Patient and Physician Factors Associated with Undisclosed Prostate Cancer Screening in a Sample of Predominantly Immigrant Black Men

Stephen J. Lepore, Rasmi G. Nair, Stacy N. Davis, Randi L. Wolf, Charles E. Basch, Nigel Thomas, Celia Shmukler, Ralph Ullman

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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 languageEnglish (US)
Pages (from-to)1343-1350
Number of pages8
JournalJournal of Immigrant and Minority Health
Volume19
Issue number6
DOIs
StatePublished - Dec 1 2017
Externally publishedYes

Keywords

  • Informed decision making
  • Minority health
  • Patient preferences
  • Prostate cancer screening
  • Shared decision making

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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