Florida Public Health Review

Publication Date

June 2011


TheepidemiologyofprostatecancerintheAfricanAmericanpopulationiswell-knowntohealthcarepractitioners; prostate cancer disproportionately impacts African American men 2:1 compared to Caucasian men. The Prostate Cancer Foundation hypothesizes that the increased mortality risk may be due to delayed diagnosis, poor work-up, and less complete treatment, indicating inequitable use of the health care system. The National Cancer Institute suggests that availability of health insurance and physician contact may increase screening and thus, reduce cancer mortality. Because health behaviors and health outcomes are impacted at five different levels according to the Social Ecology Model ofhealth – intrapersonal, interpersonal, organizational, community and social/policy levels – this report proposes that a Collaborative Leadership model based on the work of the Turning Point Leadership Development National Excellence Collaborative be applied for greatest and widest effect. In conjunction with this model is the assumption that public health facilitators and leaders espouse the values articulated by Robert Greenleaf in the theory of servant leadership - i.e., that people’s highest priority needs are being served first, and that people grow as (healthy) persons as a result oftheir personal involvement in issues that touch their lives. Both approaches work together to reduce health disparities and increase quality-of-life for so many people.