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Talking About Your Prostate: Perspectives from Providers and Community Members
Seul Ki Choi1, Jessica S Seel2, Susan E Steck2,3
1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Summary
Primary care providers and African-American men have different experiences discussing prostate cancer screening. Improving patient-provider communication is key to addressing prostate cancer (PrCA) disparities.
Area of Science:
- Oncology
- Public Health
- Health Communication
Background:
- Prostate cancer (PrCA) disproportionately affects African-American (AA) men, who face higher incidence and mortality rates.
- Patient-provider communication is crucial for informed decision-making regarding PrCA screening.
- Existing disparities in PrCA screening communication between primary care providers (PCPs) and AA men require investigation.
Purpose of the Study:
- To explore current communication practices and needs related to PrCA prevention and screening between PCPs and AA men.
- To compare PCP and AA community perspectives on PrCA screening discussions.
Main Methods:
- An online survey was administered to 46 PCPs.
- Educational sessions with pre/post surveys were conducted with 56 AA men.
- A forum involving 5 panelists and 38 AA men facilitated open dialogue on PrCA communication.
Main Results:
- PCPs reported varied perceptions and guideline use for PrCA screening.
- A significant discrepancy exists between PCPs' reports of discussing PrCA screening and AA men's reported experiences.
- PCPs were more likely to report neutrality regarding PSA testing (38.0%) than AA men reported their doctors were (10.7%).
- Educational sessions significantly increased AA men's prostate health knowledge (p < 0.001).
- AA community members expressed high satisfaction with the educational sessions and forum.
Conclusions:
- Discrepancies in PrCA screening recommendations from PCPs may impede AA men's screening decisions.
- The study highlights a need for improved patient-provider communication strategies for PrCA screening in AA men.
- The implemented forum model shows promise for enhancing communication and engagement in PrCA dialogue.
Keywords:
African AmericanCommunity forumEducationPatient-provider communicationPrimary care providerProstate cancerMore Related Videos
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