Prostate Cancer and Psychosocial Concerns in African American Men: Literature Synthesis and Recommendations

Pierce, Robert; Chadiha, Letha A.; Vargas, Amy; Mosley, Muriel

doi:10.1093/hsw/28.4.302

Cited by 26 publications

(12 citation statements)

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“…We aimed to evaluate patterns of variance between dominant and nondominant groups and thus do not explore constructs that are largely identical in the ethnicity and main syntheses. These are summarized briefly in Supporting Information and considered in more detail elsewhere …”

Section: Resultsmentioning

confidence: 99%

“…To our knowledge, this is the first systematic qualitative review of BME PCa experiences, although there are 2 expert overviews. One considered the qualitative and quantitative literature on African American men's health beliefs regarding PCa, focusing on preventive health‐related behaviors . The other concentrated on UK BME information and psychosocial support needs …”

Section: Introductionmentioning

confidence: 99%

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Ethnicity and the prostate cancer experience: a qualitative metasynthesis

et al. 2016

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ObjectivesTo summarize black and minority ethnic (BME) patients' and partners experiences of prostate cancer by examining the findings of existing qualitative studies.MethodsWe undertook a systematic metasynthesis of qualitative studies using a modified version of Noblit and Hare's “meta‐ethnography” approach, with a 2000‐2015 search of 7 databases.ResultsThirteen studies of men from US and UK BME groups were included. We explored constructs with BME‐specific features. Health care provider relationships, formation of a spiritual alliance with God (which enhanced the participants' feeling of empowerment and ability to cope with the cancer), and living on for others (generally to increase cancer awareness), often connected to spiritual regrowth, were the 3 constructs most commonly reported. A magnified effect from erectile dysfunction was also common. Initially, this affected men's disclosure to others about their cancer and their sexual problems, but eventually men responded by shifting their conceptualizations of masculinity to sustain self and social identities. There was also evidence of inequality resulting from financial constraints and adversity that necessitated resilience in coping.ConclusionsThe prostate cancer experience of BME men and their partners is affected by a complex intersection of ethnicity with other factors. Health care services should acknowledge this. If providers recognize the men's felt masculinities, social identities, and spiritual beliefs and their shifting nature, services could be improved, with community as well as individual benefits. More studies are needed in diverse ethnic groups.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ethnicity and the prostate cancer experience: a qualitative metasynthesis

et al. 2016

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“…Awareness of such differences would be critical while providing counseling. [69][70][71][72] This may not reliably occur at this time, particularly for gay men, 73 African Americans 70 and other ethnic groups. 74 As the side effects of prostate cancer surgery are quite dramatic, uninformed patients would be more susceptible to regretting their treatment choice.…”

Section: Penile Rehabilitationmentioning

confidence: 98%

Counseling patients about sexual health when considering post-prostatectomy radiation treatment

et al. 2009

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Prostate cancer is the second most frequently diagnosed cancer in men in the United States. Many men with clinically localized prostate cancer survive for 15 years or more. Although early detection and successful definitive treatments are increasingly common, a debate regarding how aggressively to treat prostate cancer is ongoing because of the effect of aggressive treatment on the quality of life, including sexual functioning. We examined current research on the effect of post-prostatectomy radiation treatment on sexual functioning, and suggest a way in which patient desired outcomes might be taken into consideration while making decisions with regard to the timing of radiation therapy after prostatectomy.

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“…This is not unusual as research that focuses specifically on the psychosocial issues of Black men with prostate cancer is limited [14, 15]. It is clear from the literature that Black men will not be appropriately studied unless research is designed specifically to address this population.…”

Section: Introductionmentioning

confidence: 99%

Assessing anxiety in Black men with prostate cancer: further data on the reliability and validity of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC)

Nelson

Starr

Macchia

et al. 2016

Support Care Cancer

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PURPOSE The National Cancer Institute has highlighted the need for psychosocial research to focus on Black cancer patients. This applies to Black men with prostate cancer, as there is little systematic research concerning psychological distress in these men. This study was designed to validate the Memorial Anxiety Scale for Prostate Cancer (MAX-PC) in Black men with prostate cancer to help facilitate research within this group. METHODS At three institutions, Black men with prostate cancer (n=101) completed the MAX-PC, the Hospital Anxiety and Depression Scale (HADS), the Functional Assessment of Cancer Therapy (FACT) Quality of Life Questionnaire, and the Distress Thermometer. RESULTS The average age of the 101 men was 66 (S.D. = 10) and 58% had early-stage disease. The MAX-PC, and its subscales (Prostate Cancer Anxiety, PSA Anxiety, and Fear of Recurrence), produced strong coefficient alphas (0.89, 0.88, 0.71, and 0.77, respectively). Factor analysis supported the three-factor structure of the scale established in earlier findings. The MAX-PC also demonstrated strong validity. MAX-PC total scores correlated highly with the Anxiety subscale of the HADS (r = 0.59, p < 0.01), and the FACT Emotional Well-Being subscale (r = −0.55, p < 0.01). Demonstrating discriminant validity, the correlation with the HADS Depression Subscale (r = 0.40, p < 0.01) and the CES-D (r = 0.42, p < 0.01) were lower compared to the HADS Anxiety subscale. CONCLUSIONS The MAX-PC is valid and reliable in Black men with prostate cancer. We hope the validation of this scale in Black men will help facilitate psychosocial research in this group that is disproportionately adversely affected by this cancer.

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Prostate Cancer and Psychosocial Concerns in African American Men: Literature Synthesis and Recommendations

Cited by 26 publications

References 0 publications

Ethnicity and the prostate cancer experience: a qualitative metasynthesis

Ethnicity and the prostate cancer experience: a qualitative metasynthesis

Counseling patients about sexual health when considering post-prostatectomy radiation treatment

Assessing anxiety in Black men with prostate cancer: further data on the reliability and validity of the Memorial Anxiety Scale for Prostate Cancer (MAX-PC)

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