Lifestyle and Prostate Cancer among Older African-American and Caucasian Men in South Carolina

Objective: We investigated the association between lifestyle and prostate cancer risk among Caucasian and African-American men, separately. Methods: This population-based case-control study of prostate cancer among men aged 65-79 years was conducted between 2000 and 2002 in South Carolina. Telephone...

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Bibliographic Details
Published in:Cancer causes & control 2004-09, Vol.15 (7), p.647-655
Main Authors: Sanderson, Maureen, Coker, Ann L., Logan, Pamela, Zheng, Wei, Fadden, Mary K.
Format: Article
Language:English
Subjects:
African American studies
African Americans
Aged
Black or African American
Case control studies
Exercise
Family history
Geographic regions
Humans
Life Style
Male
Men
Prostate cancer
Prostatic Neoplasms - ethnology
Prostatic Neoplasms - etiology
Referents
Registries - statistics & numerical data
South Carolina
White People
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Summary:Objective: We investigated the association between lifestyle and prostate cancer risk among Caucasian and African-American men, separately. Methods: This population-based case-control study of prostate cancer among men aged 65-79 years was conducted between 2000 and 2002 in South Carolina. Telephone interviews were completed with 416 incident prostate cancer cases ascertained through the South Carolina Central Cancer Registry, and 429 controls identified through the Health Care Financing Administration Medicare beneficiary file (with respective response rates of 71% and 64%). Results: Caucasian men working in production, transportation, and material moving had increased prostate cancer risk (odds ratio [OR] = 2.04, 95% confidence interval [CI] 1.17-3.54), while African-American men in the military had reduced prostate cancer risk (OR = 0.19, 95% CI 0.05-0.76). Having five or more prostate specific antigen (PSA) tests within the past five years was associated with prostate cancer among Caucasian men; however, African-American men with prostate cancer tended to have fewer PSA tests. Increasing lycopene consumption was associated with a reduced risk of prostate cancer among Caucasian men (p = 0.03), but not among African-American men. Conclusions: In this population-based case-control study conducted in South Carolina we did not find marked differences in lifestyle factors associated with prostate cancer by race.
ISSN:0957-5243
1573-7225
DOI:10.1023/B:CACO.0000036172.63845.d4