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A Community-Based Prostate Cancer Screening and Education Program for Asian American Men in Medically Underserved
Dalnim Cho1, Beverly Gor1, Hyunsoo Hwang2
1Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Summary
A community outreach program improved prostate cancer (PCa) knowledge in underserved Asian American men. The Prostate Outreach Project (POP) identified low screening rates but also successful knowledge enhancement across diverse ethnic groups.
Area of Science:
- Public Health
- Oncology
- Health Disparities
Background:
- Medically underserved Asian American men face unique challenges in prostate cancer (PCa) awareness and screening.
- Existing disparities necessitate targeted community-based interventions to improve health outcomes.
- Prostate cancer screening involves prostate-specific antigen (PSA) tests and digital rectal examinations (DRE).
Purpose of the Study:
- To assess the impact of a community-based education and screening program on PCa knowledge among Asian American men.
- To examine PCa screening history, clinical abnormalities, and follow-up rates within diverse Asian ethnic subgroups.
- To determine PCa diagnosis rates following the intervention.
Main Methods:
- Analysis of data from the Prostate Outreach Project (POP), a community-based program.
- Inclusion of 521 Asian men (Vietnamese, Chinese, South Asian) offered PCa screening (PSA and/or DRE) and education.
- Pre- and post-intervention knowledge surveys administered to 277 participants after viewing an educational video.
Main Results:
- All groups showed improved PCa knowledge post-intervention, with no significant post-assessment differences between ethnic groups.
- A high percentage (77.9%) of participants had no prior PCa screening; Vietnamese men had the lowest prior screening rate (17.3%).
- Chinese men exhibited higher abnormal PSA and DRE rates. Only 15.2% of those with abnormal screening had adequate follow-up. 144 men were diagnosed with PCa, 11.1% of whom were Asian.
Conclusions:
- Community outreach programs can effectively enhance prostate cancer knowledge among diverse, underserved Asian American men.
- Targeted screening and education are crucial for addressing low screening rates and identifying abnormalities.
- Improved follow-up mechanisms are needed for men with abnormal screening results to ensure timely diagnosis and treatment.
