Black Men and Prostate Cancer - Update 6/06

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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