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Black men do have the highest rate of prostate cancer.
But in several recent studies 2 other factors have been shown to
count with regard to OUTCOMES (how many men die of the disease):
1) Poverty trumps race to explain poor outcomes for a black men.
A large recent study in Texas of over sixty thousand men found
that racial disparity in survival among men with local or
regional prostate cancer can be largely explained by poverty and
related factors.
http://psa-rising.com/upfront/prostatecancerandpoverty06.htm
This connects with another recent study that found that:
"High-Risk Black Men Are Screened Less for Prostate Cancer
February 9, 2006
The men most at risk for aggressive prostate
cancer - black men with a family history - are the least likely
to get screening even during peak ages of risk, researchers
say."
http://psa-rising.com/med/african-am/highrisknotscreened06.htm
Other recent studies have found similarly for OUTCOMES, e.g.:
"Independent prognostic variables for survival among patients
with AIPC included patient age, serum hemoglobin level, time to
androgen-independent disease, treatment group and the extent of
metastatic disease. Ethnicity did not adversely affect outcome."
(M D Anderson, 2004)
http://tinyurl.com/n26eh
Fred Hutchinson Cancer Research Center in Seattle (reporting in
2004) looked at records of 90,128 men aged 65 years and older,
who were newly diagnosed with nonmetastatic prostate cancer.
"RESULTS: The use of aggressive therapy has increased among
white men over time; but aggressive therapy has recently
declined among African-American men.
Accounting for age, grade,
socioeconomic status, and comorbidity, African-American men were
26% less likely to receive aggressive therapy than white
men...."
http://tinyurl.com/gzx6m
These evidences of late detection, more advanced disease stage
at time of primary treatment, less aggressive treatment and less
overall access to good medical care quite possibly combine with
several other factors relating to overall health.
Race alone may
not be a sufficient explanation.
Posted June 2006, content supplied by Jacquie Strax via Kathy Meade, Arlington Educational Consulting
http://www.vapcacoalition.org
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