Prostate cancer (PCa) prevalence in African Americans (AAs) is over 1.5 times the prevalence in European Americans (EAs). Among over a hundred index risk SNPs for PCa, only a few can be verified using the available AAs' data. Their relevance to the prevalence inequality and other racial disparities has not been fully determined.We investigated this issue by an integrative analysis of five public datasets.We categorized the datasets into two classes. The training class consisted of the datasets generated by three genomewide association studies. The test class contained the TCGA prostate carcinoma data and the data of African and European super-populations in the 1000-Genome project. The polygenic risk scores (PRS) of test samples for cancer occurrence were calculated according to the effects of genetic variants estimated from the training samples.We obtained the following findings. Africans' PRSs are higher than Europeans' scores (p << 0.01); AA patients' PRSs are higher than EA patients' scores (p<3×10 -9 ); the patients with tumors presenting fusion or abnormal expression in ERG and other ETS family genes have lower PRSs than the patients without such aberrations (p < 7×10 -5 ); five tumor progression-related genes have the expression levels being significantly correlated with PRS (FDR<0.01). Additional simulation analysis shows that the high PCa prevalence in African populations makes it challenging to identify individual risk variants using African men's data.The index risk SNPs-based PRS is compatible with the observed racial disparity in PCa prevalence and ETS abnormal cancers may be less heritable compared to other subtypes.Prevention Relevance This study reveals the relevance of index risk SNP markers with racial disparities in PCa.The findings also indicate that PRS can be used in PCa subtype prediction.Previous studies show that prostate cancer cases attributed to the germline aberration of a major cancer gene such as BRCA is relatively rare (13). This implies that PCa susceptibility could be largely considered as a complex trait determined by many minor genetic factors. While DNA alterations of other types, such as short sequence repeats and indels ( 14), have been reported to be associated with PCa occurrence, former research was mostly focused on single nuclear polymorphisms (SNPs). By 2015, 104 risk SNP markers (this marker set is used in our analysis. See