“…The most significant factor associated with screening is access to a primary care physician, which had not been previously reported. 23 Several barriers are associated with decreased rates of prostate cancer screening including unemployment status and Medicaid insurance. Other studies have identified the following as barriers to cancer screening in this population: lack of an accompanying companion to procedures, 29 fear from prior trauma, [30][31][32] access, 17,20,24,33,34 low health literacy, 35 low rates of health education during clinical encounters.…”