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[巴西米纳斯吉拉斯州茹伊斯迪福拉市老年人前列腺癌筛查检测的患病率及相关因素]

[Prevalence and factors associated with conducting screening tests for prostate cancer in the elderly in Juiz de Fora in the state of Minas Gerais, Brazil].

作者信息

Santiago Lívia Maria, Luz Laércio Lima, da Silva João Francisco Santos, Mattos Inês Echenique

出版信息

Cien Saude Colet. 2013 Dec;18(12):3535-42. doi: 10.1590/s1413-81232013001200010.

Abstract

Little is known about screening practices for prostate cancer in elderly Brazilians. The aim of this study was to estimate the prevalence of screening tests for prostate cancer in the elderly in Juiz de Fora in the state of Minas Gerais and to analyze the associated factors. This is a cross-sectional study with 2825 men aged 60 years or older who participated in the vaccination against influenza campaign in 2006. Social and demographic variables and others related to health conditions and the use of health services were analyzed. Poisson regression multivariate analysis was used to analyze associations between the covariates and the dependent variables and the prevalence of the tests was estimated. The median age was 70.0 (± 7.2) years. The prevalence of performing digital rectal examination was 61.0% and 75.5% for PSA. The "family history of prostate cancer," "type of health service," "marital status," "regular use of medication" and "education" variables were independent factors associated with performing digital rectal examination. The same variables, with the exception of "marital status" remained in the multiple model for PSA. The study showed that many seniors have adopted the practice of screening and the need to measure and describe this process in view of its possible repercussions on public health.

摘要

关于巴西老年人前列腺癌筛查情况,人们知之甚少。本研究旨在估算米纳斯吉拉斯州茹伊斯迪福拉市老年人前列腺癌筛查测试的普及率,并分析相关因素。这是一项横断面研究,研究对象为2006年参与流感疫苗接种活动的2825名60岁及以上男性。分析了社会和人口统计学变量以及其他与健康状况和医疗服务使用相关的变量。采用泊松回归多变量分析来分析协变量与因变量之间的关联,并估算测试的普及率。中位年龄为70.0(±7.2)岁。进行直肠指检的普及率为61.0%,前列腺特异性抗原(PSA)检测的普及率为75.5%。“前列腺癌家族史”“医疗服务类型”“婚姻状况”“定期用药”和“教育程度”变量是与进行直肠指检相关的独立因素。除“婚姻状况”外,相同变量仍存在于PSA检测的多变量模型中。该研究表明,鉴于其对公共卫生可能产生的影响,许多老年人已采用筛查做法,并且有必要衡量和描述这一过程。

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