Hewitt Timothy, Killinger Kim A, Hiller Spencer, Boura Judith A, Lutz Michael
1 Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
2 Beaumont Hospital, Royal Oak, MI, USA.
Am J Mens Health. 2018 Nov;12(6):1929-1936. doi: 10.1177/1557988318784838. Epub 2018 Jun 28.
The purpose of the study was to explore attitudes/beliefs in men attending an urban health fair to explore barriers to prostate cancer (PCa) screening. Five hundred and forty-four men attending the PCa booth at the fair in 2014 or 2015 completed questionnaires about PCa. Data were examined using Pearson's χ, Fisher's Exact, and Wilcoxon rank tests after grouping men by African American (AA) and non-African American ethnicity. Three hundred and twenty-six (60%) men were AA and two hundred and eighteen (40%) were non-AA (89% white). Median age (54 vs. 56 years) and prior PCa screening were similar between AA and non-AA; income ( p = .044) and education ( p = .0002) differed. AA men were less likely to have researched prostate-specific antigen (PSA) on the internet ( p = .003), but more used TV ( p = .003) and media ( p = .0014) as information sources. Family members had a stronger influence over screening decisions for AA men ( p = .005). After reading PSA information, AA men were more likely to still be confused ( p = .008). A higher proportion of AA men were less worried about dying from PCa ( p = .0006), but would want treatment immediately instead of watchful waiting ( p < .0001). Interestingly, a higher proportion of AA men indicated that they would prefer not to know if they had PCa ( p = .001). Ultimately, more AA men had a PSA done (98.4% vs. 95.1%; p = .031). When considering screening eligible men, a higher proportion of AA men had an abnormal PSA (13.1% vs. 5.3%; p = .037). AA men's beliefs surrounding PCa differ from non-AA men, and should be considered when developing culturally appropriate education, screening, and treatment strategies for this group.
该研究的目的是探究参加城市健康博览会的男性对于前列腺癌（PCa）筛查的态度和信念，以探索前列腺癌筛查的障碍。2014年或2015年在博览会上参观前列腺癌展位的544名男性完成了关于前列腺癌的问卷调查。在按非裔美国人（AA）和非非裔美国人种族对男性进行分组后，使用Pearson卡方检验、Fisher精确检验和Wilcoxon秩和检验对数据进行了分析。326名（60%）男性为非裔美国人，218名（40%）为非非裔美国人（89%为白人）。非裔美国人和非非裔美国人之间的年龄中位数（54岁对56岁）和既往前列腺癌筛查情况相似；收入（p = 0.044）和教育程度（p = 0.0002）存在差异。非裔美国男性在互联网上搜索前列腺特异性抗原（PSA）信息的可能性较小（p = 0.003），但更多地将电视（p = 0.003）和媒体（p = 0.0014）作为信息来源。家庭成员对非裔美国男性的筛查决策影响更大（p = 0.005）。在阅读PSA信息后，非裔美国男性仍然感到困惑的可能性更大（p = 0.008）。更高比例的非裔美国男性不太担心死于前列腺癌（p = 0.0006），但会希望立即接受治疗而不是观察等待（p < 0.0001）。有趣的是，更高比例的非裔美国男性表示他们宁愿不知道自己是否患有前列腺癌（p = 0.001）。最终，更多的非裔美国男性进行了PSA检测（98.4%对95.1%；p = 0.031）。在考虑符合筛查条件的男性时，更高比例的非裔美国男性PSA异常（13.1%对5.3%；p = 0.037）。非裔美国男性对前列腺癌的信念与非非裔美国男性不同，在为该群体制定适合其文化背景的教育、筛查和治疗策略时应予以考虑。
