Psychosocial and Cultural Barriers to Prostate Cancer Screening: Racial Comparisons

摘要

The goal of this project was to better understand the psychosocial and cultural factors affecting prostate cancer screening among African American (AA) and White men. It was a community-based participatory research project, which involved participation of local community members through a community steering committee. The first phase of the project was a focus group study, and then the focus group results were used to develop a questionnaire instrument. We conducted the Nashville Men's Preventive Health Survey, drawing a stratified and clustered random sample of 392 men ages 40 to 70. White men were more likely than AA men in recommended age ranges to have ever had a DRE or PSA, and to report having a PSA in the past 12 months, but there was no racial difference in DRE screening in the past year. Informed decision-making (IDM) was lower than actual screening rates, with only 2 out of 5 men who engaged in IDM by talking with their doctors about PC and screening options, with no difference by race. The number of visits to the doctor was positively associated with IDM, in particular for AA men. Having a medical home was positively associated with PC screening, but the effect was stronger for White men. For AA men, age, previous visit with a urologist, and doctor recommendation were positively associated with PC screening.