Increasing Early Detection of Prostate Cancer in African American Men through a Culturally Targeted Print Intervention

摘要

Prostate cancer (PCa) incidence and mortality is higher among African American (AA) men compared to all other groups. There is compelling evidence that higher mortality is due to the greater likelihood of AA men to be diagnosed with advanced-stage PCa. PCa scrnening specifically prostate-specific antigen test (PSA) and digital rectal exam (DRE) has been shown to increase early-stage diagnoses. Although several organizations recommend annual PCa screening starting at age 45 for AA men screening among AA men is low. Indeed interventions to increase screening and the early detection of PCa among AA men are critical. Although culturally targeted health interventions have been found to be effective there are no interventions that have systematically addressed culturally relevant factors in PCa screening among AA men. The primary aim of the proposed study is to develop and evaluate the impact of a culturally targeted (CT) print intervention on PCa screening participation among AA 410 men through a randomized controlled trial. The proposed research also seeks to investigate the mediational pathways (i.e. mechanisms) through which the culturally targeted print intervention impacts screening participation.