Research article Special Issues

The Relation among Prostate Cancer Knowledge and Psychosocial Factors for Prostate Cancer Screening among African American Men: a Correlational Study

  • Received: 01 July 2017 Accepted: 17 October 2017 Published: 25 October 2017
  • African American (AA) men face disproportionately higher rates of prostate cancer (PCa) in comparison to other races. In addition, higher mortality rates from PCa amongst AA men signifies PCa as a formidable health disparity. Inconsistent PCa screening guidelines among medical organizations, further clouds one’s decision on receiving a PCa screening. Examining various relations among factors which influence PCa screening may provide insight into their decision whether or not to receive a PCa screening. The purpose of the study was to examine the presence of associations among PCa knowledge, psychosocial factors, and PCa screening over a six month time frame. There were 76 participants at baseline, intervention group (n = 37) and control group (n = 35) and 54 participants, intervention group (n = 26) and control group (n = 28) remained at the 6 month follow up. At the six month follow up, the control group was more likely to have not received a PCa screening and the intervention group was more likely to have received a PCa screening, p < 0.01. PCa knowledge scores rose from 49% to 71%, intervention group, and 52% to 58%, control group. Significant associations were found among the following covariates, age and religion (rs = 0.499, p < 0.01), income and education (rs = 0.535, p < 0.01), income and healthcare coverage (rs = 0.528, p < 0.01), income and PCa knowledge at 6 months (rs = 0.424, p < 0.01), PCa screening and religion (rs = 0.353, p < 0.01), healthcare empowerment and preparation for decision making (rs = 0.421, p < 0.01), decisional self-efficacy and active surveillance knowledge (rs = 0.377, p < 0.01), and active surveillance knowledge and PCa knowledge (rs = 0.497, p < 0.01). The study revealed associations among PCa knowledge and psychosocial factors regarding a decision for PCa screening among the PCa high risk group, AA men.

    Citation: Sabrina L. Dickey, Aurellia Whitmore, Ellen Campbell. The Relation among Prostate Cancer Knowledge and Psychosocial Factors for Prostate Cancer Screening among African American Men: a Correlational Study[J]. AIMS Public Health, 2017, 4(5): 446-465. doi: 10.3934/publichealth.2017.5.446

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  • African American (AA) men face disproportionately higher rates of prostate cancer (PCa) in comparison to other races. In addition, higher mortality rates from PCa amongst AA men signifies PCa as a formidable health disparity. Inconsistent PCa screening guidelines among medical organizations, further clouds one’s decision on receiving a PCa screening. Examining various relations among factors which influence PCa screening may provide insight into their decision whether or not to receive a PCa screening. The purpose of the study was to examine the presence of associations among PCa knowledge, psychosocial factors, and PCa screening over a six month time frame. There were 76 participants at baseline, intervention group (n = 37) and control group (n = 35) and 54 participants, intervention group (n = 26) and control group (n = 28) remained at the 6 month follow up. At the six month follow up, the control group was more likely to have not received a PCa screening and the intervention group was more likely to have received a PCa screening, p < 0.01. PCa knowledge scores rose from 49% to 71%, intervention group, and 52% to 58%, control group. Significant associations were found among the following covariates, age and religion (rs = 0.499, p < 0.01), income and education (rs = 0.535, p < 0.01), income and healthcare coverage (rs = 0.528, p < 0.01), income and PCa knowledge at 6 months (rs = 0.424, p < 0.01), PCa screening and religion (rs = 0.353, p < 0.01), healthcare empowerment and preparation for decision making (rs = 0.421, p < 0.01), decisional self-efficacy and active surveillance knowledge (rs = 0.377, p < 0.01), and active surveillance knowledge and PCa knowledge (rs = 0.497, p < 0.01). The study revealed associations among PCa knowledge and psychosocial factors regarding a decision for PCa screening among the PCa high risk group, AA men.


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    [1] Howlader N, Noone AM, Krapcho M, et al. SEER Cancer Statistics Review, 1975–2013, National Cancer Institute. Bethesda, MD. Available from: http://seer.cancer.gov/csr/1975_2013/.
    [2] Shah M, Zhu K, Palmer R, et al. (2007) Family history of cancer and utilization of prostate colorectal, and skin cancer screening tests in U.S. men. Prev Med 44: 459-464. doi: 10.1016/j.ypmed.2006.12.016
    [3] American Cancer Society, 2016. Available from: https://www.cancer.org/cancer/prostate-cancer/early-detection/tests.html.
