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Lepore SJ , Nair RG , Davis SN , Wolf RL , Basch CE , Thomas N , Shmukler C , Ullman R
Patient and Physician Factors Associated with Undisclosed Prostate Cancer Screening in a Sample of Predominantly Immigrant Black Men
J Immigr Minor Health. 2017 Dec;19(6) :1343-1350
PMID: 27449217    PMCID: PMC5407941   
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Medical guidelines do not recommend prostate cancer screening, particularly without informed and shared decision making. This study investigates undisclosed opportunistic screening using prostate specific antigen (PSA) testing in black immigrant and African American men. Participants (N = 142) were insured urban men, 45- to 70-years old. Patients' reports of testing were compared with medical claims to assess undisclosed PSA testing. Most (94.4 %) men preferred to share in screening decisions, but few (46.5 %) were aware PSA testing was performed. Four factors predicted being unaware of testing: low formal education, low knowledge about prostate cancer, no intention to screen, and no physician recommendation (all p's < .05). Undisclosed PSA testing was common. Both patient and provider factors increased risk of being uninformed about prostate cancer screening. Interventions combining patient education and physician engagement in shared decision making may better align practice with current prostate cancer screening guidelines.
1557-1920 Lepore, Stephen J Nair, Rasmi G Davis, Stacy N Wolf, Randi L Basch, Charles E Thomas, Nigel Shmukler, Celia Ullman, Ralph P30 CA006927/CA/NCI NIH HHS/United States R01 CA104223/CA/NCI NIH HHS/United States R01CA104223/National Cancer Institute/United States Journal Article United States J Immigr Minor Health. 2017 Dec;19(6):1343-1350. doi: 10.1007/s10903-016-0468-1.