Patient and Physician Perceptions of Prostate-Specific Antigen Testing Among Black Individuals

What are the patient- and physician-level factors that facilitate or impede access to prostate-specific antigen (PSA) testing for prostate cancer screening among Black individuals in the US?This qualitative study interviewing 29 Black men and surveying 63 physicians found that primary care practitioners may not value PSA testing for prostate cancer early detection or appreciate its role in reducing the risk of prostate cancer–related mortality. They may also rely on US Preventive Services Task Force guidelines for PSA testing, which currently do not provide guideline recommendations for screening high-risk groups, including Black individuals.These findings suggest that patients and primary care practitioners need improved access to accurate and evidence-based information regarding prostate cancer risk and PSA testing among Black men.

Corresponding Author: Jenney R. Lee, MA, University of Washington, 1959 NE Pacific St, Box 356510, Seattle, WA 98195 (jenrlee@uw.edu).

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