. Conclusions Our data suggest that a substantial proportion of African Americans in South Los Angeles may underestimate their cancer risk. Additionally, lack of exercise and obesity are not recognized as independent cancer risk factors as much as smoking and personal and family history of cancer. Next steps will be to inform participating churches about our findings and explore their interest in taking steps to reduce health risk behaviors among their parishioners.

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Perceived family history risk and symptomatic diagnosis of prostate cancer

Cited by 21 publications

References 21 publications

Factors influencing prostate cancer treatment decisions for African American and white men

Factors influencing prostate cancer treatment decisions for African American and white men

Understanding Perceived Benefit of Early Cancer Detection: Community-Partnered Research with African American Women in South Los Angeles

Correlates of Perceived Risk of Developing Cancer Among African-Americans in South Los Angeles

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