aetna presentations prostate outreach program

Greater Jacksonville Prostate Outreach Program (POP)

Director: Charles J. Rosser, MD

Coordinator: John Pendleton

Prostate Cancer

• Prostate cancer is the second most common cancer and the second leading cause of cancer-related death among U.S. men older than 45 years

• Death rates of men with prostate cancer are significantly above the U.S. mean and are increasing in Duval County

NCI Prostate Cancer Incidence Rates

Prostate Cancer in Hispanic Men

• Overall, rates of prostate cancer are lower in Hispanic males than African-Americans or White males

• However, Hispanic men present with higher Prostate Specific Antigen (PSA) levels and more advanced disease than White males

• Hispanic males may not respond to standard treatments as well as white males

Why is there a difference between Hispanic males and white males?

• Healthcare resources disparity

• Prostate cancer screening

• Prostate cancer education

Greater Jacksonville Prostate Outreach Program (POP)

• Program designed by Dr. Charles Rosser at UF & Shands Jacksonville to provide no-cost prostate cancer education and screening to Greater Jacksonville, with an emphasis on minority populations

• Currently seeking NIH funding

POP – Targeted Populations

• Minority men 45-70 years of age

• Men 50-70 years of age

• Men 45-70 years of age with a family

history of prostate cancer

POP - Education

• Will provide education on prostate cancer screening, and prostate cancer screening techniques

• Education will be provided by community peer counselors familiar with the questions and concerns of minorities in Jacksonville

• Education will be provided in an interactive format, with measures of comprehension both before and after screening

POP – Community Outreach

• To establish local prostate cancer outreach clinics throughout Greater Jacksonville

• To announce the availability of free prostate cancer education and detection sessions to community groups, physicians, social service agencies, churches, men’s groups, etc.

• To establish partnerships with area businesses in order to promote and increase the awareness of the prostate cancer education and detection clinics

• To educate primary care physicians in the targeted communities to the current literature on prostate cancer

POP – Screening Methods

• Digital Rectal Exam (DRE)

• Prostate Specific Antigen (PSA)

POP – Research

• Evaluate education and screening techniques to better suit the targeted communities

• Use information learned from POP to direct other communities and cities in upgrading prostate cancer screening efforts

POP - Goals

• Increased screening rates for minority men• Better education and understanding of prostate

cancer among minority men • Help decrease the help disparity between

minorities and white males• Help to provide adequate follow-up care for

prostate cancer patients• Early detection of prostate cancer

Early Detection

• Less advanced cancers

• More treatment options

• Better survival rates

POP – First Steps

2003-2004 Annual Prostate Cancer Screenings

Past Screening Results

Nl DRE/PSA90%

Abnl PSA5%Abnl DRE

4%

Abnl DRE/PSA1%

R a c e o f M e n S c re e n e d

C a u c a s i a n6 0 %

A fr i c a n -A m e r i c a n

3 5 %

H i s p a n i c2 %

O t h e r3 %

In s u ra n c e S ta tu s o f M e n S c re e n e d

Y E S6 3 %

N O2 6 %

N /A1 1 %

POP – First Steps

2005 Free Prostate Cancer Screening

Friday September 23rd

Saturday September 24th

UF &Shands Jacksonville

655 W. 8th St.

Info – (904) 244-7405

POP - First Steps

• Association with the Duval County Health Department’s Healthy Jacksonville Prostate Cancer Prevention Program

• Working with UF & Shands Jacksonville to provide community-based education measures and year-round prostate cancer screenings

Conclusions

• Hispanic men present with more advanced cancers and higher disease volume

• Hispanic men are less likely to seek screening for prostate cancer

• There is a need for more community-based prostate cancer screening initiatives

• POP will hopefully help to fill this need

THANK YOU !