Deibert Christopher M, Maliski Sally, Kwan Lorna, Fink Arlene, Connor Sarah E, Litwin Mark S
Department of Urology, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California 90095, USA.
J Urol. 2007 May;177(5):1851-5. doi: 10.1016/j.juro.2007.01.062.
We identified sociodemographic characteristics that predict poor disease understanding in low income, uninsured men with prostate cancer.
A total of 399 low income, uninsured men with prostate cancer participating in the Men's Health Survey done by researchers at University of California-Los Angeles Jonsson Comprehensive Cancer Center completed questionnaires assessing their knowledge of prostate cancer. Logistic regression was used to identify sociodemographic factors, eg age, education level, language preference, ethnicity and relationship status, associated with poor prostate cancer knowledge.
Most subjects were Latino (54% or 213 of 399), spoke English (53% or 213 of 399) and had a high school education or less (86% or 344 of 399). In the multivariate model increasing age (p<0.014) and less than a high school education (p<0.012) were associated with lower knowledge of disease, while Latino ethnicity and relationship status were not.
Among low income men with prostate cancer increasing age and less formal education were associated with lower knowledge of disease. Further study is needed to determine the roles of language preference and ethnicity in the understanding of the disease in patients with prostate cancer.
我们确定了在低收入、未参保的前列腺癌男性患者中，能够预测疾病认知较差的社会人口学特征。
共有399名低收入、未参保的前列腺癌男性患者参与了由加州大学洛杉矶分校乔森综合癌症中心的研究人员进行的男性健康调查，他们完成了评估其前列腺癌知识的问卷。采用逻辑回归分析来确定与前列腺癌知识水平较低相关的社会人口学因素，如年龄、教育程度、语言偏好、种族和婚姻状况。
大多数受试者为拉丁裔（399人中的54%，即213人），说英语（399人中的53%，即213人），且接受过高中及以下教育（399人中的86%，即344人）。在多变量模型中，年龄增长（p<0.014）和高中以下教育程度（p<0.012）与疾病知识水平较低相关，而拉丁裔种族和婚姻状况则无关。
在低收入前列腺癌男性患者中，年龄增长和正规教育程度较低与疾病知识水平较低相关。需要进一步研究以确定语言偏好和种族在前列腺癌患者疾病认知中的作用。
