Prostate Cancer Screening Among American Indians and Alaska Natives: The Health and Retirement Survey, 1996–2008

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Goins, R. Turner ; Schure, Marc B. ; Noonan, Carolyn ; Buchwald, Dedra
• Description:
  Introduction
  
  Among US men, prostate cancer is the leading malignancy diagnosed and the second leading cause of cancer death. Disparities in cancer screening rates exist between American Indians/Alaska Natives and other racial/ethnic groups. Our study objectives were to examine prostate screening at 5 time points over a 12-year period among American Indian/Alaska Native men aged 50 to 75 years, and to compare their screening rates to African American men and white men in the same age group.
  
  Methods
  
  We analyzed Health and Retirement Study data for 1996, 1998, 2000, 2004, and 2008. Prostate screening was measured by self-report of receipt of a prostate examination within the previous 2 years. Age-adjusted prevalence was estimated for each year. We used regression with generalized estimating equations to compare prostate screening prevalence by year and race.
  
  Results
  
  Our analytic sample included 119 American Indian/Alaska Native men (n = 333 observations), 1,359 African American men (n = 3,704 observations), and 8,226 white men (n = 24,292 observations). From 1996 to 2008, prostate screening rates changed for each group: from 57.0% to 55.7% among American Indians/Alaska Natives, from 62.0% to 71.2% among African Americans, and from 68.6% to 71.3% among whites. Although the disparity between whites and African Americans shrank over time, it was virtually unchanged between whites and American Indians/Alaska Natives.
  
  Conclusion
  
  As of 2008, American Indians/Alaska Natives were less likely than African Americans and whites to report a prostate examination within the previous 2 years. Prevalence trends indicated a modest increase in prostate cancer screening among African Americans and whites, while rates remained substantially lower for American Indians/Alaska Natives.
  
  
• Subjects:
  Aged Alaska Natives Analysis Of Variance Black Or African American Health Behavior/ethnology Healthcare Disparities/ethnology Health Surveys Humans Indians, North American Male Mass Screening Middle Aged Prevalence Prostatic Neoplasms/diagnosis Regression Analysis Retirement Self Report Surveys And Questionnaires White People

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• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.150088
• ISSN:
  1545-1151
• Pubmed ID:
  26247423
• Pubmed Central ID:
  PMC4552140
• Document Type:
  Journal Article
• Funding:
  P50 CA148110/CA/NCI NIH HHS/United States
• Name as Subject:
  Health and Retirement Study  ; Health and Retirement Study 
• Place as Subject:
  United States
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:69ffe3493b1ba1f8e9ec621fc2e1d8e8b05ddca0cc1acd052fdd5c2f8cd83d713183d7880bb118075d67c0f5956bce9a2c5bf6a979c75ae08ccb70d72cf65b5e
• Download URL:
  https://stacks.cdc.gov/view/cdc/34223/cdc_34223_DS1.pdf
• File Type:
  [PDF - 244.86 KB ]