Seo Hyung Seok, Lee Nam Kyu
Department of Sports Medicine, Konyang University, Nonsan, Korea.
Korean J Urol. 2010 Jun;51(6):391-7. doi: 10.4111/kju.2010.51.6.391. Epub 2010 Jun 21.
The purpose of this study was to investigate social and behavioral factors associated with prostate-specific antigen (PSA) screening in men in California, United States, who were over 40 years of age and had ever heard about PSA screening.
This survey was administered as a random-digit-dialing telephone survey to produce reliable estimates of medium-sized counties. It surveyed 42,000 households and interviewed 58,407 people randomly. It considered socioeconomic status and health behavior as affecting PSA screening. Access to health care was measured as having regular health care access. The main outcome measure was self-report of ever having undergone PSA screening at least once in the respondent's lifetime.
Of 8,864 respondents, 82.2% were White, 7.7% were Latin, 4.2% were African American, and 5.9% were Asian. The respondents' mean age was 60.13 years. Age was the significant factor for PSA screening. Respondents aged 50-59 years were 3.5 times as likely to have undergone PSA screening as were those aged 40-49 years (OR=3.49, p</=0.001). Race was not statistically significant after considering other factors. People who had never married had statistically significantly lower screening than did people who were married (OR=0.71, p=0.001). Poverty levels were statistically significant in both the unadjusted and the adjusted analysis. People who had no regular health care access were much less likely to have undergone PSA screening than were people who had regular health care access (OR=0.22, p=0.001).
The likelihood of PSA screening was positively associated with increased age, marital status (married), higher socioeconomic status (higher federal poverty level and higher educational attainment), and health care access. However, there was no statistically significant association of PSA screening with race, employment, exercise, smoking, or drinking status.
本研究旨在调查美国加利福尼亚州40岁以上且曾听说过前列腺特异性抗原(PSA)筛查的男性中,与PSA筛查相关的社会和行为因素。
本次调查采用随机数字拨号电话调查方式,以对中等规模县进行可靠估计。该调查覆盖了42,000户家庭,随机采访了58,407人。研究将社会经济地位和健康行为视为影响PSA筛查的因素。获得医疗保健的情况通过是否有定期的医疗保健服务来衡量。主要结局指标是受访者自我报告一生中至少接受过一次PSA筛查。
在8,864名受访者中,82.2%为白人,7.7%为拉丁裔,4.2%为非裔美国人,5.9%为亚裔。受访者的平均年龄为60.13岁。年龄是PSA筛查的重要因素。50 - 59岁的受访者接受PSA筛查的可能性是40 - 49岁受访者的3.5倍(OR = 3.49,p≤0.001)。在考虑其他因素后,种族差异无统计学意义。从未结婚的人接受筛查的比例在统计学上显著低于已婚者(OR = 0.71,p = 0.001)。贫困水平在未调整分析和调整分析中均具有统计学意义。没有定期医疗保健服务的人接受PSA筛查的可能性远低于有定期医疗保健服务的人(OR = 0.22,p = 0.001)。
PSA筛查的可能性与年龄增长、婚姻状况(已婚)、较高的社会经济地位(较高的联邦贫困水平和较高的教育程度)以及获得医疗保健服务呈正相关。然而,PSA筛查与种族、就业、运动、吸烟或饮酒状况之间没有统计学上的显著关联。