“Prostate cancer is the most common cancer among men and by the age 75, approximately 50% to 75% of men will have prostate cancer.”
Prostate cancer is the third leading cancer site in the CNTJSA among the Native American men residing in this area. There are no early warning signs for this type of cancer and is most often diagnosed at the regional stage, with only 2% diagnosed at the localized stage. Most of these patients do not seek treatment and those who do usually are treated outside the CNTJSA. The majority of these patients are diagnosed between the ages of 65 and 74 years.
Cultural barriers, such as the belief that it is their fate to die of cancer, or maybe they have done something wrong and deserve to die from this disease may be reason they do not seek treatment. Education may play a big role in why they do not seek treatment, and low socioeconomic standards for those who are not very educated. Many of these elderly people live in rural areas and transportation may play an important part in their not seeking treatment. Those who do not have insurance rely on the IHS facilities for their health care needs, which provide limited services and do not provide much of the treatment options available for prostate cancer. Those who rely on the IHS facilities, and even those with insurance, use the contract health services to pay for treatment if money is available.