Black and Latino men are underrepresented in online prostate cancer resources

Newswise — February 42022 – Despite their higher risks of advanced prostate cancer, black and Latino men are underrepresented on websites and in online videos providing information and education about prostate cancer, reports a study in The Journal of Urology®an official journal of the American Urological Association (AUA). The journal is published in the Lippincott portfolio by Wolters Kluwer.

“Online media has significant potential for educating the public and addressing health disparities,” comments lead author Stacy Loeb, MD, MSc, PhD (Hon), of the University of New York Langone Health. “However, most prostate cancer content online lacks racial/ethnic diversity and is not easily understandable to non-health professional consumers.”

Content lacks black and Latin representation; quality and readability issues

The study is one of the first to examine racial/ethnic representation and the quality of prostate cancer information online. Representation is key because black men have the highest prostate cancer risk and mortality, while Latinx men are more likely to be diagnosed at a later stage and less likely to receive care recommended by the lines. guidelines for prostate cancer.

Dr. Loeb and his colleagues searched Google and YouTube to identify websites and videos providing information about prostate cancer. The analysis focused on resources representing people – human or animate – who were then categorized according to their perceived race/ethnicity through a consensus process with various community stakeholders. The study involved researchers from nine institutions across the United States.

The analysis included a total of 81 websites and 127 YouTube videos about prostate cancer. Of the approximately 1,500 people represented in these resources, the perceived racial breakdown was 55% white, 9% black, and 8% Asian. (For 28% of those depicted, race was categorized as unknown or undetermined.) Perceived ethnicity was Latinx in only 1% of people in online content.

Overall, 37% of websites and 24% of videos had a perceived representation of black adults. Latinx people were represented in only 10% of websites and 5.5% of videos.

Researchers used validated tools to assess the quality and readability of each online resource. “Few websites or videos had black or Latino representation and high-quality, understandable and actionable information,” write Dr. Loeb and his co-authors. None of the resources describing Black or Latinx people were at the recommended reading level for consumer health information.

Only 27% of websites and 17% of videos addressed racial/ethnic disparities in prostate cancer risk. The researchers note that many of the resources reviewed — regardless of Black or Latinx representation — had issues with quality, misinformation, and marketing bias.

Black and Latino men are also more likely to distrust the healthcare system and doctors, and more likely to use online networks such as YouTube. Dr. Loeb and his co-authors conclude, “To realize the full potential of these large online networks, it is important that a greater proportion of websites and videos include representation of racial and ethnic diversity.”

This study was supported by a Health Disparity Research Award from the Department of Defense and the Prostate Cancer Foundation, as well as the Edward Blank and Sharon Cosloy-Blank Family Foundation. Study co-authors are Hala T. Borno, Scarlett Gomez, Joseph Ravenell, Akya Myrie, Tatiana Sanchez Nolasco, Nataliya Byrne, Renee Hanna, Kristian Black, Sabrina Stair, Joseph Macaluso, Dawn Walter, Katherine Siu, Charlotte Samuels, Ashkan Kazemi, Rob Crocker, Robert Sherman, Godfrey Wilson, Derek M. Griffith, and Aisha Langford.

Click here to read “Representation in Online Prostate Cancer Content Lacks Racial and Ethnic Diversity: Implications for Black and Latino Men”.

DOI: 10.1097/JU.0000000000002257


On The Journal of Urology®

The Official Journal of the American Urological Association (AUA), and the most widely read and cited journal in the field, The Journal of Urology® provides robust coverage of the clinically relevant content needed to stay at the forefront of the dynamic field of urology. This premier journal features investigative studies on critical areas of research and practice, investigative articles providing brief editorial commentary on the best and most important literature in urology worldwide, and reports focused on practice on important clinical observations. The Journal of Urology® covers the broad spectrum of urology including pediatric urology, urological cancers, kidney transplantation, male infertility, urinary stones, female urology and neurourology.

About the American Urological Association

Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is one of the leading advocates for the specialty of urology and has nearly 24,000 members worldwide. The AAU is a leading urological association, providing invaluable support to the urological community in pursuit of its mission to foster the highest standards of urological care through education, research and formulation of health care policy. health. To learn more about the AAU, visit:

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