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Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina.

Publication ,  Journal Article
Conlisk, EA; Lengerich, EJ; Demark-Wahnefried, W; Schildkraut, JM; Aldrich, TE
Published in: Urology
June 1999

OBJECTIVES: Although stage at diagnosis is one of the most important predictors of survival from prostate cancer, demographic factors, screening practices, and knowledge and beliefs associated with stage at diagnosis have not been well documented, particularly by race. METHODS: We conducted telephone interviews with 117 black and 114 white men diagnosed with prostate cancer to identify the demographic factors, healthcare-seeking behaviors, and prostate cancer-related knowledge, attitudes, and practices associated with stage. The sample was stratified by stage at diagnosis and was composed of men 50 to 74 years old who resided in a contiguous 63-county region in North Carolina and who were diagnosed at 1 of 16 participating hospitals. RESULTS: Among blacks, stage was inversely correlated with income (P = 0.04) and health insurance status (P < or = 0.001); among whites, stage was not associated with income or health insurance status, but approached significance with marital status (P = 0.06). Awareness of prostate cancer before diagnosis tended to decline with advancing stage among black men (P = 0.07), but was high for all stages (greater than 93%) among whites. Report of a prostate-specific antigen screen was inversely correlated with stage among black men (P = 0.01); a trend was observed among whites but was not significant (P = 0.20). Knowledge of prostate cancer risk factors was not significantly associated with stage for blacks or whites. Less than one third of men in each race and stage group knew that black men are at increased risk of prostate cancer. CONCLUSIONS: Demographic and other factors vary with stage and should be considered when designing and targeting interventions to reduce late diagnosis of prostate cancer.

Duke Scholars

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

June 1999

Volume

53

Issue

6

Start / End Page

1194 / 1199

Location

United States

Related Subject Headings

  • White People
  • Urology & Nephrology
  • Socioeconomic Factors
  • Prostatic Neoplasms
  • Patient Acceptance of Health Care
  • North Carolina
  • Neoplasm Staging
  • Middle Aged
  • Male
  • Interviews as Topic
 

Citation

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Chicago
ICMJE
MLA
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Conlisk, E. A., Lengerich, E. J., Demark-Wahnefried, W., Schildkraut, J. M., & Aldrich, T. E. (1999). Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina. Urology, 53(6), 1194–1199. https://doi.org/10.1016/s0090-4295(99)00005-9
Conlisk, E. A., E. J. Lengerich, W. Demark-Wahnefried, J. M. Schildkraut, and T. E. Aldrich. “Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina.Urology 53, no. 6 (June 1999): 1194–99. https://doi.org/10.1016/s0090-4295(99)00005-9.
Conlisk EA, Lengerich EJ, Demark-Wahnefried W, Schildkraut JM, Aldrich TE. Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina. Urology. 1999 Jun;53(6):1194–9.
Conlisk, E. A., et al. “Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina.Urology, vol. 53, no. 6, June 1999, pp. 1194–99. Pubmed, doi:10.1016/s0090-4295(99)00005-9.
Conlisk EA, Lengerich EJ, Demark-Wahnefried W, Schildkraut JM, Aldrich TE. Prostate cancer: demographic and behavioral correlates of stage at diagnosis among blacks and whites in North Carolina. Urology. 1999 Jun;53(6):1194–1199.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

June 1999

Volume

53

Issue

6

Start / End Page

1194 / 1199

Location

United States

Related Subject Headings

  • White People
  • Urology & Nephrology
  • Socioeconomic Factors
  • Prostatic Neoplasms
  • Patient Acceptance of Health Care
  • North Carolina
  • Neoplasm Staging
  • Middle Aged
  • Male
  • Interviews as Topic