MP21-06 STATE-BY-STATE RACIAL VARIATIONS IN PROSTATE SPECIFIC ANTIGEN SCREENING PATTERNS: A NATIONWIDE ANALYSIS.

Abstract

You have accessJournal of UrologyProstate Cancer: Detection & Screening III1 Apr 2016MP21-06 STATE-BY-STATE RACIAL VARIATIONS IN PROSTATE SPECIFIC ANTIGEN SCREENING PATTERNS: A NATIONWIDE ANALYSIS. Deepansh Dalela, Björn Löppenberg, Akshay Sood, Jesse Sammon, Maxine Sun, Quoc-Dien Trinh, Wooju Jeong, Craig Rogers, James Peabody, Mani Menon, and Firas Abdollah Deepansh DalelaDeepansh Dalela More articles by this author , Björn LöppenbergBjörn Löppenberg More articles by this author , Akshay SoodAkshay Sood More articles by this author , Jesse SammonJesse Sammon More articles by this author , Maxine SunMaxine Sun More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author , Wooju JeongWooju Jeong More articles by this author , Craig RogersCraig Rogers More articles by this author , James PeabodyJames Peabody More articles by this author , Mani MenonMani Menon More articles by this author , and Firas AbdollahFiras Abdollah More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.640AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Prior literature has documented the geographical heterogeneity in prostate specific antigen (PSA) screening practices in the US. However, it is unknown if some states have a differential PSA screening pattern for non-Hispanic Black (NHB) vs. non-Hispanic Whites (NHWs). METHODS The Behavioral Risk Factor Surveillance System (BRFSS) is the world's largest continuously conducted health survey, weighted to represent the entire US population. 259,505 male respondents aged 40-99 (representing 50.03 million NHW and 7.5 million NHB) were identified from the BRFSS 2012 and 2014 surveys. Those who underwent PSA testing within the last 12 months as a part of routine exam (i.e., no personal/family history of prostate cancer and/or 'prostate problem') were considered to have undergone screening. Differences in PSA screening prevalence across the 51 states of the US were assessed, and complex sample logistic regression analyses were used to test the relationship between race and receipt of PSA screening, stratified by individual states and adjusting for all available covariates. RESULTS Overall, 32.3% (95% CI 32.0-32.7%) reported PSA screening for survey years 2012 and 2014, varying from 21.6% in Vermont to 40.1% in Florida (p<0.001). Overall, NHW were more often screened than NHB (32.7% vs. 30.1%, p<0.01). In adjusted analyses predicting PSA screening, the interaction term between race and state was significant (p=0.04) but not for race and survey year. There were wide variations in screening rates for NHW vs. NHB across states (figure), ranging from 22.5% higher NHW screening in South Dakota to 13.8% higher NHB screening in Utah (median difference between NHW vs. NHB 5.8%). Overall, at multivariable analyses, NHB had higher odds of receiving a PSA screening (OR 1.18, p<0.01). At a state-by-state level, NHB men in Florida, Missouri, Maryland and Michigan had higher odds of PSA screening than NHW (OR 2.12, 1.77, 1.63 and 1.42 respectively, all p<0.05), but not in the other states. No state had significantly higher odds of screening NHW, when compared to NHB. CONCLUSIONS Despite being perceived as a high-risk group for PCa, PSA screening practices for NHB men varies widely across states within the US, with only some states more likely to screen NHB men compared to their NHW counterparts. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e246 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Deepansh Dalela More articles by this author Björn Löppenberg More articles by this author Akshay Sood More articles by this author Jesse Sammon More articles by this author Maxine Sun More articles by this author Quoc-Dien Trinh More articles by this author Wooju Jeong More articles by this author Craig Rogers More articles by this author James Peabody More articles by this author Mani Menon More articles by this author Firas Abdollah More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...