Predictors of annual prostate-specific antigen (PSA) screening among black men: Results from an urban community-based prostate cancer screening program

Marquita W. Lewis-Thames*, Saira Khan, Veronica Hicks, Bettina F. Drake

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background and objective: Black men have an increased risk of prostate cancer mortality compared with any racial or ethnic group. Further, research on prostate cancer prevention and control messaging focusing on Black men is limited. Community screening events are successful in attracting members from high-risk groups, like Black men, and are a valuable source to collect cancer screening and health promotion data. Therefore, the authors examined data of Black men attending a community-based PCa screening event to evaluate predictors of annual PCa screening, and identify sub-populations of Black men needing targeted cancer prevention messaging. Methods: Black men attending PCa screening events in St. Louis, MO 2007–2017 were eligible. Participants completed either a mail-in or on-site survey at the time of their screening to collect information on annual screening history. We analyzed sociodemographic factors, having a firstdegree relative with a history of PCa, healthcare utilization characteristics, and predictors of annual PSA screening. Logistic regression analysis was used to assess the association between predictors and annual PSA screening. Results: Data was analyzed from 447 respondents. One-third of the residents did not know their cancer family history status. Older age and having a primary healthcare provider predicted an annual prostate cancer after attending the PCa community screening event. In the fully adjusted model, all ages older than 45 years were 2–4 times more likely to have an annual PCa screening. Having a healthcare provider also predicted an annual PCa screening (OR: 4.59, 95% CI: 2.30–9.14). Conclusion: Regardless of sociodemographic and family history factors, older Black men and those with a primary physician are more likely to have an annual PSA screening. Cancer prevention promotion efforts for Black men should target mechanisms that facilitate family cancer history conversations to engage younger Black men. Also, additional health promotions efforts are needed to educate Black men without a primary healthcare provider.

Original languageEnglish (US)
Pages (from-to)78-83
Number of pages6
JournalJournal of Men's Health
Volume17
Issue number4
DOIs
StatePublished - 2021

Funding

This research was funded by the NATIONAL CANCER INSTITUTE (No. T32CA190194, 1U54CA153460-01, and 1 U01 CA114594-01). This research also received funds from the ST. LOUIS MENS GROUP AGAINST CANCER. WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, the BARNES-JEWISH HOSPITAL FOUNDATION, the SITEMAN CANCER CENTER, and the DEPARTMENT OF DEFENSE PROSTATE CANCER RESEARCH PROGRAM (No. PC170130). The content is solely the responsibility of the authors and does not necessarily represent the official view of the National Institutes of Health. We would like to express our gratitude to all those who helped me during the writing of this manuscript, and thanks to all the peer reviewers for their opinions and suggestions. Funding This research was funded by the NATIONAL CANCER INSTITUTE (No. T32CA190194, 1U54CA153460-01, and 1 U01 CA114594-01). This research also received funds from the ST. LOUIS MENS GROUP AGAINST CANCER. WASHINGTON UNIVERSITY SCHOOL OF MEDICINE, the BARNES-JEWISH HOSPITAL FOUNDATION, the SITEMAN CANCER CENTER, and the DEPARTMENT OF DEFENSE PROSTATE CANCER RESEARCH PROGRAM (No. PC170130). The content is solely the responsibility of the authors and does not necessarily represent the official view of the National Institutes of Health.

Keywords

  • African-Americans
  • Cancer screening
  • Community health education
  • Health promotion
  • Prostate cancer
  • Prostate-specific antigen
  • Vulnerable populations

ASJC Scopus subject areas

  • Urology

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