ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Addressing barriers to care for African American men facing prostate cancer: a scoping review of navigation programs.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeAfrican American/Black men are disproportionately impacted by prostate cancer (PCa). Patient navigation is an evidence-based approach to address barriers to care, improve access to care and health outcomes, and reduce disparities. This scoping review provides an in-depth examination of navigation programs in PCa care across the cancer continuum, with a focus on African American/Black men in the United States.
methodsWe conducted a comprehensive literature search through September 1st, 2023, in PubMed, Embase, Web of Science, and CINAHL Complete, using keywords and index terms within three main themes: PCa, patient navigation, and African American/Black men. We included studies that described or investigated navigation programs/interventions for PCa from screening through survivorship and included at least 30% African American/Black men.
resultsOf the 3,556 articles identified, 8 were included. Two articles covered the same navigation program-one reported the protocol and one reported quasi-experimental trial results. All but one study was conducted prior to 2012. The most common navigation activities reported were care coordination, education/information provision, and comfort/emotional support. Navigation improved screening uptake, PCa management, and access to supportive services. Only 3 articles provided information on navigation training. Both clinical (e.g., nurses) and non-clinical (e.g., peers) navigators were reported. Only 1 article discussed cultural tailoring to African American/Black men.
conclusionNavigation programs in PCa care are beneficial; however, few studies were identified despite disease burden and disparities among African American/Black men. Contemporary navigation programs tailored for African American/Black men are needed to address persistent disparities.
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