Getting Black Men to Undergo Prostate Cancer Screening: The Role of Social Capital.
Getting Black Men to Undergo Prostate Cancer Screening: The Role of Social Capital.
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DOI：
10.1177/1557988314546491
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发表时间：
2015-09
期刊：
影响因子：
--
通讯作者：
Kawachi I
中科院分区：
文献类型：
--
作者：
Dean LT;Subramanian SV;Williams DR;Armstrong K;Zubrinsky Charles C;Kawachi I
尽管与前列腺癌相关的死亡率和前列腺癌诊断的后期阶段较高，但黑人/非洲裔美国男性使用早期检测筛查工具（如前列腺特异性抗原（PSA）检测前列腺癌）的可能性明显低于非西班牙裔白色男性。较低的筛查率可能部分是由于对前列腺癌筛查作为男性常规预防性护理的一部分的价值存在争议，但黑人男性代表了前列腺癌的高危人群，可能仍然受益于PSA检测。探索可能与PSA检测相关的社会因素的作用可以增加对可能促进前列腺癌筛查行为和黑人男性高风险的其他健康状况的了解。使用多水平logistic回归，本研究分析了381个费城人口普查区中829名45岁以上黑人男性的PSA检测自我报告终身使用情况。这项研究包括来自公共卫生管理公司2004年、2006年和2008年社区卫生数据库的个人人口统计和汇总社会资本数据，以及2000年美国人口普查的社会人口特征。社区参与度每增加一个单位，进行PSA检测的可能性就增加3到3.5倍（比值比= 3.35）。研究结果表明，社会资本的结构形式可能在费城黑人男性的筛选行为中发挥作用。更好地理解社会资本和筛查行为之间联系的机制，可以为研究人员和干预者如何开发工具以促进对需要筛查的人的筛查提供信息。
Despite higher rates of prostate cancer–related mortality and later stage of prostate cancer diagnosis, Black/African American men are significantly less likely than non-Hispanic White men to use early detection screening tools, like prostate-specific antigen (PSA) testing for prostate cancer. Lower screening rates may be due, in part, to controversy over the value of prostate cancer screenings as part of routine preventive care for men, but Black men represent a high-risk group for prostate cancer that may still benefit from PSA testing. Exploring the role of social factors that might be associated with PSA testing can increase knowledge of what might promote screening behaviors for prostate cancer and other health conditions for which Black men are at high risk. Using multilevel logistic regression, this study analyzed self-report lifetime use of PSA test for 829 Black men older than 45 years across 381 Philadelphia census tracts. This study included individual demographic and aggregated social capital data from the Public Health Management Corporation’s 2004, 2006, and 2008 waves of the Community Health Database, and sociodemographic characteristics from the 2000 U.S. Census. Each unit increase in community participation was associated with a 3 to 3.5 times greater likelihood of having had a PSA test (odds ratio = 3.35). Findings suggest that structural forms of social capital may play a role in screening behaviors for Black men in Philadelphia. A better understanding of the mechanism underlying the link between social capital and screening behaviors can inform how researchers and interventionists develop tools to promote screening for those who need it.
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影响因子：
12.7
作者：
Kawachi, I;Kennedy, BP;Glass, R
通讯作者：
Glass, R
影响因子：
1
作者：
Boehm, S;Coleman-Burns, P;Powell, I J
通讯作者：
Powell, I J
影响因子：
1.9
作者：
Liu, Baodong;Austin, Sharon D. Wright;Orey, Byron D'Andra
通讯作者：
Orey, Byron D'Andra
DOI：
10.1177/000271621606700118
发表时间：
1916-09-01
影响因子：
2.8
作者：
Hanifan, L. J.
通讯作者：
Hanifan, L. J.
影响因子：
2.1
作者：
Brown, Timothy T.;Scheffler, Richard M.;Reed, Mary
通讯作者：
Reed, Mary