Indigenous men have more serious and later-stage prostate cancer when they’re diagnosed than non-Indigenous men, a new Canadian study says.
Using postal codes, the researchers found that men in First Nations and Métis communities were much less likely to have had a prostate-specific antigen test – the method used to screen for prostate cancer – than men living outside of Indigenous communities. That finding was based on the tumour characteristics of 6,049 men diagnosed with prostate cancer who were seen at urology referral centres at the University of Alberta in Edmonton and at the University of Calgary.
About half of the Indigenous population lives in cities, he said, and researchers will be looking at data in another Alberta study to try to find testing rates for urban Indigenous men. Lack of access to a primary-care provider to get screened is a likely factor, he said, along with social determinants of health, such as poverty, which could make it difficult for someone to take time off work to get a PSA test.
Indigenous distrust of the health-care system is another potential factor behind lower screening rates, Pennington said.
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