Predictors of Repeated PSA Testing Among Black and White Men From the Maryland Cancer Survey, 2006 || Preventing Chronic Disease: September 2011: 10_0219

ORIGINAL RESEARCH

Predictors of Repeated PSA Testing Among Black and White Men From the Maryland Cancer Survey, 2006
Yue Zhu, MD, MS; John D. Sorkin, MD, PhD; Diane Dwyer, MD; Carmela Groves, RN, MS; Eileen K. Steinberger, MD, MS

Suggested citation for this article: Zhu Y, Sorkin JD, Dwyer D, Groves C, Steinberger EK. Predictors of repeated PSA testing among black and white men from the Maryland Cancer Survey, 2006. Prev Chronic Dis 2011;8(5):A114. http://www.cdc.gov/pcd/issues/2011/sep/10_0219.htm. Accessed [date].



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Abstract

Introduction
Blacks have the highest incidence of and death from prostate cancer in the United States. Screening with prostate-specific antigen (PSA) may decrease mortality. Repeated testing allows for the calculation of PSA velocity (change of PSA over time), which may be a more clinically useful test for prostate cancer than a single PSA measurement. The objective of this study was to examine whether blacks were as likely as whites to report having had repeated PSA testing.

Methods
The Maryland Cancer Survey 2006 was a population-based, random-digit−dialed statewide survey on cancer screening and risk behaviors of adults aged 40 years or older. We analyzed self-reported information on repeated PSA testing (2 PSA tests in the preceding 3 years) for 1,721 black and white men. We used logistic regression to estimate the effect of race and age on repeated PSA testing, adjusting for other covariates.

Results
Sixty-five percent of men reported ever having had a PSA test; 41% had repeated PSA testing in the past 3 years. Blacks aged 40 to 49 were more likely to report having repeated PSA testing than whites in this age group (adjusted odds ratio [AOR], 3.3; 95% confidence interval [CI], 1.6-6.5). Blacks aged 60 to 69 were less likely to report repeated PSA testing than whites (AOR, 0.4, 95% CI, 0.2-0.8). No difference was seen by race among men aged 50 to 59 and men aged 70 or older. Repeated PSA testing was associated with living in an urban area and with having higher education, health insurance, a family history of prostate cancer, and having discussed cancer screening with a doctor.

Conclusions
Self-reported repeated PSA testing differed by age and race, being higher among blacks aged 40 to 49 and lower among blacks aged 60 to 69, compared with whites in their respective age groups.

Author Information


Corresponding Author: Eileen K. Steinberger, MD, MS, 100 D Howard Hall, 660 West Redwood St, University of Maryland School of Medicine, Baltimore, MD 21201. Telephone: 410-767-0789. E-mail: estein@epi.umaryland.edu. Dr Steinberger is also affiliated with the Maryland Department of Health and Mental Hygiene, Baltimore, Maryland.

Author Affiliations: Yue Zhu, University of Maryland School of Medicine, Baltimore, Maryland. John D. Sorkin, Baltimore Veterans Affairs Medical Center, Baltimore, Maryland. Diane Dwyer, Carmela Groves, Maryland Department of Health and Mental Hygiene, Baltimore, Maryland.


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Preventing Chronic Disease: September 2011: 10_0219