| Summary: | Background and objective: Black men have an increased
risk of prostate cancer mortality compared with any racial or ethnic group.
Further, research on prostate cancer prevention and control messaging focusing on
Black men is limited. Community screening events are successful in attracting
members from high-risk groups, like Black men, and are a valuable source to
collect cancer screening and health promotion data. Therefore, the authors
examined data of Black men attending a community-based PCa screening event to
evaluate predictors of annual PCa screening, and identify sub-populations of
Black men needing targeted cancer prevention messaging.
Methods: Black men attending PCa screening events in
St. Louis, MO 2007–2017 were eligible. Participants completed either a mail-in
or on-site survey at the time of their screening to collect information on annual
screening history. We analyzed sociodemographic factors, having a first-degree
relative with a history of PCa, healthcare utilization characteristics, and
predictors of annual PSA screening. Logistic regression analysis was used to
assess the association between predictors and annual PSA screening.
Results: Data was analyzed from 447 respondents.
One-third of the residents did not know their cancer family history status. Older
age and having a primary healthcare provider predicted an annual prostate cancer
after attending the PCa community screening event. In the fully adjusted model,
all ages older than 45 years were 2–4 times more likely to have an annual PCa
screening. Having a healthcare provider also predicted an annual PCa screening
(OR: 4.59, 95% CI: 2.30–9.14).
Conclusion: Regardless of sociodemographic and family
history factors, older Black men and those with a primary physician are more
likely to have an annual PSA screening. Cancer prevention promotion efforts for
Black men should target mechanisms that facilitate family cancer history
conversations to engage younger Black men. Also, additional health promotions
efforts are needed to educate Black men without a primary healthcare provider.
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