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Regional and Racial Trends in US Prostate Cancer Screening

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Objective: In this study, we examined whether self-reported prostate cancer screening rates differed by ethnicity. Methods: We used 2014 and 2018 data from the Behavioral Risk Factor Surveillance System (BRFSS) to determine if self-reported screening rates differed by ethnicity and year, while we controlled for geographic, demographic, and health factors. We also investigated factors that may influence screening rates. Results: Self-reported screening rates decreased between 2014 and 2018, both overall and by each ethnicity. Blacks had significantly higher odds of reporting a PSA test than Whites (OR = 1.13 ± 0.01 in 2014; 1.14 ± 0.01 in 2018); all other group had lower odds than Whites. By ethnicity, only Blacks and Native Hawaiians/Pacific Islanders had higher odds of being asked the questions than Whites; all other groups had lower odds. Overall screening rates were positively correlated with prostate cancer incidence rates by state but not for any racial group individually. Conclusions: Self-reported PSA test rates are declining, are associated with PSA test knowledge, are less likely in non-black minorities, and may be influenced by healthcare discussions and state-level incidence rates.

Keywords: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS); BODY MASS INDEX (BMI); NATIVE AMERICANS; PROSTATE CANCER; PROSTATE SPECIFIC ANTIGEN TEST (PSA)

Document Type: Research Article

Affiliations: 1: School of Public Health, University of Illinois Chicago, Chicago, IL, United States 2: School of Medicine & Health Sciences, University of North Dakota, Grand Forks, ND, United States 3: University of Illinois Chicago, Chicago, IL, United States 4: School of Medicine, University of Toronto, Toronto, ON, Canada

Publication date: September 1, 2022

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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