Rice LaShanta J, Jefferson Melanie, Briggs Vanessa, Delmoor Ernestine, Johnson Jerry C, Gattoni-Celli Sebastiano, Savage Stephen J, Lilly Michael, Prasad Sandip M, Kittles Rick, Halbert Chanita Hughes
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC 29425, United States.
Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, United States.
Prev Med Rep. 2017 Apr 26;7:1-6. doi: 10.1016/j.pmedr.2017.04.010. eCollection 2017 Sep.
As guidelines for prostate cancer screening have changed from an annual screening recommendation starting at age 50 to discussing the benefits and harms of screening with health care providers, it is necessary to examine other types of factors that are important to prostate cancer screening decisions among African American men. Perceived risk of developing cancer has been shown to predict cancer control behaviors and is lower among African Americans. We characterized perceived risk of developing prostate cancer among African American men from November 2009 to 2011 and evaluated the relationship between prostate cancer risk perceptions and sociodemographic characteristics, health care experiences, and knowledge and exposure to health information about cancer. Chi square tests and logistic regression were employed to determine independent associations. Overall, men did not believe they were at increased risk of developing prostate cancer; they believed their risk was equivalent to or lower than men the same age. Perceived risk of prostate cancer was associated with income (OR = 0.59, 95% CI = 0.26, 1.34, p = 0.03), hypertension (OR = 2.68, 95% CI = 1.17, 6.16, p = 0.02), and beliefs about the association between race and cancer risk (OR = 2.54, 95% CI = 1.24, 5.20, p = 0.01). Clinic and community-based approaches to improve prostate cancer risk comprehension among African American men are needed to reduce the discordance between perceived risk and epidemiological data on prostate cancer risk factors. Risk education interventions that are developed for African American men may need to integrate information about susceptibility for multiple diseases as well as address strategies for risk reduction and prevention, and chronic disease management.
随着前列腺癌筛查指南已从建议50岁开始每年进行筛查转变为与医疗服务提供者讨论筛查的益处和危害，有必要研究其他对非裔美国男性前列腺癌筛查决策至关重要的因素类型。已表明患癌的感知风险可预测癌症控制行为，且在非裔美国人中较低。我们对2009年11月至2011年期间非裔美国男性患前列腺癌的感知风险进行了特征描述，并评估了前列腺癌风险认知与社会人口学特征、医疗保健经历以及癌症健康信息的知识和接触之间的关系。采用卡方检验和逻辑回归来确定独立关联。总体而言，男性不认为自己患前列腺癌的风险增加；他们认为自己的风险等同于或低于同龄男性。前列腺癌的感知风险与收入（比值比=0.59，95%置信区间=0.26，1.34，p=0.03）、高血压（比值比=2.68，95%置信区间=1.17，6.16，p=0.02）以及关于种族与癌症风险关联的信念（比值比=2.54，95%置信区间=1.24，5.20，p=0.01）相关。需要基于诊所和社区的方法来提高非裔美国男性对前列腺癌风险的理解，以减少感知风险与前列腺癌风险因素的流行病学数据之间的不一致。为非裔美国男性制定的风险教育干预措施可能需要整合关于多种疾病易感性的信息，以及应对风险降低和预防策略以及慢性病管理。
