Current guidelines recommend that physicians use a shared decision-making (SDM) approach to engage with patients on the potential benefits and harms of prostate cancer screening based on their individual risk. In a sample of 4,118 men aged 55-69 from the 2018 New York State Behavioral Risk Factor Surveillance Survey (BRFSS), we compared the frequency of screening recommendations and SDM conversations according to four race/ethnic groups. In logistic regression, we evaluated the likelihood of SDM conversations between race/ethnic groups. Our findings suggest that the odds of never having a SDM conversation with their healthcare provider were significantly higher among Hispanic men (OR 95% CI: 2.10, 1.11-3.99) and other/multiracial men (OR, 95% CI: 3.08, 1.46-6.52) compared to white men, while black men had comparable odds (1.52, 0.98-2.34). The lower frequency of SDM conversation among Hispanic and other/multiracial men suggest a missed opportunity for healthcare providers to guide informed screening decisions.
Journal of immigrant and minority health. 2023 Apr 21 [Epub ahead of print]
Lindsey J Mattick, Kofi Biney, Heather M Dacus, Gina M O'Sullivan, Heather M Ochs-Balcom
Department of Epidemiology and Environmental Health, University at Buffalo, 270 Farber Hall, Buffalo, NY, 14214-8001, 716-829-5338, USA., Department of Health, Bureau of Cancer Prevention and Control, Office of Public Health, Albany, New York State, NY, USA., Bureau of Chronic Disease Evaluation and Research, Department of Health, Office of Public Health, Albany, New York State, NY, USA., Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY, USA. .