University of Central Florida
Community Diagnosis
Health seeking behavior: prostate cancer screening among African-American men ages 40 and older related to the fact that African American men are 50% more likely to develop prostate cancer than any other racial or ethnic group (Maurer & Smith, 2005, p. 443) and risk factors: family history of prostate cancer, a diet high in fat, and non-participation in screenings as evidenced by a total prostate cancer mortality rate of 84 deaths per 100,000 population in 2009-2011and an incidence of 606 per 100,000 population in 2009-2011 in Orange County, Florida; and Healthy People 2020 C-7 reduce the prostate cancer death rate: Baseline: 23.5 prostate cancer deaths per 100,000 males and Target: 21.2 deaths per 100,000 population; and Healthy People 2020 C-19 (Developmental) Increase the proportion of men who have discussed with their health care provider whether or not to have a prostate-specific antigen (PSA) test to screen for prostate cancer. (Florida Charts, 2010; U.S. Department of Health and Human Services, 2011).
Review of Literature
PICO: In African-American men, are focus groups using audio-visual methods of prostate cancer risks and early detection better than videography in increasing knowledge about the importance of early prostate screening, diagnosis, and treatment? According to the American Cancer Society (2012), African American men who are diagnosed with prostate cancer are more likely to die than any other race or ethnicity. Prostate cancer ranks fifth in overall cause of death among African American men aged 45 and over. From 2009-2011, 42.5 per 100,000 African American men died from prostate cancer in Florida. Studies show that this disproportion is due to African American men not being screened in the early stages of the disease and delaying treatment in the later stages of disease progression
References: American Cancer Society. (2012, February 27). Prostate key statistics. Retrieved March 26, 2013, from http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics Arras-Boyd, R., Boyd, R., & Gaehle, K McBride, D. (2009). New cancer screening guidelines say less is more. ONS Connect, 24(4), 19. Reynolds, D. (2008). Prostate cancer screening in african american men: barriers and methods for improvement. American Journal Of Men 's Health, 2(2), 172-177. doi:10.1177/1557988307312784 Rivers, B., Underwood, S., & Jones, R U.S. Department of Health and Human Services, U. S. D. O. H. A. H. S. (2013, March 08). Healthy people 2020. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx Ward-Smith, P