The relationship between Black men with prostate cancer and their health-care providers

Chinegwundoh, Francis

doi:10.1038/s41585-021-00525-6

Cited by 3 publications

(10 citation statements)

References 8 publications

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“…Ethnic and racial concordance is not present in most urologist-patient interactions. The discordance couples with a significant blanket mistrust of the healthcare system and limits patient satisfaction [ 23 ]. Thus, discordance can also factor into the late presentation time of prostate cancer diagnosis in African Americans.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, discordance can also factor into the late presentation time of prostate cancer diagnosis in African Americans. However, increasing cultural competence, for instance through educational training programs and patient navigators, promotes greater participation in shared decision-making, treatment adherence, and health literacy [ 23 ]. Efforts must also be made to support diversity in educational programs and healthcare careers.…”

Section: Discussionmentioning

confidence: 99%

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Metastatic Prostate Adenocarcinoma Presenting as Acute Quadriplegia: A Case Report and Racial Disparity Analysis

Obaed¹,

Silberstein²,

Zylberglait³

2022

Cureus

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Prostate cancer is the most frequently diagnosed malignancy in males with the highest incidence and mortality among African Americans. Most prostate cancers are low-grade and slowly progressive. Prostate cancer can be asymptomatic in the early stages, as exemplified by diagnosis through incidental findings, but typically manifests as a change in urinary habits and characteristics, including frequency and dysuria. If diagnosed at the time of distant metastases, then the patient may complain of bone pain in the hips, legs, or feet, or lower extremity edema.We present the case of a 74-year-old African American male with no past medical history who presented to the emergency department with acute quadriplegia secondary to metastatic spinal cord compression. The patient required admission to the intensive care unit (ICU) and his quadriplegia was successfully treated with cervical arthrodesis, laminectomy, spinal instrumentation, and fusion, high-dose intravenous (IV) steroids, and physical and occupational therapy.Overall, the purpose of this case report is to critically review and investigate the factors behind a patient's atypical, rare, and underreported initial presentation of metastatic prostate cancer. The study discusses the literature on advancements in prostate cancer screening and highlights the importance of a broad differential. Most remarkably, the vignette prompts an analysis of the racial disparity gap in prostate cancer diagnosis and treatment demonstrates the need for further research toward improved health outcomes, and proposes multiple avenues to promote health equity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Metastatic Prostate Adenocarcinoma Presenting as Acute Quadriplegia: A Case Report and Racial Disparity Analysis

Obaed¹,

Silberstein²,

Zylberglait³

2022

Cureus

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“…45 Poor access to health care has been emphasized in recent literature. 53 Because of the nature of the government-sponsored universal health care system, there may be inadequate evidence to support such a claim in the United Kingdom in comparison with other nations such as the United States. However, poor access to health care could take the form of an inability to promptly refer men of African origin who present with a higher risk of prostate cancer to a urologist.…”

Section: Disparities In Prostate Cancer Screening and Diagnosismentioning

confidence: 99%

“…Although current prostate cancer screening recommendations are directed toward reducing overtreatment of indolent cancers, other factors such as genetic predisposition and equitable access to care and treatment may have been left out 45 . Poor access to health care has been emphasized in recent literature 53 . Because of the nature of the government‐sponsored universal health care system, there may be inadequate evidence to support such a claim in the United Kingdom in comparison with other nations such as the United States.…”

Section: Disparities In Prostate Cancer Screening and Diagnosismentioning

confidence: 99%

“…However, poor access to health care could take the form of an inability to promptly refer men of African origin who present with a higher risk of prostate cancer to a urologist. Chinegwundoh 53 further highlighted the likelihood of a discordant medical consultation, which arises when a therapeutic relationship cannot be established. When these facts are taken into consideration, it becomes clear why men of African ethnic origin often present with metastatic prostate cancer at a later stage when medical interventions are not likely to improve their quality of life.…”

Section: Disparities In Prostate Cancer Screening and Diagnosismentioning

confidence: 99%

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Current prostate cancer screening and treatment strategies may not support a holistic nationwide program

Nnate

Ball

2022

Cancer

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The diversity of the United Kingdom population and its health care personnel makes it unique for research into evidence-based prostate cancer screening and management strategies.• Therefore, ensuring that appropriate systems and services are available to enhance treatment support for men with underlying risk factors should be a priority for health care providers.• More efforts are also needed to ensure the representation of men of Black ethnic origin and underserved populations in future prostate cancer research used to inform clinical guidelines.

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Exploring Preventive Health Care Utilization Among Black/African American Men

Jordan,

Jeremiah,

Watson

et al. 2024

Am J Mens Health

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Black/African American (BAA) men have the lowest life expectancy among other major demographic groups in the United States, with BAA male mortality rates 40% higher than their White male counterparts. Despite known benefits of preventive health care utilization, BAA men are 43% more likely to use the emergency department for usual care. Many intersecting factors like medical mistrust and religion have been identified as common barriers BAA men face in health care utilization with few studies exploring factors that impact their current preventive health care utilization. In addition, BAA men’s perceptions of health and ability to identify or seek help have always been disproportionately lower than other racial groups despite higher rates of preventable diseases. Using the tenets of the Andersen Healthcare Utilization Model, this cross-sectional study of 176 BAA men explores BAA men’s current preventive health care practices while examining the intersection of predisposing, enabling, and need factors on BAA men’s preventive health care utilization. While it is well known that higher income levels and higher education positively influence health care utilization, the intersection of religious affiliation and higher levels of medical mistrust was associated with BAA men’s decreased engagement with health care as religion posed as a buffer to health care utilization. This study demonstrated that BAA men’s perception of health differed by sexual orientation, educational status, and income. However, across all groups the participants’ perspective of their health was not in alignment with their current health outcomes. Future studies should evaluate the impact of masculine norms as potential enabling factors on BAA men’s preventive health care utilization.

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The relationship between Black men with prostate cancer and their health-care providers

Cited by 3 publications

References 8 publications

Metastatic Prostate Adenocarcinoma Presenting as Acute Quadriplegia: A Case Report and Racial Disparity Analysis

Metastatic Prostate Adenocarcinoma Presenting as Acute Quadriplegia: A Case Report and Racial Disparity Analysis

Current prostate cancer screening and treatment strategies may not support a holistic nationwide program

Exploring Preventive Health Care Utilization Among Black/African American Men

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