Despite representing a high-risk population for prostate cancer, prostate specific antigen (PSA) screening recommendations in Black men are unclear. The resultant effect of conflicting recommendations and disparities in access to care on PSA screening in Black men is unknown.
We compared the rate of self-reported PSA screening in Black men relative to non-Hispanic Whites (NHW). The Behavioral Risk Factor Surveillance System (BRFSS) 2012 dataset was used to identify asymptomatic men (aged 40-99) who reported undergoing PSA screening in the past 12 months. Age, education, income, residence location, marital status, health insurance, regular access to health care provider (HCP) and HCP's recommendation to undergo screening were extracted. Subgroup analyses by race and age were performed using complex samples logistic regression models to assess the odds of undergoing PSA screening.
In 2012, there were 122,309 survey respondents (weighted estimate 54.5milllion) in the studied population; of these, 29% of Black and 32% of NHW men reported undergoing PSA screening. Younger black males had higher rates and odds of screening than similar-aged NHWs (1.66, 1.58 and 1.36 for men aged 45-49, 50-54 and 55-59 respectively). Among Black men, only higher education level (odds ratio [OR]=2.12 for men who were graduates vs. not), regular access to HCP (OR=2.05) and HCP's recommendation for screening (OR=8.43) were independently associated with PSA screening.
Despite long standing disparities in health care access, Black males aged 45-60 have a higher rate and probability of PSA screening compared to NHWs. Among Black men, educational attainment had a more pronounced association, whereas the association with HCP recommendations was less pronounced, relative to NHW men. Future research may shed more light on the gamut of factors that influence the decision-making process for PSA testing.
This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 March 2016.
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#4,611,381
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Altmetric has tracked 34,350,842 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 21,939 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.7. This one has done well, scoring higher than 85% of its peers.
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