TY - JOUR
T1 - Racial Differences in Prostate Cancer Screening by Family History
AU - Drake, Bettina F.
AU - Lathan, Christopher S.
AU - Okechukwu, Cassandra A.
AU - Bennett, Gary G.
PY - 2008/7
Y1 - 2008/7
N2 - Purpose: Prostate cancer (CaP) is disproportionately prevalent among black, compared to white, men. Additionally, men with a family history of CaP have 75% to 80% higher risk of CaP. Therefore we examined racial variation in the association of family history of CaP and self-reported prostate-specific antigen (PSA) testing in the nationally-representative National Health Interview Survey (NHIS). Methods: Data were obtained from the 2005 NHIS, including the Cancer Control Module supplement. We restricted the study sample to men over the age of 40 who reported having "ever heard of a PSA test" (N = 1,744). Men were considered to have a positive family history if either their biological father or at least one biological brother had been diagnosed with CaP. SUDAAN 9.0 was used to perform descriptive and multivariable logistic regression analyses. Results: Men with a family history of CaP were more likely to have a PSA test than those who never had a PSA test (odds ratio [OR] = 1.8; 95% confidence interval [CI]: 1.3-2.5). Among blacks, men with a family history were not significantly more likely to have a PSA test. Conclusions: Despite having the highest risk of cancer, black men with a family history are not screened more than black men without a family history.
AB - Purpose: Prostate cancer (CaP) is disproportionately prevalent among black, compared to white, men. Additionally, men with a family history of CaP have 75% to 80% higher risk of CaP. Therefore we examined racial variation in the association of family history of CaP and self-reported prostate-specific antigen (PSA) testing in the nationally-representative National Health Interview Survey (NHIS). Methods: Data were obtained from the 2005 NHIS, including the Cancer Control Module supplement. We restricted the study sample to men over the age of 40 who reported having "ever heard of a PSA test" (N = 1,744). Men were considered to have a positive family history if either their biological father or at least one biological brother had been diagnosed with CaP. SUDAAN 9.0 was used to perform descriptive and multivariable logistic regression analyses. Results: Men with a family history of CaP were more likely to have a PSA test than those who never had a PSA test (odds ratio [OR] = 1.8; 95% confidence interval [CI]: 1.3-2.5). Among blacks, men with a family history were not significantly more likely to have a PSA test. Conclusions: Despite having the highest risk of cancer, black men with a family history are not screened more than black men without a family history.
KW - Disparity
KW - Family History
KW - NHIS
KW - Prostate Cancer
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=44749094764&partnerID=8YFLogxK
U2 - 10.1016/j.annepidem.2008.02.004
DO - 10.1016/j.annepidem.2008.02.004
M3 - Article
C2 - 18486487
AN - SCOPUS:44749094764
SN - 1047-2797
VL - 18
SP - 579
EP - 583
JO - Annals of Epidemiology
JF - Annals of Epidemiology
IS - 7
ER -