Prostate Cancer And Its Effects On African Americans

The incidence of cancer is higher in Black Americans, both men and women, than non-Hispanic Whites. Men are more likely to have lung, pancreatic and stomach cancer. They are more likely to die from prostate cancer. Black African American women are 36% more likely to die from breast cancer.

Prostate Cancer is a disease in which there is an uncontrolled growth of cells that lines the ducts of the prostate gland. The abnormal cells can spread throughout the prostate and nearby organs, such as the seminal vesicles. If not caught early they can spread (metastasized) to other organs of the body through the lymph or blood stream. (“...Treatment...” 13) Prostate Cancer can be like a silent killer. Some may show signs and symptoms of this disease while others may not. Some symptoms may include frequent urination, blood in the urine or semen, delayed or slowed start of urinary stream and dribbling or leakage of urine. Diagnosis testing for Prostate Cancer are digital

leading cause of cancer related mortality within the community for both men and women was

Asian Americans face health disparities in cancer, chronic diseases, hypertension, and diabetes, mental health, and among the elderly (Sy, n.d.). I wanted to focus on what one of the most leading cause of Asian Americans or Pacific Islander is Cancer. Asian Americans generally have lower cancer rates than the non-Hispanics white population. However, disparities still exist in the certain type of cancer. According to the U.S Department of Health and Human Services Office of Minority Health, Asians are 40 percent less likely to have prostate cancer as white men, but they are twice as likely to have stomach cancer. Although Asians women are 30 percent less likely to have breast cancer than white women, they are twice as likely to have stomach cancer. OHM also conclude that Asian men and women have 2.1 and 2.3 times the incidence of liver and IBD cancer as the non-Hispanic white population. Asian are twice as likely to die from stomach cancer as compared to the non-Hispanic white population, and Asian women are 2.4 times as likely to die from the same disease (Office of Minority Health,

Declining cancer incidence and mortality rates in the United States have continued through the first decade of the twenty-first century. However, Black Americans continue to have the higher cancer mortality rates and shorter survival times. This review discusses and compares only breast and prostate cancer mortality rates and mortality trends for Blacks and Whites. The complex relationship between socioeconomic status and race and its contribution to racial cancer disparities is discussed.

African Americans are the third largest racial or ethnic population, totaling 13.2% of the United States population (CDC, 2015). Giger (2013) states, some health disparities associated with African Americans is due to discriminatory practices and inequalities in social, economic, and educational opportunities, rather than biological factors. Statistics identifies higher health disparities for this population reflected in overall mortality rates compared to other populations. According to the Office of Minority Health (2014), the adult mortality rate is higher in African Americans for heart disease, stroke, cancer, asthma, influenza, pneumonia, and diabetes, as well as higher rates of infant mortality. For instance, the overall adult mortality rate for African Americans is 860.5 per 100,000 population compared to 731.0 per 100,000 population in Caucasian Americans according to 2012 data (KFF, 2015).

Despite vast advancements in healthcare African-American men lack appropriate necessities when it comes to health care. Continuous efforts to bridge the gap among African American men with prostate cancer still remains high in the United States. Evidence shows how disproportionate this ethnic population leads in both incidence and mortality rate concerning social determinants of health, as well as health disparities. Major key factors that contribute to this health disparity among African Americans men are low socioeconomic status (SES) and being medically offered inadequate services. According to Richardson et al. (2004), "Prostate cancer (PCa) is most common and the second leading cause of cancer death among American men." However, prostate cancer incidence and mortality rates are higher in African-American men, as compared to other race. One of the main barriers hindering the care of this ethnic population is the lack of knowledge. As an Advanced Nurse Practitioners, it is crucial to identify areas in SDoH and health disparities that affect African American men health. False perceptions, misunderstanding and improper information must be replaced with factual information, and communicated accurately (Richardson et al. 2004).

In the Article Socioeconomic Disparities in Breast Cancer Treatment among Older Women States, “Approximately 200,000 women are diagnosed with breast cancer and 40,500 die from the disease…White women have a higher of this disease than black women. However, black women have a higher mortality than white women (White, et al. 7)”. Breast Cancer is a health disparity to black women because they’re most likely to die from it than white women due to tumor differences. Many woman not only black women die from cancer because they chose not to go through chemotherapy, but According to the article Socioeconomic Disparities in Breast Cancer Treatment Among Older Women says, “Black women with node positive and node negative tumors were 25% and 17% less likely to receive chemotherapy than white women. Black people are more likely to die not only because they don’t receive chemotherapy but because of patient and tumor characteristic, and after adjusting for socioeconomic (White, et al.1)”. Breast Cancer is a huge health disparity to black women because most of them can’t survive with this disease than white

African American women are diagnosed with breast cancer at a rate of one-in-ten. Caucasian women see a rate of 1-in-8 however, 1-in-31 African American women are found die from their illness where 1-in-37 Caucasian die from breast cancer (ASPCS, 2014). These numbers are

Alcohol is also problematic for the African American population. Alcohol is one of the most significant problems among African Americans and leads to more violence, abuse, isolation and social consequences among black women when compared to white women (Donatelle, 2003). African Americans tend to have more of an alcohol problem as a population whole compared to whites but tend to consume less alcohol overall (Donatelle, 2004). Excessive, long term alcohol intake can lead to enhanced risk of developing cancer, a damaged central nervous system and harmful effects to the cardiovascular system (Donatelle, 2004). Since African Americans are already at more risk for developing cancer and cardiovascular disease, alcohol would enhance the risk of developing these disease and thus would reduce their overall health.

Men should talk with a doctor if they are 45 and at high risk for prostate cancer. This includes those with a family history, especially African American men.

Heart disease, regular hypertension and renal disease are all results from high blood pressure issues in African American men and the rates showed an increase among both African American men and women were more than double those of white men throughout the period. Consequently, African American men are more susceptible to prostate cancer more than other races. Their risk for strokes is greater than 60 percent than white men (Xanthos, Treadwell & Holden,

Asian American men are 40% less likely to have prostate cancer, but twice likely to have stomach cancer compared with white men. Asian American women are 30% low chance to have breast cancer but twice as likely to have stomach cancer as compare with white women. Both

Although both men and women can get cancer, cervical cancer, which men do not get is by far the most common and dangerous.

Cancer is one of the leading causes of morbidity and mortality worldwide, with approximately 14 million new cases in 2012.2 The amount of new cases is expected to rise by about 70% over the next 2 decades. Cancer which causes nearly 1 in 6 deaths, is the second leading cause of death globally, and was responsible for 8.8 million deaths in 2015. Approximately 70% of deaths from cancer occur in low- and middle-income countries. In 2012 about 14.1 million new cases of cancer occurred globally (not including skin cancer other than melanoma).3 The most common types of cancer in males are lung cancer, prostate cancer, colorectal cancer and stomach cancer.