Journal of Immigrant and Minority Health
Volume 19, Issue 6, 2017, Pages 1343-1350

Patient and Physician Factors Associated with Undisclosed Prostate Cancer Screening in a Sample of Predominantly Immigrant Black Men (Article)

Lepore S.J.* , Nair R.G. , Davis S.N. , Wolf R.L. , Basch C.E. , Thomas N. , Shmukler C. , Ullman R.
  • a Department of Social and Behavioral Sciences, College of Public Health, Temple University, 957 Ritter Annex, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, United States
  • b Department of Biostatistics and Epidemiology, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, United States
  • c Department of Health Outcomes and Behaviors, Moffitt Cancer Center, Tampa, FL 33612, United States
  • d Department of Health and Behavioral Studies, Teachers College, Columbia University, 525 West 120th Street, New York, NY 10027, United States
  • e Department of Health and Behavioral Studies, Teachers College, Columbia University, 525 West 120th Street, New York, NY 10027, United States
  • f 1199SEIU Benefit and Pension Funds, 330 W. 42nd Street, New York, NY 10036, United States
  • g 1199SEIU Benefit and Pension Funds, 330 W. 42nd Street, New York, NY 10036, United States
  • h 1199SEIU Benefit and Pension Funds, 330 W. 42nd Street, New York, NY 10036, United States

Abstract

Medical guidelines do not recommend prostate cancer screening, particularly without informed and shared decision making. This study investigates undisclosed opportunistic screening using prostate specific antigen (PSA) testing in black immigrant and African American men. Participants (N = 142) were insured urban men, 45- to 70-years old. Patients’ reports of testing were compared with medical claims to assess undisclosed PSA testing. Most (94.4 %) men preferred to share in screening decisions, but few (46.5 %) were aware PSA testing was performed. Four factors predicted being unaware of testing: low formal education, low knowledge about prostate cancer, no intention to screen, and no physician recommendation (all p’s < .05). Undisclosed PSA testing was common. Both patient and provider factors increased risk of being uninformed about prostate cancer screening. Interventions combining patient education and physician engagement in shared decision making may better align practice with current prostate cancer screening guidelines. © 2016, Springer Science+Business Media New York.

Author Keywords

minority health Prostate cancer screening Informed decision making Shared decision making Patient preferences

Index Keywords

Prostatic Neoplasms Prostate-Specific Antigen human middle aged statistics and numerical data early cancer diagnosis Aged Early Detection of Cancer ethnology African American procedures Humans migrant male Emigrants and Immigrants Socioeconomic Factors socioeconomics Health Knowledge, Attitudes, Practice prostate specific antigen patient participation decision making prostate tumor attitude to health African Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979578220&doi=10.1007%2fs10903-016-0468-1&partnerID=40&md5=33f4150a13fa097c63bf503b6eab4940
DOI: 10.1007/s10903-016-0468-1
ISSN: 15571912
Cited by: 1
Original Language: English