Reducing Prostate Cancer Morbidity and Mortality in African American Men: Issues and Challenges

Jones, Randy; Underwood, Sandra Millon; Rivers, Brian M.

doi:10.1188/07.cjon.865-872

Cited by 25 publications

(22 citation statements)

References 57 publications

(51 reference statements)

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“…39–41 Acculturation was not found to be directly correlated with PCa screening, contrary to other cancer screening studies among Chinese Americans. 40–42 We did, however, find that acculturation was significantly correlated with the predisposing, enabling, and health care satisfaction factors. These findings indicate that cultural alignment may be indirectly related to those factors that influence a Chinese American man’s decision to undergo PCa screening.…”

Section: Discussioncontrasting

confidence: 65%

Prostate Cancer Screening Among Chinese American Men: A Structural Model

Grace¹,

Shive²,

Gao³

et al. 2012

Am J Hlth Behav

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Objective To test the Sociocultural Health Behavior Model in relation to the health behavior of prostate cancer (PCa) screening among Chinese American men. Methods Confirmatory factor analysis and structural equation model analyses were conducted among Chinese American men. Results The path analysis supported the components of the sociocultural model and indicated a positive and significant relationship between PCa screening and the enabling factors; between cultural factors and predisposing, enabling, and access/satisfaction with health care factors; and between enabling factors and access/satisfaction with health care. Conclusions The model highlights the significance that sociocultural factors play in relation to PCa screening.

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Section: Discussioncontrasting

confidence: 65%

Prostate Cancer Screening Among Chinese American Men: A Structural Model

Grace¹,

Shive²,

Gao³

et al. 2012

Am J Hlth Behav

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“…In addition to obesity, dietary factors have been shown to correlate with PCa initiation and progression, with increased animal fat, cooked red meat and dairy consumption being the most studied dietary risk factors [83–84]. It was reported that African Americans tend to maintain high-fat diets more often than any other racial groups [12], thus possibly facilitating the disparity in PCa initiation, progression and survival. Extensive research aimed to explore the role of dietary patterns in overall PCa risk and its relation to disparity is currently ongoing.…”

Section: Disparities In Survival and The Quality Of Lifementioning

confidence: 99%

“…Thus, the goal of eliminating racial disparities in cancer cannot be achieved without coordinated and sustained efforts to provide high quality prevention, screening, and treatment to all segments of the population, including minorities. In addition, as emphasized by Jones et al [12], additional bio-behavioral studies are required to help identify interventions that will narrow the PCa gap between African Americans and Caucasians.…”

Section: Introductionmentioning

confidence: 99%

Disparities at presentation, diagnosis, treatment, and survival in African American men, affected by prostate cancer

et al. 2010

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Background Prostate cancer (PCa) remains the most common malignancy and the second leading cause of cancer death among men in the United States. PCa exhibits the most striking racial disparity, as African American men are at 1.4 times higher risk of being diagnosed, and two to three times higher risk of dying of PCa, compared to Caucasian men. The etiology of the disparity has not been clearly elucidated. The objective of this paper is to critically review the literature and summarize the most prominent PCa racial disparities accompanied by proposed explanations. Methods The present literature on disparities at presentation, diagnosis, treatment and survival of African American men affected by PCa was systematically reviewed. Original research as well as relevant review articles were included. Results African American men recurrently present with more advanced disease than Caucasian men, are administered different treatment regimens than Caucasian men, and have shorter progression-free survival following treatment. In addition, African American men report more treatment related side-effects that translates to the diminished quality of life. Conclusions PCa racial disparity exists at stages of presentation, diagnosis, treatment regimens and subsequent survival, and the quality of life. The disparities are complex in involving biological, socio-economic and socio-cultural determinants. These mounting results highlight an urgent need for future clinical, scientific and socio-cultural research involving transdisciplinary teams to elucidate the causes for PCa racial disparities.

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“…Involving minorities is particularly important in research on prostate cancer, which affects African American men more than other ethnic groups (Jones, Underwood, & Rivers, 2007). The incidence rate of prostate cancer in African American men is 239.8 per 100,000 compared to 153 per 100,000 for White men, 133.4 per 100,000 for Hispanic men, 91.1 per 100,000 for Asian/Pacific Islander men, and 76.1 per 100,000 for American Indian/Alaska Native men (Horner et al, 2008).…”

mentioning

confidence: 99%