Why Prostate Cancer Kills Black and African American men at a higher rate than White men

[Darryl]

youtu.be/7SHtjs4EgXU(Not working as expected?)

[Hidden]

I do not believe in critical race theory.

[Darryl Partner in reply to Hidden]

Do you “believe “ that prostate cancer kills black men at more than twice the rate as for white men?

[Hidden in reply to Darryl]

Darryl I come here for the science, and to help people. I do not come here to hear about critical race theory.

[Darryl Partner in reply to Hidden]

I don't believe anyone has mentioned critical race theory. What in the video do you disagree with? (have you watched the entire video?)

[jimreilly in reply to Hidden]

biggest non-sequitur of the year--who said anything about critical race theory

[Darryl Partner]

Old news to some. Not to all

[Hidden in reply to Darryl]

I misspoke: It's old news to me because I have lived it and continue to do so. Can be difficult to express sarcasm in a social media setting. My apologizes sir.

[Proflac]

Thank you for highlighting this important issue.

[Optimistic49]

Hi Darryl,

1) You may have asked the wrong question. To ask if you “believe” implies this data/studies indicating this are not already around . They are. You therefore bring out people’s personal bias.

2) a question that could have been asked is perhaps “how do socio-economic factors play a role in cancer where you live” ie poorer populations having access to diagnostics and treatment. As you note, the video was balanced in its content. I have seen many comments in various threads on this site about the cost of drugs and access, which indicates to me that economic factors play a role in care mgmt.

3) Race and ethnicities play a role in diseases across the world. Example, sickle cell anemia. What’s so special about prostate cancer that race can’t be a factor? It’s knowing this as well as other factor like environmental and societal factors that help to provide better solutions.

Thanks for raising the topic. We are early in trying to figure out solutions to all the ties. It may take years to get enough genomic tests/clinical trials out to enhance data/care of the populations or to fund/educate on early detection in some of the countries where we live. Some current and past links on topic below.

washingtonpost.com/health/2...

europeanurology.com/article...

sciencedirect.com/science/a...

[pakb]

Thank you for posting this. The more we talk about these facts and stats- hopefully the more solutions will be created.

[Daveofnj]

What are the key points made in the video?

[Trying-Times]

Thanks Darryl it is very important that Black people research these facts to find out if there is something they can do to improve their survival rate. Please keep up the good work for us all!

[anonymoose2]

Hello Darryl, will you be providing information on Homosexual men?

What I’ve read they are more at risk than black men.

Also has a study been conducted on heterosexual men with hundreds of sexual partners?

Thanks

[Darryl Partner in reply to anonymoose2]

Malecare has provided research, support and advocacy for Gay, bisexual and transgender men with prostate cancer since 1998, and I have been a pioneer of lgbt psyco-oncology since 1996.

NOTE: JimReily's comment below is correct.

[jimreilly in reply to anonymoose2]

What I've read says that it's only recently that this issue has begun to be studied in depth, and I have not read that gay men are at more risk for prostate cancer than black men (gay or straight, since the two groups are of course not mutually exclusive); in fact I've read the opposite. Maybe I'm not up on the latest research. What I have read is that gay men are still less likely to be screened (PSA and otherwise) and that there are cultural issues involved in their diagnosis and care, and that outcomes of treatment may be less satisfactory. I think given, until recently, the lack of studies and the lack of reliable identification of who is gay and who isn't, one might regard these conclusions as provisional. So I'm curious about where you have read that gay men are more at risk?

[dentaltwin in reply to jimreilly]

There really hasn't been much pertinent research. Absence of evidence (as they say) is not evidence of absence.

Here's a literature review, from 7 years ago. The evidence is contradictory:

ncbi.nlm.nih.gov/pmc/articl...

[jimreilly in reply to dentaltwin]

yes; thanks both dental twin and Darryl

[anonymoose2 in reply to jimreilly]

Hello Jim

In the past, years ago I read homosexual men are more susceptible to anal cancers as well colon cancers that “can” lead to prostate cancer.

I will provide the the quotes and links.

”Men who develop colorectal cancer are at increased risk of prostate cancer, with the greatest risk in men under the age of 65”

“Anal cancer is much more likely in gay and bisexual men. The main risk factor for it is having anal sex with men.”

pubmed.ncbi.nlm.nih.gov/127...

healthlibrary.uwmedicine.or...

[jimreilly in reply to anonymoose2]

Anal cancer and colorectal cancers are two quite different cancers; your proposed causal chain does not hold. The UW on-line library you cite lists an association between anal sex and anal cancer, but not between anal sex and colorectal cancer and not between anal sex and prostate cancer; the study you cite concludes that "Men who develop colorectal cancer are at increased risk of prostate cancer, with the greatest risk in men under the age of 65 (Relative risk approximately 2). Men with first primary colorectal cancer are more likely to develop prostate cancer than colorectal second primaries, and men who develop second primary prostate cancer are more likely to die of prostate cancer than colorectal cancer. " Nowhere in this study are the words "gay", "homosexual", or "anal". The kind of unjustified leap you are making does a disservice to all men with prostate cancer, especially to gay men with prostate cancer, and indeed to any man worried about prostate cancer.

[Pianodude]

Thanks for posting this. It is a shame that some folks feel threatened by the truth. We are never going to address these issues and get to real equality until we acknowledge that there is a problem.

[Cyclingrealtor]

Ignorance and biases will never create a better future for humans with a prostate. It does nothing but stifle progress.

Irregardless of race and sexual orientation we need to screen earlier, period! Until we start catching cancer earlier we will not make much progress! Our history shows it!

[jimreilly]

Thanks for posting this video, Daryl. Important information for all of us. Disparities in care and outcomes for any group (whether racial, economic, sexual orientation, or, when relevant, gender) with any disease are important issues in medical care. Prostate cancer is no exception. If the current fuss about "critical race theory" were to keep us from studying and discussing these issues that would be unfortunate; the disparities in treatment outcomes and death rates for black men and prostate cancer are real, they are not theoretical. Finding out why could help all of us, as the speaker points out.

[cancerfox]

IMHO everyone needs to take more personal responsibility for their own health and not look for scapegoats when something bad happens. That includes obesity, diseases, risky behavior, etc. What we really need regarding prostate cancer is more prostate cancer awareness, similar to what the ladies get for breast cancer. Prostate cancer is as deadly as breast cancer, but which one gets the most support? 🦊

[Darryl Partner]

@cancerfox yours is an interesting comment. Please list for us the “scapegoats” that you think Dr Nyame mentioned.

[j-o-h-n]

Why Prostate Cancer kills Black and African American men?

Redundant..........

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 08/24/2023 6:20 PM DST

[Optimistic49 in reply to j-o-h-n]

Hi John, not redundant. African American is a reference to black people in the US typically historically descendants of slavery. Black is a typically a reference to those that immigrated to US from other areas like Africa or the Caribbean or live outside of the US. This is relevant to assess socio-economic, environmental, nutritional etc impacts. European vs American caucasians, Chinese vs Japanese Asians, we can’t ignore differences of where we live that might have an impact in research.