A tailored prostate cancer education intervention for low-income African Americans: impact on knowledge and screening.

Ukoli FA, Patel K, Hargreaves M, Beard K, Moton PJ, Bragg R, Beech D, Davis R
J Health Care Poor Underserved. 2013 24 (1): 311-31

PMID: 23377736 · DOI:10.1353/hpu.2013.0033

African American men bear disproportionate burden of prostate cancer (PCa) that can be reduced by early detection. A 15-minute culturally appropriate PCa education intervention developed to communicate effective, relevant, and balanced PCa screening information to low-income African American men was evaluated in men 42 years and older who had not been screened in one year. Of 539 men enrolled, 392 (72.7%) completed the six-month follow-up. Mean age was 54.4±8.9, 34.7% had no high school diploma, and 65.3% earned less than $25,000 annually. Barriers to screening included health insurance (41.4%), discomfort of digital rectal exam (32.1%), and fear of cancer diagnosis (29.9%). Mean knowledge score of 21 points increased from 13.27±3.51 to 14.95±4.14 (p<.001), and prostate-specific antigen screening from 22.1% to 62.8%. Men without high school diploma recorded the lowest post-intervention PCa knowledge and screening rate (47.7%), suggestive of the need for more than a single education session. Annual physicals with free prostate examination can maintain the positive trend observed.

MeSH Terms (13)

Adult African Americans Aged Aged, 80 and over Early Detection of Cancer Health Knowledge, Attitudes, Practice Health Services Accessibility Humans Male Middle Aged Patient Education as Topic Poverty Prostatic Neoplasms

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