Objective
African-American men die from prostate cancer at higher rates than white men, a health disparity that may result from differences in knowledge and beliefs about prostate cancer and screening. Studies conflict on whether race or socioeconomic status affects knowledge of prostate cancer and screening. This study compared education, race, and screening status to determine how each factor alone or together shape men’s knowledge of prostate cancer and screening.
Methods
In-depth interviews were conducted with 65 African-American and white men with diverse education backgrounds, aged 40–64.
Results
Education, not race or screening status, was associated with knowledge about the prostate gland, prostate cancer symptoms and screening tests, and fear of prostate cancer. The exception was knowledge about the prostate specific antigen blood test which was associated with education and screening status.
Conclusion
Education, not race, is associated with prostate cancer and screening knowledge. Interventions should focus on all men with low education to correct their misinformation about prostate cancer and to engage them in shared decision making about screening.