A Community-Based Prostate Cancer Screening and Education Program for Asian American Men in Medically Underserved Communities

Dalnim Cho, Beverly Gor, Hyunsoo Hwang, Xuemei Wang, Mike Hernandez, Lovell A. Jones, Jacqueline Frost, Pamela Roberson and Curtis A. Pettaway ()
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Dalnim Cho: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Beverly Gor: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Hyunsoo Hwang: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Xuemei Wang: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Mike Hernandez: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Lovell A. Jones: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Jacqueline Frost: Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Pamela Roberson: Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Curtis A. Pettaway: Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA

IJERPH, 2024, vol. 21, issue 4, 1-11

Abstract: 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 ( p < 0.001) but not at post-assessment ( p = 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.

Keywords: prostate cancer screening; prostate cancer knowledge; Asian American men; ethnicity; community education (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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