Abstract
Medical guidelines do not recommend prostate cancer screening, particularly without informed and shared decision making. This study investigates undisclosed opportunistic screening using prostate specific antigen (PSA) testing in black immigrant and African American men. Participants (N = 142) were insured urban men, 45- to 70-years old. Patients’ reports of testing were compared with medical claims to assess undisclosed PSA testing. Most (94.4 %) men preferred to share in screening decisions, but few (46.5 %) were aware PSA testing was performed. Four factors predicted being unaware of testing: low formal education, low knowledge about prostate cancer, no intention to screen, and no physician recommendation (all p’s < .05). Undisclosed PSA testing was common. Both patient and provider factors increased risk of being uninformed about prostate cancer screening. Interventions combining patient education and physician engagement in shared decision making may better align practice with current prostate cancer screening guidelines.
Original language | English |
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Pages (from-to) | 1343-1350 |
Number of pages | 8 |
Journal | Journal of Immigrant and Minority Health |
Volume | 19 |
Issue number | 6 |
DOIs | |
State | Published - Nov 2017 |
Externally published | Yes |
Keywords
- Aged
- Black or African American/statistics & numerical data
- Decision Making
- Early Detection of Cancer/methods
- Emigrants and Immigrants/statistics & numerical data
- Health Knowledge, Attitudes, Practice
- Humans
- Male
- Middle Aged
- Patient Participation
- Prostate-Specific Antigen/analysis
- Prostatic Neoplasms/diagnosis
- Socioeconomic Factors