    [4] Shoag J, Halpern JA, Lee DJ, et al. (2016) Decline in prostate cancer screening by primary care physicians: An analysis of trends in the use of digital rectal examination and prostate specific antigen testing. J Urol 196: 1047-1052. doi: 10.1016/j.juro.2016.03.171
    [5] Greene KL, Albertsen PC, Babaian RJ, et al. (2009) Adult urology: Prostate specific antigen best practice statement: 2009 Update. J Urol 182: 2232-2241. doi: 10.1016/j.juro.2009.07.093
    [6] 1. Bergstralh EJ, Roberts RR, Farmer SA, et al. (2007) A population-based case-control study of PSA and DRE screening on prostate cancer mortality. Urology 70: 93941. doi: 10.1016/j.urology.2007.07.009
    [7] 2. Jones RA, Steeves R, Williams I (2010) Family and friend interactions among African-American men deciding whether or not to have a prostate cancer screening. Urol Nurs 30: 189-193.
    [8] 3. Lee DJ, Consedine NS, Spencer BA (2011) Barriers and facilitators to digital rectal examination screening among african-american and african-caribbean men. Urology 77: 1-898. doi: 10.1016/j.urology.2010.11.056
    [9] 4. Breen N, Wagener DK, Brown ML, et al. (2011) Progress in cancer screening over a decade: Results of cancer screening from the 17, 1992, and 1998 national health interview surveys. JNCI, J Natl Cancer Inst 93: 1704-1713.
    [10] 5. Patel K, Kenerson D, Wang H, et al. (20. Factors influencing prostate cancer screening in low-income African Americans in Tennessee. J Health Care Poor Underserved 21: 114-126. doi: 10.1353/hpu.0.0235
    [11] 6. Ukoli FA, Patel K, Hargreaves M, et al. (2013) A tailored prostate cancer education intervention for low-income African Americans: impact on knowledge and screening. J Health Care Poor Underserved 24: 3331. doi: 10.1353/hpu.2013.0033
    [12] 7. Moyer AV (20 Screening for prostate cancer: U.S. preventive services task force recommendation statement. Ann Intern Med 157: 120-134.
    [13] 8. Auffenberg GB, Meeks JJ (2014) Application of the 20american urological association early detection of prostate cancer guideline: Who will we miss? World J Urol 32: 959-964. doi: 10.1007/s00345-014-1341-2
    [14] 9. U.S. Preventive Services Task Force, 2017. Draft recommendation statement prostate cancer: screening Available from: https://www.uspreventiveservicestaskforce.org/Page/Document/draft-recommendation-statement/prostate-cancer-screening1.
    [15] 10. Miller WR, Thorsen CE (2003) Spirituality, religion, and health: An emerging research field. Am Psychol 58: 24-35. doi: 10.1037/0003-066X.58.1.24
    [16] 11. Leyva B, Nguyen AB, Allen JD, et al. (2015) Is Religiosity Associated with Cancer Screening? Results from a National Survey. J Relig Health 54: 1-
    [17] 12. Weaver GR, Agle BR (2002) Religiosity and Ethical Behavior in Organizations: A Symbolic Interactionist Perspective. Acad Manag Rev 27: 77-97.
    [18] 13. Aukst-Margetic B, Margetic B (2005) Religiosity and health outcomes: Review of literature. Collect Anthropol 29: 365-371.
    [19] 14. Lawrence L, McLeroy KR (6) Self-efficacy and health education. J Sch Health 56: 317-321. doi: 10.1111/j.1746-1561.1986.tb05761.x
    [20] 15. Bandura A (1977) Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 84: 191-215. doi: 10.1037/0033-295X.84.2.191
    [21] 16. Marks R, Allegrante JP, Lorig K (2005) A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice (Part I). Health Promot Pract 6: 37-43. doi: 10.1177/1524839904266790
    [22] 17. McCarley P (2009) Patient empowerment and motivational interviewing: engaging patients to self-manage their own care. Nephrol Nurs J 36: 409-413.
