Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Zhu, Yue ; Sorkin, John D. ; Dwyer, Diane ; Groves, Carmela ; Steinberger, Eileen K.
Zhu, Yue ; Sorkin, John D. ; Dwyer, Diane ; Groves, Carmela ; Steinberger, Eileen K. Less -
Description:
Introduction

Blacks have the highest incidence of and death from prostate cancer in the United States. Screening with prostate-specific antigen (PSA) may decrease mortality. Repeated testing allows for the calculation of PSA velocity (change of PSA over time), which may be a more clinically useful test for prostate cancer than a single PSA measurement. The objective of this study was to examine whether blacks were as likely as whites to report having had repeated PSA testing.

Methods

The Maryland Cancer Survey 2006 was a population-based, random-digit−dialed statewide survey on cancer screening and risk behaviors of adults aged 40 years or older. We analyzed self-reported information on repeated PSA testing (2 PSA tests in the preceding 3 years) for 1,721 black and white men. We used logistic regression to estimate the effect of race and age on repeated PSA testing, adjusting for other covariates.

Results

Sixty-five percent of men reported ever having had a PSA test; 41% had repeated PSA testing in the past 3 years. Blacks aged 40 to 49 were more likely to report having repeated PSA testing than whites in this age group (adjusted odds ratio [AOR], 3.3; 95% confidence interval [CI], 1.6-6.5). Blacks aged 60 to 69 were less likely to report repeated PSA testing than whites (AOR, 0.4, 95% CI, 0.2-0.8). No difference was seen by race among men aged 50 to 59 and men aged 70 or older. Repeated PSA testing was associated with living in an urban area and with having higher education, health insurance, a family history of prostate cancer, and having discussed cancer screening with a doctor.

Conclusions

Self-reported repeated PSA testing differed by age and race, being higher among blacks aged 40 to 49 and lower among blacks aged 60 to 69, compared with whites in their respective age groups.


Subjects:
[+]
Adult Aged Black Or African American Data Collection Humans Interviews As Topic Male Middle Aged Prostate-Specific Antigen Prostatic Neoplasms White People
Source:
Prev Chronic Dis. 2011; 8(5).
Document Type:
Journal Article
Place as Subject:
Maryland
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:5386ddf3f5298e6d995e7699ce6c17bd84e0907fa2bcbc9ec433612650be66c2
Download URL:
https://stacks.cdc.gov/view/cdc/20617/cdc_20617_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD85A114.nxml	txt

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