Evidence map›Paper›PMID 42509517›Full record

ArticleJournal of racial and ethnic health disparities2026

A Qualitative Evaluation of Structural and Social Determinants of Health, Black Race, and Perspectives of Prostate Cancer Risk and Early Detection.

Dante' Morehead, Jenney R Lee, Ben Young, Victor Tolbert, John Masembe, Sung Min Kim, Solange H Mecham, Liz Sage, Elizabeth J Austin, Erika M Wolff and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Dante' MoreheadDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Jenney R LeeDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Ben YoungBlack and African Descent Collaborative for Prostate Cancer Action, Seattle, USA.
Victor TolbertBlack and African Descent Collaborative for Prostate Cancer Action, Seattle, USA.
John MasembeBlack and African Descent Collaborative for Prostate Cancer Action, Seattle, USA.
Sung Min KimDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Solange H MechamDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Liz SageDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Elizabeth J AustinDepartment of Health Systems & Population Health, University of Washington, Seattle, WA, USA.
Erika M WolffDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
John L GoreDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA.
Yaw A NyameDepartment of Urology, University of Washington School of Medicine, 1959 N.E. Pacific Street, Box 356510, Seattle, WA, 98195, USA. nyamey@uw.edu.
BACPAC Collaborative

Funding

TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI John Kyung Lee · 2002 to 2026
$58.1M
Andy Hill CARE Fund Andy Hill CARE FundNCI NIH HHS P50 CA097186
6 · The paper itself

Abstract

Black men in the United States face disproportionately high rates of prostate cancer incidence and mortality. Despite this, few prostate-specific antigen (PSA) testing guidelines include race-conscious guidelines, and few studies exists on specific, equity-related barriers to accessing PSA testing for Black men. This qualitative study, conducted in collaboration with the Black and African Descent Collaborative for Prostate Cancer Action (BACPAC), explores the perspectives, beliefs, and equity-related barriers affecting PSA testing access among Black men in Washington State. Using a community-engaged approach, semi-structured interviews were conducted with 29 Black men, both with and without a history of prostate cancer. Interviews were analyzed using a framework that considered structural, social, and health-related determinants of equity. Five key themes emerged: (1) trust and patient-provider relationships are essential but often challenged by historical and personal experiences of systemic racism; (2) PSA testing is viewed as an important component of routine healthcare, but is inconsistently offered; (3) participants reported a lack of accessible, accurate, and culturally relevant information about prostate cancer risks for Black men; (4) family and community support plays a critical role in promoting awareness and screening; and (5) masculinity, sexual health concerns, and stigma act as barriers to seeking care. Our findings highlight the need for culturally tailored educational materials, improvements in provider communication, and community-driven efforts to normalize conversations about PSA testing and health. Addressing these factors through culturally responsive and patient-centered strategies can improve access to PSA testing and early detection and reduce prostate cancer inequities among Black men.

Indexed as

BlackHealth disparitiesPatient and stakeholder engagementPatient-centered outcomes researchProstateResearcher-patient collaborative research

Identifiers

PMID42509517

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.