    [23] 18. Maibach E, Murphy DA (1995) Self-efficacy in health promotion research and practice: conceptualization and measurement. Health Educ Res 10: 37-50. doi: 10.1093/her/10.1.37
    [24] 19. Woolf SH, Chan ECY, Harris R, et al. (2005) Promoting informed choice: transforming health care to dispense knowledge for decision making. Ann Intern Med 143: 293-300. doi: 10.7326/0003-4819-143-4-200508160-00010
    [25] 20. Kilbridge LK, Fraser G, Krahn M, et al. (2009) Lack of comprehension of common prostate cancer terms. J Clin Oncol 27: 2015-2021. doi: 10.1200/JCO.2008.17.3468
    [26] 21. Hevey D, Pertl M, Thomas K, et al (2009) The relationship between prostate cancer knowledge and beliefs and intentions to attend PSA screening among at-risk men. Patient Educ Couns 74: 244-249. doi: 10.1016/j.pec.2008.08.013
    [27] 22. Gattellari M, Ward JE (2003) Does evidence-based information about screening for prostate cancer enhance consumer decision-making? A randomized controlled trial. J Med Screen 10: 39.
    [28] 23. Williams RM, Zincke NL, Turner RO, et al. (2008) Prostate cancer screening and shared decision-making preferences among African-American members of the Prince Hall Masons. Psycho-Oncology 17: 1006-1013. doi: 10.1002/pon.1318
    [29] 24. Ogunsanya ME, Brown CM, Odedina FT, et al. (2017) Knowledge of prostate cancer and screening among young multiethnic black men. Am J Men's Health 11: 1008-1018. doi: 10.1177/1557988316689497
    [30] 25. Campbell MK, Hudson MA, Resnicow K, et al. (2007) Church-based health promotion interventions: Evidence and lessons learned. Ann Rev Public Health 28: 213-234. doi: 10.1146/annurev.publhealth.28.021406.144016
    [31] 26. Knight SJ (2014) Decision making and prostate cancer screening. Urol Clin North Am 41: 257-266. doi: 10.1016/j.ucl.2014.01.008
    [32] 27. Guerra CE, Jacobs SE, Holmes JH, et al. (2007) Are physicians discussing prostate cancer screening with their patients and why or why not? A pilot study. J Gen Intern Med 22: 901-907.
    [33] 28. Haque R, Van Den Eeden SK, Jacobsen SJ, et al. (2009) Correlates of prostate-specific antigen testing in a large multiethnic cohort. Am J Manag Care 15: 793-799.
    [34] 29. Yamasaki J, Hovick SR (2015) "That was grown folks' business": Narrative reflection and response in older adults' family health history communication. Health Commun 30: 221-230. doi: 10.1080/10410236.2013.837569
    [35] 30. Partin MR, Nelson D, Radosevich D, et al. (2004). Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors. J Gen Intern Med 19: 8842. doi: 10.1111/j.1525-1497.2004.30047.x
    [36] 31. Radosevich DM, Partin MR, Nugent S, et al. (2004) Measuring patient knowledge of the risks and benefits of prostate cancer screening. Patient Educ Couns 54: 143-152. doi: 10.1016/S0738-3991(03)00207-6
    [37] 32. Allen JD, Mohllajee AP, Shelton RC, et al. (2008) A computer-tailored intervention to promote informed decision making for prostate cancer screening among African American men. Am J Men's Health 3: 340-351.
    [38] 33. Lukwago SN, Kreuter MW, Bucholtz DC, et al. (2001) Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women. Fam Community Health 24: 63-71. doi: 10.1097/00003727-200110000-00008
    [39] 34. Holt CL, Wynn TA, Southward P, et al. (2009) Development of a spiritually based educational intervention to increase informed decision making for prostate cancer screening among church-attending African American men. J Health Commun 14: 590-604. doi: 10.1080/10810730903120534
    [40] 35. O'Connor AM (1995) Validation of a decisional conflict scale. Med Decis Making 15: 25-30. doi: 10.1177/0272989X9501500105
    [41] 36. Bunn H, O'Connor AM (1996) Validation of client decision-making instruments in the context of psychiatry. Can J Nurs Res 28: 13-27.
    [42] 37. Graham ID, O'Connor AM. User manual – Preparation for decision making scale. Available from: http://decisionaid.ohri.ca/docs/develop/User_Manuals/UM_PrepDM.pdf.
