Closing the Health Gap: When Should Black Men Start Screening for Prostate and Colorectal Cancer?

Cancer doesn’t impact all communities equally. For Black men in the U.K. and the U.S., the statistics tell a painful truth prostate and colorectal cancers strike earlier, progress faster, and claim more lives than in almost any other racial group.

While genetics play a role, the deeper issue often comes down to access — access to information, preventive care, and timely screening.

At Global Villaje Media, we believe that awareness is the first step to action. The more we understand our risks and rights to early screening, the more we can close the gap that continues to cost Black men their health and their lives.

Why Prostate and Colorectal Cancer Hit Black Men Harder

If you’re a Black man aged 45 or older, you are at a significantly higher risk of developing prostate cancer and at a younger age.

• Black men are twice as likely to develop prostate cancer compared to White men.

• Around 1 in 4 Black men will be diagnosed in their lifetime.

• Many cases appear before the age of 50, often more aggressive and advanced.

This means that the standard NHS recommendation to discuss prostate screening at age 50 may come too late for many in our community.

In its early stages, prostate cancer rarely shows symptoms, which makes proactive screening essential. Waiting for signs or discomfort often means the cancer has already advanced.

These numbers represent more than data. They represent our fathers, brothers, uncles, and sons lives we can protect through information and early action.

The Key Recommendation: Start Prostate Screening Conversations from Age 45

There is no national screening program for prostate cancer in the UK (unlike for breast or cervical cancer). But one test — the Prostate-Specific Antigen (PSA) blood test — remains a key early detection tool.

For Black men, the recommendation is clear: Talk to your GP about PSA testing from age 45.

Why 45?Because data shows prostate cancer can develop earlier and progress more aggressively in Black men. Starting the discussion early gives you more time to make informed choices  and detect potential issues when they’re most treatable.

How to Talk to Your GP regarding Prostate Cancer Screening: Be Informed and Direct

Many men hesitate to raise health concerns, but when it comes to prostate cancer, your voice can save your life.

Here’s how to prepare for your appointment:

1. Know your risk:

   • You are a Black man.

   • You are 45 or older.

   • You may have a family history of prostate cancer (father, brother, uncle).

   • Mention all of this to your GP — it matters.

     
     

2. Ask directly:

“Doctor, I am a Black man aged 45, and I understand my risk of prostate cancer is significantly higher. I’d like to discuss and request a PSA blood test.”

3. Understand the pros and cons:

   
   

   Your GP will explain the benefits and limitations of the PSA test. While the test isn’t perfect, early detection far outweighs the risks of waiting too long. Remember — you have the right to make an informed decision.

4. Digital Rectal Examination (DRE):

   
   

   Your GP may offer this optional physical examination. While it’s not always necessary, it can detect abnormalities even with a normal PSA result.

Beyond Prostate Cancer Screening: Building a Healthier Lifestyle

At Global Villaje Media, we believe that health is holistic. Screening is crucial — but so are the everyday habits that support your long-term wellbeing:

• Eat a balanced diet: Focus on whole foods — fruits, vegetables, whole grains, and foods rich in lycopene (like cooked tomatoes) and omega-3s (like oily fish).

• Stay active: Regular physical activity supports heart health, metabolism, and hormone balance.

• Manage stress: Chronic stress affects your immune system and hormones. Make time for mindfulness, prayer, community, or rest.

• Know your body: Pay attention to changes in urination, sexual function, or pain — and don’t ignore them.

Your Health, Your Power

Taking charge of your health isn’t just an act of self-care, it’s an act of empowerment and love for your community.

If you’re a Black man aged 45 or older, it’s time to take that vital step: have the conversation with your GP about prostate cancer screening. Don’t wait for symptoms. Don’t assume you’re too young.

Because closing the gap starts with awareness and awareness starts with you.

So today, share this message with the men in your life — your fathers, brothers, uncles, and friends. Together, we can shift the narrative, take control of our health, and build a legacy of longevity.

Your health is your power. Use it.