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Prevalence of Shared Decision-making in Prostate Cancer Screening in New York State

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Current guidelines recommend that physicians use a shared decision-making (SDM) approach to engage with patients on the potential benefits and harms of prostate cancer screening based on their individual risk. In a sample of 4,118 men aged 55–69 from the 2018 New York State Behavioral Risk Factor Surveillance Survey (BRFSS), we compared the frequency of screening recommendations and SDM conversations according to four race/ethnic groups. In logistic regression, we evaluated the likelihood of SDM conversations between race/ethnic groups. Our findings suggest that the odds of never having a SDM conversation with their healthcare provider were significantly higher among Hispanic men (OR 95% CI: 2.10, 1.11–3.99) and other/multiracial men (OR, 95% CI: 3.08, 1.46–6.52) compared to white men, while black men had comparable odds (1.52, 0.98–2.34). The lower frequency of SDM conversation among Hispanic and other/multiracial men suggest a missed opportunity for healthcare providers to guide informed screening decisions.

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No financial support was received for this work. No copyrighted materials/surveys/instruments/tools were used in this work.

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This study was initially conceptualized by all authors. Data analysis was conducted by KB and LJM under the supervision of HOB. All authors were involved in the interpretation of results and manuscript preparation.

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Correspondence to Heather M. Ochs-Balcom.

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Mattick, L.J., Biney, K., Dacus, H.M. et al. Prevalence of Shared Decision-making in Prostate Cancer Screening in New York State. J Immigrant Minority Health 25, 1207–1210 (2023).

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