Black men's views on prostate cancer screening and information

Introduction: Black men have a higher risk of getting prostate cancer compared to men of other races. However, research shows that they are less likely to obtain prostate cancer screening.Aim: This study was aimed at establishing Black men’s views on prostate cancer screening and information, and how those views might influence their screening intentions.Method and analysis: A sample of 213 Black men participated in this mixed methods study which was carried out in two phases. First, a qualitative study, which was guided by the theoretical framework of protection motivation theory, employed thirteen semi-structured interviews. Data were analysed by thematic analysis. This was followed by a quantitative study, which was informed by the qualitative study, using a sample of 197 Black men. This study was to ascertain whether the qualitative findings were applicable to a larger sample.Findings: Major emerging themes from the interviews included awareness of prostate cancer, perception of prostate cancer, predictors of screening, publicity, and Black men’s information needs. Though participants had some knowledge of prostate cancer, they lacked the level of knowledge which could guide them in informed decision-making. They mentioned that, though prostate cancer information shows the frightening nature of the disease, it did not appear to deter their screening intentions. These findings were mostly consistent with findings from the survey, except for one statement on awareness (whether they will pay attention to PC information handed to them on the streets), two statements on predictors of screening (the fear of a possible diagnosis could prevent them from obtaining screening; and their readiness to screen for PC depends on their healthcare professional), and one statement on PC information needs (whether they wanted PC information from Black professionals).Conclusion: The provision of simplified prostate cancer information and engaging Black men in prostate cancer discussions could increase their awareness of the disease