African American Primary Care Physicians’ Prostate Cancer Screening Practices

Introduction: Prostate cancer is the most common cancer and the second leading cause of cancer death among men in the United States. African American (AA) men have greater prostate cancer burden than other men. Little is known about AA primary care physicians’ (PCPs) practices regarding prostate can...

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Main Authors: Louie E. Ross, Ingrid J. Hall
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Journal of Primary Care & Community Health
Online Access:https://doi.org/10.1177/2150131913507454
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author Louie E. Ross
Ingrid J. Hall
author_facet Louie E. Ross
Ingrid J. Hall
author_sort Louie E. Ross
collection DOAJ
description Introduction: Prostate cancer is the most common cancer and the second leading cause of cancer death among men in the United States. African American (AA) men have greater prostate cancer burden than other men. Little is known about AA primary care physicians’ (PCPs) practices regarding prostate cancer screening. Methods: We analyzed data from the 2007-2008 National Survey of Primary Care Physicians’ Practices Regarding Prostate Cancer Screening. The current study included 604 AA PCPs. Outcomes assessed were ( a ) offering screening using the prostate-specific antigen (PSA) test, ( b ) use of screening discussions to involve patients in the decision to screen, and ( c ) having a discussion policy to try to talk the patient into getting the screening tests. Results: Most AA PCPs were male (52%), younger than 50 years (61%), and had 21% to 100% AA patients in their practices (74%). The majority (94%) of AA PCPs offered prostate cancer screening using PSA, discussed the tests with their male patients to involve them in the decision to screen (83%), and had a policy to try to talk the patient into getting the screening tests (77%). Multivariate analysis showed that offering screening, use of discussions, and a usual policy to encourage taking the screening tests varied mainly by practice-related factors, including practice type, practice location, and percentage of AA patients in the practice. Conclusion: Data from this study indicate that most AA PCPs reported high proscreening behaviors for all 3 outcomes. Additionally, practice- and screening-related factors may be important when examining AA PCP screening behaviors.
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spelling doaj.art-a8782ac042c14c16b9a8f11e5bf9edc02022-12-22T00:53:38ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272014-01-01510.1177/2150131913507454African American Primary Care Physicians’ Prostate Cancer Screening PracticesLouie E. Ross0Ingrid J. Hall1North Carolina A & T State University, Greensboro, NC, USACenters for Disease Control and Prevention, Atlanta, GA, USAIntroduction: Prostate cancer is the most common cancer and the second leading cause of cancer death among men in the United States. African American (AA) men have greater prostate cancer burden than other men. Little is known about AA primary care physicians’ (PCPs) practices regarding prostate cancer screening. Methods: We analyzed data from the 2007-2008 National Survey of Primary Care Physicians’ Practices Regarding Prostate Cancer Screening. The current study included 604 AA PCPs. Outcomes assessed were ( a ) offering screening using the prostate-specific antigen (PSA) test, ( b ) use of screening discussions to involve patients in the decision to screen, and ( c ) having a discussion policy to try to talk the patient into getting the screening tests. Results: Most AA PCPs were male (52%), younger than 50 years (61%), and had 21% to 100% AA patients in their practices (74%). The majority (94%) of AA PCPs offered prostate cancer screening using PSA, discussed the tests with their male patients to involve them in the decision to screen (83%), and had a policy to try to talk the patient into getting the screening tests (77%). Multivariate analysis showed that offering screening, use of discussions, and a usual policy to encourage taking the screening tests varied mainly by practice-related factors, including practice type, practice location, and percentage of AA patients in the practice. Conclusion: Data from this study indicate that most AA PCPs reported high proscreening behaviors for all 3 outcomes. Additionally, practice- and screening-related factors may be important when examining AA PCP screening behaviors.https://doi.org/10.1177/2150131913507454
spellingShingle Louie E. Ross
Ingrid J. Hall
African American Primary Care Physicians’ Prostate Cancer Screening Practices
Journal of Primary Care & Community Health
title African American Primary Care Physicians’ Prostate Cancer Screening Practices
title_full African American Primary Care Physicians’ Prostate Cancer Screening Practices
title_fullStr African American Primary Care Physicians’ Prostate Cancer Screening Practices
title_full_unstemmed African American Primary Care Physicians’ Prostate Cancer Screening Practices
title_short African American Primary Care Physicians’ Prostate Cancer Screening Practices
title_sort african american primary care physicians prostate cancer screening practices
url https://doi.org/10.1177/2150131913507454
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