    [43] 38. Gagnon M, Hebert R, Dube M, et al. (2006) Development and validation of an instrument measuring individual empowerment in relation to personal care: The health care empowerment questionnaire (HCEQ). Am J Health Promot 20: 429-. doi: 10.4278/0890-1171-20.6.429
    [44] 39. Capanna C, Chujutalli R, Murray S, et al. (2015) Prostate cancer educational intervention among men in Western Jamaica. Prev Med Rep 2: 788-793. doi: 10.1016/j.pmedr.2015.09.008
    [45] 40. Friedman D, Thomas T, Owens O, et al. (2012) It takes two to talk about prostate cancer: A qualitative assessment of African American men's and women's cancer communication practices and recommendations. Am J Men's Health 6: 472-484. doi: 10.1177/1557988312453478
    [46] 41. Friedman DB, Corwin SJ, Dominick GM, et al. (2009) African american men's understanding and perceptions about prostate cancer: Why multiple dimensions of health literacy are important in cancer communication. J Community Health 34: 449-. doi: 10.1007/s10900-009-9167-3
    [47] 42. Friedman DB, Corwin SJ, Rose ID, et al. (2009) Prostate cancer communication strategies recommended by older african-american men in south carolina: A qualitative analysis. J Cancer Educ 24: 204-209. doi: 10.1080/08858190902876536
    [48] 43. Blocker DE, Romocki LS, Thomas KB, et al. (2006) Knowledge, beliefs and barriers associated with prostate cancer prevention and screening behaviors among African-American men. J Natl Med Assoc 98: 1286-1295.
    [49] 44. McFall SL, Davila M (2008) Gender, social ties, and cancer screening among elderly persons. J Aging Health 20: 997-1011. doi: 10.1177/0898264308324682
    [50] 45. Oliver JS (2007) Attitudes and beliefs about prostate cancer and screening among rural African American men. J Cult Divers 14: 74-80.
    [51] 46. Arras-Boyd RE, Boyd RE, Gaehle K (2009) Reaching men at highest risk for undetected prostate cancer. Int J Men's Health 8: 116-128. doi: 10.3149/jmh.0802.116
    [52] 47. Drake BF, Shelten R, Gilligen T, et al. (2010) A church based intervention to promote informed decision making for prostate cancer screening among African American men. J Natl Med Assoc 102: 164-171. doi: 10.1016/S0027-9684(15)30521-6
    [53] 48. Peterson J, Atwood JR, Yates B (2002) Key elements for church-based health promotion programs: Outcome-based literature review. Public Health Nurs 19: 401-411. doi: 10.1046/j.1525-1446.2002.19602.x
    [54] 49. Ellison CG, Levin JS (1998) The religion-health connection: Evidence, theory, and future directions. Health Educ Behav 25: 700-720. doi: 10.1177/109019819802500603
    [55] 50. Tucker CM, Wippold GM, Willams JL, et al. (2017) A CBPR study to test the impact of a church-based health. J Racial Ethn Health Dispar 4: 70-78. doi: 10.1007/s40615-015-0203-y
    [56] 51. Husaini BA, Reece MC, Emerson JS, et al. (2008) A church-based program on prostate cancer screening for African American men: reducing health disparities. Ethn Dis 18: 179-184.
    [57] 52. Morton KR, Lee JW, Martin LR (2017) Pathways from religion to health: Mediation by psychosocial and lifestyle mechanisms psychology of religion and spirituality empowerment program on health behaviors and health outcomes of black adult churchgoers. Psychol Relig Spiritual 9: 106-117. doi: 10.1037/rel0000091
    [58] 53. Halbert CH, Gattoni-Celli S, Savage S, et al. (2017) Ever and annual use of prostate cancer screening in african american men. Am J Men's Health 11: 99-107. doi: 10.1177/1557988315596225
    [59] 54. Miller DB (2014) Pre-screening age African-American males: What do they know about prostate cancer screening, knowledge, and risk perceptions? Soc Work Health Care 53: 268-288. doi: 10.1080/00981389.2013.875503
    [60] 55. Carpenter WR, Godley PA, Clark JA, et al. (2009) Racial differences in trust and regular source of patient care and the implications for prostate cancer screening use. Cancer 115: 5048-5059. doi: 10.1002/cncr.24539
    [61] 56. Richardson JT, Webster JD, Fields NJ (2004) Uncovering myths and transforming realities among low-SES African-American men: implications for reducing prostate cancer disparities. J Natl Med Assoc 96: 1295-1302.
    [62] 57. Green BL, Russell SL, Katz RV, et al. (2006) The Tuskegee Legacy Project: Willingness of Minorities to Participate in Biomedical Research. J Health Care Poor Underserved 17: 698-715. doi: 10.1353/hpu.2006.0126
    [63] 58. Walker C (2009) Lest we forget: The Tuskegee Experiment. J Theory Constr Test 13: 5.
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