Prostate-specific antigen screening in a high-risk population: Lessons from the community and how they relate to large-scale population-based studies

Shelton, Jeremy B.; Barocas, Daniel A.; Conway, Frances; Hart, Kathleen J.; Nelson, Kinloch; Richstone, Lee; González, Ricardo R.; Raman, Jay D.; Scherr, Douglas S.

doi:10.1016/j.urology.2004.11.047

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…In contrast, however, screening embarrassment was higher among the three groups of minority men than among US‐born European‐Americans, a finding that is consistent with prior work indicating that African‐American men are more likely to opt for private versus mass screening than whites (Barber et al , 1998). The current work extends these data in suggesting that embarrassment regarding prostate screening is also high among populations of immigrant men that are at considerable risk for prostate cancer (Bunker et al , 2002, 2004; Glover et al , 1998; Shelton et al , 2005).…”

Section: Discussionsupporting

confidence: 57%

“…Consistent with national data (ACS, 2007) and the small body of work among subpopulations of African‐descent (Consedine, Magai et al , 2006; Consedine et al , 2007), screening was low overall, with nearly one third of men reporting never having had a PSA. Provocatively, analysis of screening categorization showed that both US‐born African‐Americans and the two groups of Caribbean men (immigrant Jamaicans and men from Trinidad and Tobago) at high risk for prostate cancer (Bunker et al , 2002, 2004; Glover et al , 1998; Shelton et al , 2005), were between two and four times as likely to be categorized as partially adherent screeners than as either non‐ or adherent screeners. Below, we discuss these findings more fully, describe ethnic differences in physician and psychological variables, and evaluate the associative PSA model.…”

Section: Discussionmentioning

confidence: 99%

“…Consistent with national data (ACS, 2007) and the small body of work among subpopulations of African-descent Consedine et al, 2007), screening was low overall, with nearly one third of men reporting never having had a PSA. Provocatively, analysis of screening categorization showed that both US-born African-Americans and the two groups of Caribbean men (immigrant Jamaicans and men from Trinidad and Tobago) at high risk for prostate cancer (Bunker et al, 2002(Bunker et al, , 2004Glover et al, 1998;Shelton et al, 2005), were between two and four times as likely to be categorized as partially adherent Note. † p ¼ :059; *p , :05; **p , :01; A '-' indicates that no odds ratio or confidence interval was generated for that level of the predictor because it was defined as the referent for that predictor; Exponents represent the odds of being in the 'target' category (in italic) relative to the referent category which is set to 'partially adherent' for all contrasts.…”

Section: Discussionmentioning

confidence: 99%

“…Caribbean‐based studies, however, suggest that incidence rates are in excess of those seen in US‐born African‐Americans (Bunker et al , 2002, 2004; Glover et al , 1998). Estimates from Jamaica exceed 3% (Glover et al , 1998) and those from Trinidad and Tobago may be as high as 10% (Bunker et al , 2002); high incidence rates are also indicated among Caribbean men living in the US (Shelton et al , 2005).…”

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confidence: 99%

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Physician, affective, and cognitive variables differentially predict initiation versus maintenance PSA screening profiles in diverse groups of men

Consedine

Christie

Neugut

2009

British J Health Psychol

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Objectives To evaluate the relevance of demographic, physician, and psychological characteristics to PSA screening in ethnic subpopulations and ascertain whether the same characteristics distinguish men who have never had a PSA from those who screen infrequently and those who screen yearly (adhere). Design and methods Stratified cluster‐sampling was used to recruit 533 men (45–70 years) from four ethnic groups: African‐American; European‐American; immigrant Jamaican; and immigrant men from Trinidad and Tobago. Men provided demographic and structural (insurance, regular physician, annual exam, and physician recommendation), cognitive (risk and efficacy perceptions, knowledge), and emotional variables (cancer worry and embarrassment), and reported on PSA screening history. Multinomial logistic regression used these variables to predict three screening classifications (never screened, partially adherent, and adherent). Results Multinomial logistic regression showed that minority men were less likely to report either never screening or yearly screening, while younger men were more likely. Lack of a regular physician (OR=2.87, 95% CI 1.39–5.84), an annual exam (OR=1.73, 95% CI 0.91–3.28), and low recommendation (OR=3.76, 95% CI 2.13–6.66) were associated with being categorized as a never (vs. partially adherent) screener, but only annual exam (OR=0.26, 95% CI 0.10–0.63) was associated with yearly screening. Lower cancer worry was marginally associated with never screening (OR=0.59, 95% CI 0.38–1.04), while knowledge was associated with screening yearly over time (OR=0.46, 95% CI 0.28–0.77). Conclusions Demographic, physician, and psychological variables are differentially associated with never, less than yearly, and yearly screening classifications. Minority men were unlikely to have never screened, but were also less likely to screen yearly. Physician variables were associated with the difference between not screening and partially adherent, but not between partially adherent and yearly screening suggesting that the role of physicians in PSA behaviour over time would benefit from further study.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Physician, affective, and cognitive variables differentially predict initiation versus maintenance PSA screening profiles in diverse groups of men

