Abstract / Summary
Abstract Purpose Black men experience the highest global burden of prostate cancer (CaP). This study examined health-related quality of life (HRQOL) and social drivers of health (SDOH)-related distress among Black prostate cancer survivors (CaPS) and compared HRQOL with findings from a comparable cohort. Methods This cross-sectional analysis used baseline data from a larger intervention study. Descriptive statistics and Welch’s two-sample t-tests were conducted. Results A total of 134 Black CaPS completed the baseline survey. Most were aged > 55 years (94.0%), identified as U.S.-born African American (90.3%), and were initially diagnosed with stage I–III disease (79.8%). Mean overall Functional Assessment of Cancer Therapy–General (FACT-G) score was 83.9 (SD = 17.8). Physical well-being had the highest mean subscale score (23.8, SD = 4.8), followed by functional well-being (20.4, SD = 6.6), social/family well-being (19.8, SD = 7.1), and emotional well-being (19.8, SD = 3.8). Mean SDOH Distress Scale score was 55.5 (SD = 23.8), with healthcare costs and insurance coverage among the most reported sources of distress. The mean FACT-G total was descriptively 8.9 points higher than the derived comparison mean (83.9 vs. 75.0). Conclusions Survivorship challenges persisted among Black CaPS across functional, social/family, and emotional domains. SDOH-related distress further highlights the social and financial challenges that may affect survivorship. These findings underscore the need for culturally responsive, multilevel survivorship interventions that integrate psychosocial support and address financial hardship and other social drivers of health to promote equitable, whole-person survivorship care for Black men with prostate cancer.