Cent Eur J Public Health 2011, 19(1):30-34 | DOI: 10.21101/cejph.a3622
Racial/Ethnic Differences in Predictors of PSA Screening in a Tri-Ethnic Population
- 1 University of Texas Medical Branch at Galveston, Texas, USA
- 2 Meherry Medical School, Nashville, Tennessee, USA
- 3 School of Public Health, The University of Texas Health Science Center, Houston, Texas, USA
- 4 Department of Epidemiology, MD Anderson Cancer Center, The University of Texas, Houston, Texas, USA
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.
Keywords: PSA, screening, predictors, race, disparity
Received: April 27, 2010; Revised: December 7, 2010; Accepted: December 7, 2010; Published: March 1, 2011 Show citation
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