PCaP Baseline Questionnaire Topics

Background Characteristics

• Race/ethnicity
• Marital status
• Religion
• Education
• Income
• Tobacco/Alcohol use
• Physical Activity

Occupation

• Current Employment
• Occupation and industry
• Military Service
• Occupations with pesticide use

Family History

• Prostate Cancer in 1st & 2nd degree relatives

Health Status

• General Health(SF-12) & comorbid condition

Diet

• Diet History Questionnaire (DHQ) developed by NCI

Health Care

• Usual sources of care
• Health insurance
• Traditional health beliefs
• Perceived access and quality of care

Prostate Cancer Diagnosis and Screening History

• PSA tests
• Digital Rectal Exams
• Urinary & Sexual Symptoms
• Previous Prostate Biopsies

Medication

• Medication Survey (prescription & over-the-counter)
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Vitamins and supplements (including herbal products)

Literacy

• Rapid estimate of adult literacy questionnaire

Hurricane Katrina

• Post-Katrina survey (administered in LA only)