Promoción del antígeno prostático específico para el cáncer de próstata en hombres de Estados Unidos

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Objective: To analyze the association between races/ethnicity and the use of PSA to detect prostate cancer in the US. Method: Observational cross-sectional study. The data used comes from the 2018 Behavioral Risk Surveillance System. Inclusion Criteria: male population residing in the US from Caucasian, African American, and Hispanic race/ethnicity. Exclusion criteria: Men with missing data regarding the variables. Independent variable: race/ethnicity. Dependent variable: Use of the PSA. Confounding Variables: Socioeconomic situation, access to health, information received (advantages, disadvantages, recommendations) about the PSA test by health workers. An adjusted and unadjusted logistic regression was performed calculating odds ratios and a 95% confidence interval. Results: No association was found between race/ethnicity and PSA, OR for Caucasians 1.02 (95% CI 0.95, 1.12), and for Hispanics OR 1.02 (95% CI 0.90, 1.14). The use of the PSA compared to the information received on the advantages of this exam had an OR of 0.19 (95% CI 0.18, 0.20); on disadvantages an OR of 1.06 (95% CI 1.00, 1.13); on recommendations an OR of 0.05 (0.04; 0.05). Access to health and income level had an OR of 0.50 (95% CI 0.46, 0.56) and OR of 1.43 (95% CI 1,36, 1,49), respectively. Conclusions: There was an association between the information provided by health professionals and the use of the PSA, this could encourage the creation of promotional campaigns for the population.