To examine the predictors of prostate cancer screening among immigrant men aged ≥ 50 years who hold legal permanent residency status.A modified version of the behavioral model of health services use for vulnerable populations. A logistic regression model was used to test predisposing, enabling and need factors related to prostate cancer screening among older immigrant men. Region of origin, access to medical care, age, education and visa adjustment status were significant contributors to the multivariate model. The important role played by respondents’ access to medical care and culture in accessing prostate screening is discussed as well as the importance of respondents’ visa adjustment status.Practitioners working with immigrants should be cognizant of the role culture plays in preventive healthcare behaviors.