Predictors of prostate cancer screening among health fair participants
Predictors of prostate cancer screening among health fair participants
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DOI：
10.1016/j.puhe.2004.08.021
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发表时间：
2005-08-01
期刊：
影响因子：
5.2
通讯作者：
Corbin, D
中科院分区：
文献类型：
--
作者：
Chiu, BCH;Anderson, JR;Corbin, D
目标。大多数先前的研究预测参与前列腺特异性抗原（PSA）筛查前列腺癌已经在有目的的样本或临床设置进行。这项以人群为基础的研究确定了与健康博览会参与者中记录的PSA筛查相关的因素。研究设计。横截面。对1993年参加内布拉斯加州中部和东部健康博览会的2098名35岁及以上的内布拉斯加州男子进行了调查。方法。所有参与者都接受了PSA筛查和问卷调查，以收集人口统计学、家族病史、生活方式因素和自我感知健康状况的信息。通过比值比（ORs）和95%置信区间（CIs）估计PSA筛查的预测因子。年龄大于50岁（OR=3.1; 2.4-3.9）、收入较高（OR=1.5; 1.1-2.1）、在职（OR=1.4; 1.0-2.5）、认为自己的健康状况良好（OR=1.1; 0.8-1.5）或非常好（OR=1.4; 1.0-2.1）、认为自己应该对自己的健康负责而不是医生（OR=1.3; 1.0-1.7）的男性更容易接受PSA筛查。与50-59岁男性相比，60-69岁男性的参与ORs为0.8(0.6-1.1)，70岁以上男性的参与ORs为0.7（0.5-1.1）。决策与教育程度、婚姻状况或体重指数无关。当分析仅限于50岁及以上的男性时，筛查的预测因子保持不变，而只有高收入和不吸烟状况才能预测50岁以下男性的参与。年龄、收入、就业状况、感知健康控制和感知健康状况与参与前列腺癌PSA筛查有关，特别是在50岁以上的男性中。在50岁及以上的男性中，接受PSA筛查的意愿随着年龄的增长而下降。(c) 2004年，皇家公共卫生研究所。Elsevier Ltd.出版。版权所有。
Objectives. Most previous studies of predictors for participation in prostate-specific antigen (PSA) screening for prostate cancer have been conducted in purposive samples or clinical settings. This population-based study identified factors associated with documented PSA screening among health fair participants.Study design. Cross-sectional. survey of 2098 Nebraskan men aged 35 years and older who participated in a health fair in central and eastern Nebraska in 1993. Methods. All participants were offered a PSA screening and a questionnaire to collect information on demographics, family medical history, lifestyle factors and self-perceived health status. Predictors of PSA screening were estimated by odds ratios (ORs) and 95% confidence intervals (CIs).Results. Men were more likely to accept the PSA screening if they were older than 50 years of age (OR=3.1; 2.4-3.9), had a higher income (OR=1.5; 1.1-2.1), were currently employed (OR=1.4; 1.0-2.5), perceived their health status as good (OR=1.1; 0.8-1.5) or excellent (OR=1.4; 1.0-2.1), and believed that they themselves, rather than physicians, should be responsible for their health (OR=1.3; 1.0-1.7). Compared with men aged 50-59 years, the ORs of participation were 0.8 (0.6-1.1) for age 60-69 years and 0.7 (0.5-1.1) for age 70+ years. Decision making was not related to education, marital status or body mass index. Predictors of screening remained unchanged when analysis was limited to men aged 50 years and over, whereas only high income and non-smoking status predicted participation among men younger than 50 years of age.Conclusions. Age, income, employment status, perceived control of health and perceived heath status were related to participation in PSA screening for prostate cancer, particularly in men older than 50 years of age. Willingness to receive a PSA screening among men aged 50 years and over decreased with increasing age. (c) 2004 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.