title: A tailored prostate cancer education intervention for low-income African Americans: impact on knowledge and screening.
abstract: African American men bear disproportionate burden of prostate cancer (PCa) that can be reduced by early detection. A 15-minute culturally appropriate PCa education intervention developed to communicate effective, relevant, and balanced PCa screening information to low-income African American men was evaluated in men 42 years and older who had not been screened in one year. Of 539 men enrolled, 392 (72.7%) completed the six-month follow-up. Mean age was 54.4±8.9, 34.7% had no high school diploma, and 65.3% earned less than $25,000 annually. Barriers to screening included health insurance (41.4%), discomfort of digital rectal exam (32.1%), and fear of cancer diagnosis (29.9%). Mean knowledge score of 21 points increased from 13.27±3.51 to 14.95±4.14 (p<.001), and prostate-specific antigen screening from 22.1% to 62.8%. Men without high school diploma recorded the lowest post-intervention PCa knowledge and screening rate (47.7%), suggestive of the need for more than a single education session. Annual physicals with free prostate examination can maintain the positive trend observed.
authors: Department of Surgery, Meharry Medical College, Nashville, TN 37208, USA. fukoli@mmc.edu
authors: Flora A
authors: FA
authors: Ukoli
authors: Kushal
authors: K
authors: Patel
authors: Margaret
authors: M
authors: Hargreaves
authors: Katina
authors: K
authors: Beard
authors: Pierre J
authors: PJ
authors: Moton
authors: Richard
authors: R
authors: Bragg
authors: Derrick
authors: D
authors: Beech
authors: Rodney
authors: R
authors: Davis
mesh_terms: D000328:Adult; D001741:Black or African American / Q000193:education* / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D055088:Early Detection of Cancer / Q000523:psychology* / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011203:Poverty / Q000523:psychology / Q000706:statistics & numerical data; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000523:psychology*