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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2005 Jul;97(7):963–971.

Awareness and use of the prostate-specific antigen test among African-American men.

Louie E Ross 1, Robert J Uhler 1, Kymber N Williams 1
PMCID: PMC2569321  PMID: 16080666

Abstract

Although African-American men have a greater burden of prostate cancer than whites and other racial and ethnic groups, few studies on the burden of prostate cancer have focused on African Americans specifically. We used a sample of African-American men (N = 736) who participated in the 2000 National Health Interview Survey to explore their awareness of the prostate-specific antigen (PSA) test. Among African-American men aged > or = 45 with no history of prostate cancer, 63% had heard of the PSA test and 48% had been tested. Bivariate analyses showed significant associations between sociodemographic, family composition, health status and perceived risk with having heard of the PSA test and having been tested. The multivariate model showed significant associations between having heard of the PSA test and age, level of education, living in an MSA, and having private or military health insurance. For ever being tested, the multivariate model showed significant associations for age, private or military health insurance, being in fair or poor health, and having a family history of prostate cancer. Some of the correlates, such as age, increased levels of education and being married, were consistent with previous studies, but other correlates, such as metropolitan statistical area, health status and perceived risk, differed from previous studies.

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Selected References

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  1. Agho A. O., Lewis M. A. Correlates of actual and perceived knowledge of prostate cancer among African Americans. Cancer Nurs. 2001 Jun;24(3):165–171. doi: 10.1097/00002820-200106000-00001. [DOI] [PubMed] [Google Scholar]
  2. Arar N., Thompson I., Sarosdy M., Harris M., Shepherd D., Troyer D., Plaetke R. Risk perceptions among patients and their relatives regarding prostate cancer and its heredity. Prostate Cancer Prostatic Dis. 2000 Nov;3(3):176–185. doi: 10.1038/sj.pcan.4500416. [DOI] [PubMed] [Google Scholar]
  3. Barber K. R., Shaw R., Folts M., Taylor D. K., Ryan A., Hughes M., Scott V., Abbott R. R. Differences between African American and Caucasian men participating in a community-based prostate cancer screening program. J Community Health. 1998 Dec;23(6):441–451. doi: 10.1023/a:1018758124614. [DOI] [PubMed] [Google Scholar]
  4. Boyd M. D., Weinrich S. P., Weinrich M., Norton A. Obstacles to prostate cancer screening in African-American men. J Natl Black Nurses Assoc. 2001 Dec;12(2):1–5. [PubMed] [Google Scholar]
  5. Brown M. L., Potosky A. L., Thompson G. B., Kessler L. G. The knowledge and use of screening tests for colorectal and prostate cancer: data from the 1987 National Health Interview Survey. Prev Med. 1990 Sep;19(5):562–574. doi: 10.1016/0091-7435(90)90054-n. [DOI] [PubMed] [Google Scholar]
  6. Carter F., Graham E., Pal N., Gonzalez E., Roetzheim R. Prostate cancer screening in primary care. South Med J. 1999 Mar;92(3):300–304. doi: 10.1097/00007611-199903000-00008. [DOI] [PubMed] [Google Scholar]
  7. Conlisk E. A., Lengerich E. J., Demark-Wahnefried W., Schildkraut J. M., Aldrich T. E. Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina. Urology. 1999 Jun;53(6):1194–1199. doi: 10.1016/s0090-4295(99)00005-9. [DOI] [PubMed] [Google Scholar]
  8. Demark-Wahnefried W., Strigo T., Catoe K., Conaway M., Brunetti M., Rimer B. K., Robertson C. N. Knowledge, beliefs, and prior screening behavior among blacks and whites reporting for prostate cancer screening. Urology. 1995 Sep;46(3):346–351. doi: 10.1016/S0090-4295(99)80218-0. [DOI] [PubMed] [Google Scholar]
  9. Eisen S. A., Waterman B., Skinner C. S., Scherrer J. F., Romeis J. C., Bucholz K., Heath A., Goldberg J., Lyons M. J., Tsuang M. T. Sociodemographic and health status characteristics with prostate cancer screening in a national cohort of middle-aged male veterans. Urology. 1999 Mar;53(3):516–522. doi: 10.1016/s0090-4295(98)00545-7. [DOI] [PubMed] [Google Scholar]
  10. Fearing A., Bell D., Newton M., Lambert S. Prostate screening health beliefs and practices of African American men. ABNF J. 2000 Nov-Dec;11(6):141–144. [PubMed] [Google Scholar]
