Vital prostate cancer insights every black man should know

By Dr. David Samadi

Prostate cancer is a significant health concern, especially for Black men in the United States. To understand the magnitude of prostate cancer’s effect on black men, here is data from Zero Prostate Cancer, a national nonprofit organization that aims to end prostate cancer and support those affected by the disease:

• This year alone, over 41,000 Black men will be diagnosed with prostate cancer
• About 1 in 6 Black men will receive this diagnosis at some point in their lives, compared to 1 in 8 white men. 
• Every 13 minutes a black man is diagnosed with prostate cancer
• Black men are 1.7 times more likely to be diagnosed with and 2.1 times more likely to die from prostate cancer than white men

The Stark Reality of Prostate Cancer Disparities

The disparity doesn’t end with diagnosis. Black men are more than twice as likely to die from prostate cancer than men of other races. This makes prostate cancer one of the most significant racial disparities in cancer outcomes today. Understanding and addressing this gap is crucial for improving survival rates and ensuring better health outcomes for Black men.

The Importance of Prostate Cancer Screening

One of the most effective ways to catch prostate cancer early is through screening, which often involves measuring prostate-specific antigen (PSA) levels in the blood. However, PSA tests are not foolproof. They can sometimes produce inaccurate or unclear results, leading to unnecessary anxiety or treatments. Additionally, some prostate cancers grow so slowly that they might never pose a threat to a man’s health.

Given these complexities, experts recommend that men, particularly Black men, engage in an informed discussion with their healthcare provider about the pros and cons of prostate cancer screening. The American Cancer Society suggests that this conversation should begin at age 40 for Black men. Together, you can weigh the potential benefits, risks, and uncertainties of undergoing a PSA test.

Managing Controllable Risk Factors

While you can’t change some risk factors like age or genetics, there are several steps you can take to potentially reduce your risk of developing prostate cancer:

• Moderate Calcium Intake: High calcium intake, mainly from dairy products or supplements, may slightly increase prostate cancer risk. Consult your healthcare provider before taking calcium supplements.
• Quit Smoking and Manage Your Weight: If you smoke, you’re at a higher risk for aggressive and potentially fatal prostate cancer. Seek guidance from your healthcare provider on strategies for quitting smoking.
• Maintain a Healthy Weight: Obesity increases the risk of fatal prostate cancer. Focus on achieving and maintaining a healthy weight through diet and exercise.
• Adopt a Healthy Eating Pattern: A diet rich in vegetables, fruits, whole grains, olive oil, fish, and nuts—such as the Mediterranean diet—has been linked to a lower risk of death in prostate cancer survivors. A nutritious diet can be a powerful tool in maintaining overall health and potentially lowering cancer risk.
• Discuss PSA Screening: Start conversations with your healthcare provider about prostate-specific antigen (PSA) screening around age 40 to weigh the benefits and risks.
• Schedule Regular Wellness Visits: Make it a priority to have yearly wellness check-ups. These visits are an excellent opportunity to discuss health concerns, assess risk factors, and determine if a PSA test is appropriate for you.

Take Action for Your Health

Prostate cancer is a serious concern for Black men, but early detection and lifestyle changes can make a significant difference. By staying informed, engaging in regular screenings, and taking proactive steps to reduce your risk, you can protect your health and increase your chances of catching any issues early when they are most treatable. Don’t wait—talk to your healthcare provider today about what you can do to stay ahead of prostate cancer.

Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board-certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.