249753 Prostate cancer knowledge and screening experience among African American, white and Hispanic residents residing in South Side of Chicago

Tuesday, November 1, 2011

Anthony Sallar, PhD, MPH, MBA , Department of Social and Public Health, Ohio University, Athens, OH
P. Bassey Williams, PhD; MPH, CHES , Department of Health Studies, Chicago State University, Chicago
Emmanuel Osunkoya, MD , College of Health Sciences, Chicago State University, Chicago, IL
Background Prostate cancer is the most commonly diagnosed cancer in men. Health disparities in diagnosis and mortality are manifested in the age-adjusted rates: 145.1/100,000, 226.0/100,000, 121.6/100,000, respectively for white, African American (AA), and Hispanics. Methods We conducted a cross sectional study in diverse settings in 2010 of adult AA, white, and Hispanic males of Southern Chicago aged 25 to 75 to determine knowledge of risk factors, symptoms of prostate cancer, screening, testing, and differences among the groups on these outcome variables. We collected information on demographics, a 23-item knowledge question, screening and intention to screen, and family history.

Results: Of the 405 respondents, 11.6% were white, 12.8% Hispanic and 75.6% AA, 15.8% were aged 50 and below, 23.5% had ; high school, 38.0% Bachelor's or higher, 20.5% never married, 79.5% were ever married, and 60% had low knowledge score, 38.5% medium (12-17). Specifically, 23.2%, 20.5%, 16.5%, got prostate cancer information respectively from Relatives/friends/neighbors, TV, Clinic/Doctor's office, and 0.7% got information from mass transit adverts.

About 54% had PSA screening. Whites were more likely to be interested in digital examination (p < 0.001). Ethnicity was not associated with the other outcome variables. Education was associated with screening (p = 0.05). Those aged 50 and above were more likely to be interested in screening for digital prostate exam (p = 0.05) compared to those younger but no differences regarding ever screening using PSA.

Conclusion This population has limited knowledge and minimal screening. Mass transit can serve as one avenue to disseminate information.

Learning Areas:
Public health or related research

Learning Objectives:
Describe the epidemiology of prostate cancer in America among the different ethnic groups Discuss health disparities as it relates to prostate cancer Discuss whether there exists differences in prostate knowledge, screening among the different ethnic groups Explain why educational status has an association with screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have PhD in Epidemiology and have extensive research and teaching in the subject matter for more than 16 years.
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.