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A Survey of the Knowledge of African-American Women About Prostate Cancer Screening

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Abstract

Prostate cancer is the second most common cancer diagnosed in men. Its incident and mortality rates are generally higher in populations of African descent. The scientific community recommends that men should be informed of the benefits, risks, and limitations of screening in order to make an informed decision regarding participation in prostate cancer screening. Women are known to act as the healthcare gatekeeper for the family. As such, African-American (AA) women could facilitate the informed decision-making process by providing prostate cancer and screening information to AA men. However, little is known about AA women’s knowledge regarding prostate cancer and screening. This report describes the findings of a non-experimental cross-sectional study conducted using a convenience sample of 200 AA women. Data was collected using the knowledge subscale of the Eastland prostate cancer survey. Data was analyzed using JMP 13 statistical software developed by Statistical Analysis Systems (SAS) Institute. The overall mean knowledge score was 6.59 (47.1%). Knowledge was significantly associated with personal or family history of cancer (p = .02), family history of prostate cancer (p = .002), and the age of the respondents (p = .004) with those of older age (51 years and above) scoring higher on the knowledge scale. The results indicated that the AA women had a low knowledge of prostate cancer and screening. The findings indicate the need to develop and implement prostate cancer educational programs that include AA women.

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References

  1. American Cancer Society. 2016. About prostate cancer. http://www.cancer.org. Accessed 3 February 2017

  2. National Cancer Institute. 2016.Surveillance Epidemiology and End Reports (SEER) Stat Facts Sheet. https://seer.cancer.gov/statfacts/html/prost.html. Accessed 3 February 2017

  3. De Santis CE, Siegel RL, Sauer AG, Miller KD, Fedewa SA, Alcaraz KI, Jemal A, Cancer statistics for African Americans (2016) Progress and opportunities in reducing racial disparities. CA Cancer J Clin 2016(66):290–308

    Article  Google Scholar 

  4. Andriole GL, Grubb RL 3rd, Buys SS, Chia D, Church TR, Fouad MN, Gelmann EP, Kvale PA, Reding DJ, Weissfeld JL et al (2009) Mortality results from a randomized prostate-cancer screening trial. N Engl J Med 360:1310–1319

    Article  CAS  Google Scholar 

  5. Schröder FH, Hugosson J, Roobol MJ, Tammela TL, Ciatto S, Nelen V, Kwiatkowski M, Lujan M, Lilja H, Zappa M et al (2009) Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 360:1320–1328

    Article  Google Scholar 

  6. Brawley OW, Thompson IM Jr, Gronberg H (2016) Evolving recommendations on prostate cancer screening. Am Soc Clin Oncol Educ Book 35:e80–e87

    Article  Google Scholar 

  7. Shenoy D, Packianathan S, Chen AM, Vijayakumar S (2016) Do African-American men need separate prostate cancer screening guidelines? BMC Urol 16:1–6

    Article  Google Scholar 

  8. Smith RA, Andrews K, Brooks D, De Santis CE, Fedewa SA, Lortet-Tieulent J, Manassaram-Baptiste D, Brawley OW, Wender RC, Cancer screening in the United States (2016) A review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin 2016(66):95–114

    Article  Google Scholar 

  9. Bowen DJ, Allen JD, Vu T, Johnson RE, Fryer-Edwards K, Hart A Jr (2006) Theoretical foundations for interventions designed to promote informed decision making for cancer screening. Ann Behav Med 32:202–210

    Article  Google Scholar 

  10. Wolf AM, Wender RC, Etzioni RB, Thompson IM, D'Amico AV, Volk RJ, Brooks DD, Dash C, Guessous I, Andrews K et al (2010) American Cancer Society guideline for the early detection of prostate cancer: update 2010. CA Cancer J Clin 60:70–98

    Article  Google Scholar 

  11. Williams RM, Zincke NL, Turner RO, Davis JL, Davis KM, Schwartz MD, Johnson L, Kerner JF, Taylor KL (2008) Prostate cancer screening and shared decision-making preferences among African-American members of the Prince Hall Masons. Psychooncology 17:1006–1013

    Article  Google Scholar 

  12. Sultan DH, Rivers BM, Osongo BO, Wilson DS, Schenck A, Carvajal R, Rivers D, Roetzheim R, Green BL (2014) Affecting African American men’s prostate cancer screening decision-making through a mobile tablet-mediated intervention. Journal of Health Care for the Poor & Underserved 25:1262–1277

    Article  Google Scholar 

  13. Vijaykumar S, Wray RJ, Jupka K, Clarke R, Shahid M (2013) Prostate cancer survivors as community health educators: implications for informed decision making and cancer communication. J Cancer Educ 28:623–628

    Article  Google Scholar 

  14. Manne S, Kashy D, Weinberg DS, Boscarino JA, Bowen DJ, Manne S, Kashy D, Weinberg DS, Boscarino JA, Bowen DJ (2012) Using the interdependence model to understand spousal influence on colorectal cancer screening intentions: a structural equation model. Ann Behav Med 43:320–329

    Article  Google Scholar 

  15. McFall SL, Ureda J, Byrd TL, Valdes A, Morales P, Scott DB, Williams D, Calderon-Mora J, Casillas ME, Chan EC (2009) What is needed for informed decisions about prostate cancer screening: perspectives of African-American and Hispanic men. Health Educ Res 24:280–291

    Article  Google Scholar 

  16. Hughes GD, Sellers DB, Fraser L Jr, Teague R, Knight BN (2007) Prostate cancer community collaboration and partnership: education, awareness, recruitment, and outreach to southern African-American males. J Cult Divers 14:68–73

    PubMed  Google Scholar 

  17. Eastland TY, Dancy BL (2013) The Eastland prostate cancer survey: instrument development and psychometric testing. J Cancer Educ 28:179–186

    Article  Google Scholar 

  18. Blanchard K, Proverbs-Singh T, Katner A, Lifsey D, Pollard S, Rayford W (2005) Knowledge, attitudes and beliefs of women about the importance of prostate cancer screening. J Natl Med Assoc 97:1378–1385

    PubMed  PubMed Central  Google Scholar 

  19. Owens OL, Jackson DD, Thomas TL, Friedman DB, Hébert JR (2015) Prostate cancer knowledge and decision making among African-American men and women in the Southeastern United States. International Journal of Men's Health 14:55–70

    PubMed  PubMed Central  Google Scholar 

  20. McFall SL, Hamm RM, Volk RJ (2006) Exploring beliefs about prostate cancer and early detection in men and women of three ethnic groups. Patient Education & Counseling 61:109–116

    Article  Google Scholar 

  21. Jernigan JC, Trauth JM, Neal-Ferguson D, Cartier-Ulrich C (2001) Factors that influence cancer screening in older African American men and women: focus group findings. Fam Community Health 24:27–33

    Article  CAS  Google Scholar 

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Acknowledgements

This research was supported in part by the NIH/NINR Training Grant (T-32 NR07964) Reducing Health Disparities in Underserved Populations and by Mu Omega Chapter of Sigma Theta Tau International.

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  1. College of Nursing, Purdue University Northwest, 2200 169th Street, Hammond, IN, 46323, USA

    Taryn Y. Eastland

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  1. Taryn Y. Eastland
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Correspondence to Taryn Y. Eastland.

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All study procedures were approved by the Institutional Review Boards (IRB) at University of Illinois at Chicago and Purdue University Northwest.

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Eastland, T.Y. A Survey of the Knowledge of African-American Women About Prostate Cancer Screening. J Canc Educ 33, 1115–1119 (2018). https://doi.org/10.1007/s13187-017-1220-9

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