Does a Family History of Prostate Cancer Affect Screening Behavior in Jamaican Men?

Overview

Journal Rev Panam Salud Publica

Specialty Public Health

Date 2019 May 17

PMID 31093171

Citations 1

Authors

Belinda F Morrison

Yulit Gordon

Affiliations

Soon will be listed here.

Abstract

Objective: To determine 1) the characteristics of males with a family history of prostate cancer who presented for screening and 2) the association between family history and diagnosis of prostate cancer in a cohort of screened Jamaican men.

Methods: The study consisted of a prospective cohort of black men who screened at the Jamaica Cancer Society in Kingston between 2006 and 2016. Data were collected on: 1) age at screening and age at diagnosis of prostate cancer, 2) family history of prostate cancer, and 3) prostate-specific antigen (PSA) and digital rectal examination (DRE) findings.

Results: Approximately 600 (21.4%) of screened men who reported data on family history (2 791 / 2 867) said they had a family history of prostate cancer. Men with a family history of prostate cancer 1) commenced screening at a younger age than men without a family history ( <0.001) and 2) tended to have a younger age at diagnosis of prostate cancer ( = 0.262). There was no significantly increased risk of prostate cancer in men with a reported family history of prostate cancer (odds ratio: 1.4; 95% confidence interval: 0.821-2.386; = 0.217).

Conclusions: Men with a family history of prostate cancer presented frequently for screening and earlier than those without. There was a lack of association between family history of prostate cancer and diagnosis. Further studies are needed to investigate this association and validate family histories.

Citing Articles

Ethnic Differences Among Black Men in Prostate Cancer Knowledge and Screening: a Mixed-Methods Study.

Malika N, Roberts L, Alemi Q, Casiano C, Montgomery S J Racial Ethn Health Disparities. 2021; 9(3):874-885.

PMID: 33783757 PMC: 11486286. DOI: 10.1007/s40615-021-01027-2.

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