The American Cancer Society’s recent annual report on the nation’s progress against cancer was encouraging; the death rates for the most common cancers are declining. Prostate cancer death rates have dropped among all race/ethnic groups, an overall decline of 4.1%. However, Black men still experience higher prostate cancer death rates than any other race/ethnic group in America.
Many medical experts encourage men to engage in regular prostrate cancer screening. Scientific evidence shows that finding and treating prostate cancer early, when treatment might be more effective, saves lives. Black men who have a family history of prostate cancer, should discuss with their doctor the need for an annual DRE and PSA test starting in their late 30s/early 40s. Yet Black men are less likely than white men to engage in screening. Structural barriers such as limited access to quality health care explain some of this difference, but lack of knowledge, fear, distrust, and aversion to digital rectal exam are barriers to prostate cancer screening in Black men. Anxiety associated with the potential for impotence, and loss of sex drive also leads many Black men to avoid prostrate cancer screening.
I am keenly aware of the fears and denial associated with screening. But, as a prostate cancer survivor, I am grateful that early detection saved my life. My fears and anxieties were replaced with peace of mind, effective treatment and a prognosis for a long, productive and happy life. It’s time for an honest discussion about prostrate cancer in our community, and about how we can help Brothers overcome barriers to screening.
Why do you think Black Men still avoid life-saving screenings? What's your opinion?
Mark Alexander, PhD, Co-Chair Health & Wellness Committee
100 Black Men of America, Inc. |
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