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Objective: To compare the costeffectiveness of prostate cancer educational programs by AfricanAmerican versus Caucasian men and educational methods. Method: Four different educational methods where tested with 868 men. Results: The participation rate in the free screening was less for African-American (59%) than for Caucasian men (75%), leading to a greater cost per African-American man screened. However, more African-American men had prostate cancer than did Caucasian men, 6 11.9%) versus 2 (0.8%), leading to lower costs per prostate cancer detected for AfricanAmerican men. Conclusion: Targeting African-American men for prostate cancer educational programs is cost-effective and has the potential to significantly reduce prostate cancer mortality rates among African-American men. [ABSTRACT FROM AUTHOR]

This study examined the relationship between adolescent smoking under stress, psychological distress, and social support. Sophomore and junior high school students, N=1,168, completed Derogatis' Brief Symptom Inventory, Spielberger's Anger Expression Scale, and revised version of Coppel's Index of Social Support. White students were more likely to engage in stress-related smoking than were black students (OR=5.74, 95% C.I. [4.00, 8.24]), as were adolescents with higher psychological distress and lower social-support scores. Adolescent smoking prevention and cessation programs should consider incorporating behavioral strategies aimed at coping with psychological distress and strengthening social support as students may smoke in response to stress. [ABSTRACT FROM AUTHOR]