Racial Disparities in Urologic Health Care

Klein, John B.; Nguyen, Carvell T.; Saffore, Lateef; Modlin, Charles S.

doi:10.1016/s0027-9684(15)30498-3

Cited by 36 publications

(27 citation statements)

References 60 publications

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“…In contrast to previous reports, Klein et al [93] in their recent review come to a conclusion that if localized PCa is treated adequately and appropriately, patients do equally well across all stages, regardless of race or ethnicity. Survival outcomes were equivalent between Caucasians and African Americans when treatment was assigned in a uniform manner without regard to race.…”

Section: Disparities In Survival and The Quality Of Lifementioning

confidence: 62%

Disparities at presentation, diagnosis, treatment, and survival in African American men, affected by prostate cancer

et al. 2010

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Background Prostate cancer (PCa) remains the most common malignancy and the second leading cause of cancer death among men in the United States. PCa exhibits the most striking racial disparity, as African American men are at 1.4 times higher risk of being diagnosed, and two to three times higher risk of dying of PCa, compared to Caucasian men. The etiology of the disparity has not been clearly elucidated. The objective of this paper is to critically review the literature and summarize the most prominent PCa racial disparities accompanied by proposed explanations. Methods The present literature on disparities at presentation, diagnosis, treatment and survival of African American men affected by PCa was systematically reviewed. Original research as well as relevant review articles were included. Results African American men recurrently present with more advanced disease than Caucasian men, are administered different treatment regimens than Caucasian men, and have shorter progression-free survival following treatment. In addition, African American men report more treatment related side-effects that translates to the diminished quality of life. Conclusions PCa racial disparity exists at stages of presentation, diagnosis, treatment regimens and subsequent survival, and the quality of life. The disparities are complex in involving biological, socio-economic and socio-cultural determinants. These mounting results highlight an urgent need for future clinical, scientific and socio-cultural research involving transdisciplinary teams to elucidate the causes for PCa racial disparities.

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Section: Disparities In Survival and The Quality Of Lifementioning

confidence: 62%

Disparities at presentation, diagnosis, treatment, and survival in African American men, affected by prostate cancer

et al. 2010

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“…Racial disparities in prostate cancer mortality have been associated with AA men having reduced access to prostate cancer screening services and less timely receipt of quality health care than white men are [2][3][4][5]. Racial differences in prostate tumor biology have also been observed, but reported studies may be biased by socioeconomic, educational, and cultural variables [6].…”

Section: Introductionmentioning

confidence: 99%

Earlier prostate-specific antigen testing in African American men—Clinical support for the recommendation

Saltzman

Luo

Scherrer

et al. 2015

Urologic Oncology: Seminars and Original Investigations

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“…In the United States, 87% of AAs report having a formal religious affiliation and 79% report that religion is very important in their lives (The Pew Forum on Religion, 2009). AAs also face large health disparities in their rates of chronic disease (Centers for Disease Control, 2008) and may have limited access to health services for a variety of socioeconomic reasons (Klein, Nguyen, Saffore, Modlin, & Modlin, 2010; Link & McKinlay, 2009). In addition, AAs have reported higher levels of mistrust in research and traditional medical systems (Armstrong et al, 2008; Matthews, Sellergen, Manfriedi, & Williams, 2002).…”

Section: Introductionmentioning

confidence: 99%

Intersection of identities. Food, role, and the African–American pastor

et al. 2013

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African–American pastors can foster health-related innovations as gatekeepers and advocates within their churches. Personal experiences with food and health likely influence their support of such programs. Identities or meanings attached to societal roles have been shown to motivate individuals’ attitudes and behaviors. Understanding role and eating identities of African–American pastors may have important implications for participation in faith-based health promotion programs. This study aimed to describe the eating and pastoral identities of African–American pastors, explore intersections between these identities, and highlight implications for nutrition programs. In-depth interviews with 30 African–American pastors were audio-recorded and transcribed verbatim. Data were analyzed using theory-guided and grounded-theory approaches. Pastors described affinity across one or more dimensions including healthy, picky, meat, and over-eater identities. In describing themselves as pastors, the dimensions pastor’s heart, teacher, motivator, and role model emerged. Pastors who described themselves as healthy eaters were more likely to see themselves as role models. Pastors with healthier eating identities and more complex pastoral identities described greater support for health programming while unhealthy, picky, and over-eaters did not. These findings provide guidance for understanding eating and role identities among pastors and should be considered when designing and implementing faith-based programs.

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Racial Disparities in Urologic Health Care

Cited by 36 publications

References 60 publications

Disparities at presentation, diagnosis, treatment, and survival in African American men, affected by prostate cancer

Disparities at presentation, diagnosis, treatment, and survival in African American men, affected by prostate cancer

Earlier prostate-specific antigen testing in African American men—Clinical support for the recommendation

Intersection of identities. Food, role, and the African–American pastor

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