Higher medical mistrust and concerns about masculinity may contribute to regret
FRIDAY, Dec. 4, 2020 (HealthDay News) — African-American men with prostate cancer suffer worse decisional regret than non-African-American men, according to a study published online Nov. 23 in The Journal of Urology.
Molly E. DeWitt-Foy, M.D., from the Cleveland Clinic, and colleagues assessed sources of regret with a focus on racial disparities among 1,112 patients with localized prostate cancer treated at the Cleveland Clinic between 2010 and 2016. The analysis included survey responses from 378 participants.
The researchers found that African-American men had worse decisional regret than non-African-American men, even when adjusting for relevant covariates (odds ratio, 2.46). Medical mistrust and masculinity scores on the Prostate Cancer Beliefs Questionnaire were higher for African-American men. Both of these scores predicted worse decisional regret independent of race (odds ratios, 1.415 and 1.350, respectively).
“This novel survey may facilitate identifying targets to reduce racial disparities in prostate cancer,” the authors write.
Abstract/Full Text (subscription or payment may be required)
MHT Initiation May Reduce Cardiovascular Risk in Women With Vasomotor Symptoms
Higher Intake of Saturated, Animal Fats May Increase Mortality in Prostate Cancer
Adverse Pathological Features Do Not Predict Benefit of Hormone Therapy in Prostate Cancer
Focal Therapy Use Remains Uncommon in Nonmetastatic Prostate Cancer
Risk for Prostate Cancer Elevated With Higher Ultraprocessed Food Intake
Rates of Active Surveillance for Low-Risk Prostate Cancer High for Veterans
Achieving PSA <0.2 ng/mL Improves Survival in Metastatic Castration-Sensitive Prostate Cancer
Platelet-Rich Plasma, Shockwave Therapy Show Therapeutic Efficacy in Interstitial Cystitis