208244 What Do Limited English Proficient Latinos Want to Know About Prostate Cancer and Prostate Cancer Screening?

Monday, November 9, 2009

Mary-Rose Mueller, PhD, RN , School of Nursing, University of San Diego, San Diego, CA
Nadia Salas, MPH , Cbeach, San Diego State University, San Diego, CA
Stergios Roussos, PhD, MPH , ACRD/CBEACH, Merced, CA
Linda L. Hill, MD, MPH , Family and Preventive Medicine, University of California, San Diego, San Diego, CA
Veronica Villarreal, BA , University of Texas Southwestern Medical School, Dallas, TX
Melbourne F. Hovell, PhD, MPH , Cbeach, San Diego State University, San Diego, CA
Background and Research: Prostate cancer is the most common cancer among males over the age of 50 in the U.S. and the second leading cause of cancer death. Latino men are more likely to present with advanced-stage prostate cancer than non-Latino whites. Latino men may receive fewer prostate cancer screening services, including the prostate specific antigen (PSA) test, than other populations due to less knowledge of and perceived need for cancer prevention services, fatalistic attitudes about cancer and language barriers due to limited English proficiency (LEP). Lack of professional consensus for the PSA test provides an opportunity for patients to participate in decisions on PSA testing for prostate cancer screening. Study and Population: We present findings from the first phase of a study designed to understand and improve shared decision making on PSA testing between LEP Latinos and health care providers when interpreters help facilitate communication during health visits. We held two focus groups with LEP Latino men with a history of PSA testing to elicit their recommendations on strategies that could assist patients to share in decisions on PSA testing. Findings: Recommendations include raising awareness of prostate cancer, prostate cancer screening, and the benefits and drawbacks of PSA testing via video and print materials and public service announcements. Participants also suggested that active engagement with educational materials during health visits could prompt provider-patient conversation and decisions. Conclusion: These multi-pronged recommendations may be useful to providers and researchers interested in tailoring shared decision approaches on prostate cancer screening for LEP Latinos.

Learning Objectives:
1. Discuss the recommendations of LEP Latinos for increasing knowledge of prostate cancer and prostate cancer screening. 2. Describe how LEP Latino patients centered recommendations on prostate cancer and prostate cancer screening can be useful for programs to increase shared decision making skills.

Keywords: Latino Health, Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in public health research for over 12 years. I am currently the project coordinator for the study we are presenting for. In my years in reserach I have presented at other oncferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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