  11. Jordan T. R., Price J. H., King K. A., Masyk T., Bedell A. W. The validity of male patients' self-reports regarding prostate cancer screening. Prev Med. 1999 Mar;28(3):297–303. doi: 10.1006/pmed.1998.0430. [DOI] [PubMed] [Google Scholar]
  12. Legler J. M., Feuer E. J., Potosky A. L., Merrill R. M., Kramer B. S. The role of prostate-specific antigen (PSA) testing patterns in the recent prostate cancer incidence decline in the United States. Cancer Causes Control. 1998 Oct;9(5):519–527. doi: 10.1023/a:1008805718310. [DOI] [PubMed] [Google Scholar]
  13. McDavid K., Melnik T. A., Derderian H. Prostate cancer screening trends of New York State men at least 50 years of age, 1994 to 1997. Prev Med. 2000 Sep;31(3):195–202. doi: 10.1006/pmed.2000.0709. [DOI] [PubMed] [Google Scholar]
  14. Moul J. W. Targeted screening for prostate cancer in African-American men. Prostate Cancer Prostatic Dis. 2000 Dec;3(4):248–255. doi: 10.1038/sj.pcan.4500472. [DOI] [PubMed] [Google Scholar]
  15. Myers R. E. African American men, prostate cancer early detection examination use, and informed decision-making. Semin Oncol. 1999 Aug;26(4):375–381. [PubMed] [Google Scholar]
  16. Myers R. E., Wolf T. A., McKee L., McGrory G., Burgh D. Y., Nelson G., Nelson G. A. Factors associated with intention to undergo annual prostate cancer screening among African American men in Philadelphia. Cancer. 1996 Aug 1;78(3):471–479. doi: 10.1002/(SICI)1097-0142(19960801)78:3<471::AID-CNCR14>3.0.CO;2-W. [DOI] [PubMed] [Google Scholar]
  17. Paskett E. D., Tatum C. M., Mack D. W., Hoen H., Case L. D., Velez R. Validation of self-reported breast and cervical cancer screening tests among low-income minority women. Cancer Epidemiol Biomarkers Prev. 1996 Sep;5(9):721–726. [PubMed] [Google Scholar]
  18. Raich P. C., Zoeter M. A., Hagan M., Carparelli S., Olstad K. A., Newman C., Mostow S. Perception of preventive health needs in a prostate-cancer screening population: a preliminary report. J Cancer Educ. 1997 Winter;12(4):224–228. doi: 10.1080/08858199709528493. [DOI] [PubMed] [Google Scholar]
  19. Sirovich Brenda E., Schwartz Lisa M., Woloshin Steven. Screening men for prostate and colorectal cancer in the United States: does practice reflect the evidence? JAMA. 2003 Mar 19;289(11):1414–1420. doi: 10.1001/jama.289.11.1414. [DOI] [PubMed] [Google Scholar]
  20. Steele C. B., Miller D. S., Maylahn C., Uhler R. J., Baker C. T. Knowledge, attitudes, and screening practices among older men regarding prostate cancer. Am J Public Health. 2000 Oct;90(10):1595–1600. doi: 10.2105/ajph.90.10.1595. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Swan Judith, Breen Nancy, Coates Ralph J., Rimer Barbara K., Lee Nancy C. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003 Mar 15;97(6):1528–1540. doi: 10.1002/cncr.11208. [DOI] [PubMed] [Google Scholar]
  22. Taylor K. L., DiPlacido J., Redd W. H., Faccenda K., Greer L., Perlmutter A. Demographics, family histories, and psychological characteristics of prostate carcinoma screening participants. Cancer. 1999 Mar 15;85(6):1305–1312. doi: 10.1002/(sici)1097-0142(19990315)85:6<1305::aid-cncr13>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
  23. Taylor K. L., Turner R. O., Davis J. L., 3rd, Johnson L., Schwartz M. D., Kerner J., Leak C. Improving knowledge of the prostate cancer screening dilemma among African American men: an academic-community partnership in Washington, DC. Public Health Rep. 2001 Nov-Dec;116(6):590–598. doi: 10.1093/phr/116.6.590. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Volk R. J., Cantor S. B., Spann S. J., Cass A. R., Cardenas M. P., Warren M. M. Preferences of husbands and wives for prostate cancer screening. Arch Fam Med. 1997 Jan-Feb;6(1):72–76. doi: 10.1001/archfami.6.1.72. [DOI] [PubMed] [Google Scholar]
  25. Weinrich S. P., Boyd M. D., Weinrich M., Greene F., Reynolds W. A., Jr, Metlin C. Increasing prostate cancer screening in African American men with peer-educator and client-navigator interventions. J Cancer Educ. 1998 Winter;13(4):213–219. doi: 10.1080/08858199809528549. [DOI] [PubMed] [Google Scholar]
  26. Wilkinson Simon, List Marcy, Sinner Michael, Dai Lanting, Chodak Gerald. Educating African-American men about prostate cancer: impact on awareness and knowledge. Urology. 2003 Feb;61(2):308–313. doi: 10.1016/s0090-4295(02)02144-1. [DOI] [PubMed] [Google Scholar]

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