Journal
CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH
Volume 19, Issue 1, Pages 30-34Publisher
NATL INST PUBLIC HEALTH
DOI: 10.21101/cejph.a3622
Keywords
PSA; screening; predictors; race; disparity
Categories
Funding
- NIH [CA84964, CA90270]
- Department of Defense [DAMD 17-98-1-8471]
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Background: This study was carried out to identify racial/ethnic differences in predictors of prostate-specific antigen (PSA) screening in a group of prostate cancer patients. Methods: In this cross-sectional study, a total of 935 prostate cancer patients were recruited from the Texas Medical Center, Houston, between 1996 and 2004. It included 372 Caucasians, 346 African Americans and 217 Hispanics. A structured questionnaire was used to collect data on socio-demographic and life-style related variables, and self-reported PSA screening history through personal interview. Results: African American (54.4%) and Hispanic patients (42.3%) were significantly less likely (p=0.004 and p < 0.001, respectively) to report having had PSA screening than Caucasian patients (63.2%). Only annual check-up was found to be a significant predictor of PSA screening in Hispanics. Among Caucasians, education and annual check-up were significant predictors of PSA screening; whereas in African Americans, education, annual check-up, marital status and BMI were significant predictors of PSA screening. Conclusions: The rates of PSA screening and its predictors varied by race/ethnicity in this tri-ethnic population. Health-education programs and culturally appropriate educational outreach efforts, especially targeted for high-risk groups, are needed to reduce these disparities.
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