Cho Dalnim, Gor Beverly, Hwang Hyunsoo, Wang Xuemei, Hernandez Mike, Jones Lovell A, Frost Jacqueline, Roberson Pamela, Pettaway Curtis A
Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Int J Environ Res Public Health. 2024 Mar 28;21(4):415. doi: 10.3390/ijerph21040415.
This study analyzed data from a community-based prostate cancer (PCa) education and screening program (Prostate Outreach Project; POP) to enhance PCa-related knowledge among medically underserved Asian American men. It also examined PCa screening history, clinical abnormalities based on prostate-specific antigen (PSA) tests and digital rectal examination (DRE) results, and follow-up and PCa diagnosis rates. Participants-521 Asian men (251 Vietnamese, 142 Chinese, and 128 South Asians)-were offered PCa screening using PSA tests and/or DRE and an educational session on PCa. Of these men, 277 completed PCa-related knowledge surveys before and after viewing an educational video. Significant between-group differences in PCa-related knowledge were found at pre-assessment ( < 0.001) but not at post-assessment ( = 0.11), at which time all groups showed improved PCa-related knowledge. Most participants (77.9%) had never received PCa screening, but Vietnamese men had the lowest previous screening rate (17.3%). Chinese men had elevated PSA values and the highest abnormal DRE rates. Of the 125 men with abnormal screening outcomes, only 15.2% had adequate follow-up. Of the 144 men diagnosed with PCa in POP, 11.1% were Asians (seven Chinese, six Vietnamese, and three South Asian). Despite the ethnic heterogeneity among Asian men, a community outreach program may successfully enhance their PCa-related knowledge.
本研究分析了一项基于社区的前列腺癌(PCa)教育与筛查项目(前列腺外展项目;POP)的数据,以提高医疗服务不足的亚裔美国男性的前列腺癌相关知识。研究还调查了前列腺癌筛查史、基于前列腺特异性抗原(PSA)检测和直肠指检(DRE)结果的临床异常情况,以及随访情况和前列腺癌诊断率。521名亚洲男性参与者(251名越南人、142名中国人和128名南亚人)接受了PSA检测和/或DRE前列腺癌筛查以及一场前列腺癌教育讲座。在这些男性中,277人在观看教育视频前后完成了前列腺癌相关知识调查。在预评估时发现前列腺癌相关知识存在显著的组间差异(<0.001),但在 post-assessment时未发现(=0.11),此时所有组的前列腺癌相关知识均有所提高。大多数参与者(77.9%)从未接受过前列腺癌筛查,但越南男性之前的筛查率最低(17.3%)。中国男性的PSA值升高,DRE异常率最高。在125名筛查结果异常的男性中,只有15.2%进行了充分的随访。在POP项目中被诊断为前列腺癌的144名男性中,11.1%是亚洲人(7名中国人、6名越南人和3名南亚人)。尽管亚洲男性存在种族异质性,但社区外展项目可能成功提高他们的前列腺癌相关知识。