Self-Care for Black Men: Prostate Cancer Health Screenings
In this series of posts, I will cover topics specifically to help Black men embrace better health and wellness. My book, Self-Care for Black Men is available for purchase and you can find more information about it at this link.
When it comes to prostate cancer, Black men tend to be more vulnerable than their white counterparts. There is a racial disparity in prostate cancer rates which has been consistently observed over time. While there are many factors that contribute to the prevalence of prostate cancer, Black men seem to be at higher risk, and at younger ages. This means Black men should be particularly mindful of their risk and self-advocating for routine screenings.
A Difference in Mortality Rates
Unfortunately, not only are Black men more likely to develop prostate cancer, but they also have a higher mortality rate from the disease (than white peers). This is, in part, due to delayed screenings and late-stage diagnosis. The reasons for this delay are likely due to a lack of awareness of the need for early screening, as well as difficulty finding competent providers due to lack of insurance coverage or the prohibitive cost of care. Nonetheless, Black men should be particularly cautious of their risk early, especially if there is a family history.
The Role of Genetics
Black men need to be conscious of family history of prostate cancer risk. There is some research that suggests genetics may also play a significant role in Black men's increased susceptibility to prostate cancer. Many genetic mutations have been found to occur at a higher rate in Black men and contribute to greater, and more aggressive, risk or early onset. Ongoing research will, no doubt, continue to identify risk factors specific to Black men. Furthermore, not only can these mutations increase the risk of developing prostate cancer, they may also complicate the treatment process, making early identification and intervention key for treatment success.
The Power of Prevention
Given the increased risk and mortality rate, early detection of prostate cancer is a particularly effective, and important, strategy for Black men. In most instances, screening is completed by blood test and/or a rectal exam in office. Current screening recommendations state that men should start getting screened for prostate cancer at the age of 50 and then every 3-5 years thereafter (if not otherwise indicated). However, it may also be advisable that due to the higher risk faced by Black men, regular screenings at earlier ages might also be a helpful strategy.
To learn more about prostate cancer risk in Black men, read this post from Memorial Sloan Kettering Cancer Center.