Consedine

Christie

Neugut

2009

British J Health Psychol

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“…Recommendations for men with a positive family history Despite controversies associated with population-based screening, targeted screening of men in high-risk groups has been shown to be beneficial in detecting prostate cancer in a sub-clinical period [35,[51][52][53][54][55]. Men with two or more relatives, diagnosed before the age of 60, are recommended to begin screening between the ages of 40 and 45 and have repeat screenings every 2-3 years until age 70 [44,51].…”

Section: Screening Recommendationsmentioning

confidence: 99%

Increased cancer risk for individuals with a family history of prostate cancer, colorectal cancer, and melanoma and their associated screening recommendations and practices

Noe

Schroy

Demierre

et al. 2007

Cancer Causes Control

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Prostate cancer, colorectal cancer, and melanoma are three malignancies that appear to have strong genetic components that can confer additional risk to family members. Screening tools, albeit controversial, are widely available to potentially aide in early diagnosis. Family members are now more attuned to the risks and benefits of cancer screening, thus, it is imperative that physicians understand the screening tools and how to interpret the information they provide. We reviewed the current literature regarding the cancer risks for individuals with a family history of prostate cancer, colon cancer, and melanoma, the current screening recommendations for family members, and actual screening practices of individuals with a family history of these malignancies. This review should serve as a guide for physicians and cancer control planners when advising their patients and the public regarding screening decisions.

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Beyond the Black Box: A Systematic Review of Breast, Prostate, Colorectal, and Cervical Screening Among Native and Immigrant African-Descent Caribbean Populations

Consedine

Tuck

Ragin

et al. 2014

J Immigrant Minority Health

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Cancer screening disparities between black and white groupings are well-documented. Less is known regarding African-descent subpopulations despite elevated risk, distinct cultural backgrounds, and increasing numbers of Caribbean migrants. A systematic search of Medline, Web of Science, PubMed and SCOPUS databases (1980-2012) identified 53 studies reporting rates of breast, prostate, cervical, and colorectal screening behavior among immigrant and non-immigrant Caribbean groups. Few studies were conducted within the Caribbean itself; most work is US-based, and the majority stem from Brooklyn, New York. In general, African-descent Caribbean populations screen for breast, prostate, colorectal, and cervical cancers less frequently than US-born African-Americans and at lower rates than recommendations and guidelines. Haitian immigrants, in particular, screen at very low frequencies. Both immigrant and non-immigrant African-descent Caribbean groups participate in screening less frequently than recommended. Studying screening among specific Caribbean groups of African-descent may yield data that both clarifies health disparities between US-born African-Americans and whites and illuminates the specific subpopulations at risk in these growing immigrant communities.

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Prostate-specific antigen screening in a high-risk population: Lessons from the community and how they relate to large-scale population-based studies

Cited by 10 publications

References 27 publications

Physician, affective, and cognitive variables differentially predict initiation versus maintenance PSA screening profiles in diverse groups of men

Physician, affective, and cognitive variables differentially predict initiation versus maintenance PSA screening profiles in diverse groups of men

Increased cancer risk for individuals with a family history of prostate cancer, colorectal cancer, and melanoma and their associated screening recommendations and practices

Beyond the Black Box: A Systematic Review of Breast, Prostate, Colorectal, and Cervical Screening Among Native and Immigrant African-Descent Caribbean Populations

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