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Exploring Prostate Cancer Impact in UK African Caribbean Men: Barriers and Opportunities

This study investigates the barriers and facilitators impacting healthy lifestyle changes among African Caribbean prostate cancer survivors in the UK. Conducted by Professor Frank Chinegwundoh and colleagues, it highlights low awareness, misconceptions about diagnosis, and fears around treatment side effects. Key findings reveal challenges such as inactivity and dietary habits, while emphasizing the importance of social support networks and effective doctor messaging. The qualitative research was presented at the Barcelona Health Disparities Symposium in April 2019, aiming to enhance awareness and improve outcomes.

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Exploring Prostate Cancer Impact in UK African Caribbean Men: Barriers and Opportunities

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  1. Impact of prostate cancer in a UK African Caribbean population Professor Frank Chinegwundoh MBE Consultant Urological Surgeon, London, UK For the Barcelona health disparities symposium, 10-11 April 2019

  2. Qualitative research • Barriers and facilitators to healthy lifestyle and acceptability of a dietary and physical activity intervention among African Caribbean prostate cancer survivors in the UK: a qualitative study • Vanessa Er1, J Athene Lane1,2, Richard M Martin1,2,3, Raj Persad4,  • Frank Chinegwundoh5,6, Victoria Njoku5, Eileen Sutton1 • BMJ Open October 24, 2017

  3. Black men in UK • x 2 risk ca prostate x2 risk dying • Low awareness • Misconceptions as to diagnosis • Few tested • Lack of information • Mistrust • Threats to masculinity • Fear of cancer • Fear of Rx side effect Natural treatments

  4. Evidence base • Link fatness with advanced prostate cancer • Physical activity…… less progression Less mortality Improves side effects of treatment • Suboptimal diets & lifestyle • Many obese • 5 a day fruit & vegetables 15-30% • > 50% survivors are inactive

  5. The study • Black men in depth interviews age 52-80 • If thought healthy eating pre diagnosis – no need to change • Would eat more tomatoes • Would reduce dairy • Doctor messaging important • Would exercise. Brisk walk 30 minutes daily

  6. ‘social networks and support were important for men in coping with prostate cancer …….. Dietary ……lifestyle changes’ • Role of partner/wife • Social support to stay active – group exercises • Limited by incontinence • Loss of income • Fears about strenuous exercise • Weight reduction for body image dieting

  7. Life after prostate cancer: A systematic literature review and thematic synthesis of the post‐treatment experiences of Black African and Black Caribbean men • O. Bamidele MSC, BSC ,H. McGarvey PhD, BSC (HONS), PGCTHE, RNT, RN , B.M. Lagan PhD, MSC, BSC, RNT, RGN, RM , N. Ali PhD, MSC, BSC (HONS) • F. Chinegwundoh MBE MBBS, MS, MML (Med Law), FRCS(Eng.), FRCS(Ed), FRCS(Urol), FEBUK. Parahoo PhD, BA, RMN • E. McCaughan PhD, BSC, PGDHE, PGCUT, DIP, ONCOLOGY NURSING, RGN European J of Cancer Care 2017 Support from wives, peers, church

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