Objective: To compare the cost-effectiveness of prostate cancer educational
programs by African-American versus Caucasian men and educational methods.
Method: Four different educational methods were tested with 868 men. Resul
ts: The participation rate in the free screening was less for African-Ameri
can (59%) than for Caucasian men (75%), leading to a greater cost per Afric
an-American man screened. However, more African-American men had prostate c
ancer than did Caucasian men, 6 (1.9%) versus 2 (0.8%), leading to lower co
sts per prostate cancer detected for African-American men. Conclusion: Targ
eting African-American men for prostate cancer educational programs is cost
-effective and has the potential to significantly reduce prostate cancer mo
rtality rates among African-American men.