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
  • Health Surveys
  • Healthcare Disparities/ethnology
  • Humans
  • Indians, North American
  • Male
  More +
• 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
• Corporate as Subject:
  Health and Retirement Study  ; Health and Retirement Study 
• Place as Subject:
  United States
• Volume:
  12
• Download URL:
  https://stacks.cdc.gov/view/cdc/34223/cdc_34223_DS1.pdf
• File Type:
  [PDF - 244.86 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:69ffe3493b1ba1f8e9ec621fc2e1d8e8b05ddca0cc1acd052fdd5c2f8cd83d713183d7880bb118075d67c0f5956bce9a2c5bf6a979c75ae08ccb70d72cf65b5e