The Relationship Between Education and Prostate-Specific Antigen Testing Among Urban African American Medicare Beneficiaries.
The Relationship Between Education and Prostate-Specific Antigen Testing Among Urban African American Medicare Beneficiaries.
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在城市非裔美国医疗保险受益人中，教育与前列腺特异性抗原测试之间的关系。
DOI：
10.1007/s40615-014-0061-z
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发表时间：
2015-06
影响因子：
3.9
通讯作者：
Ford JG
中科院分区：
文献类型：
--
作者：
Hararah MK;Pollack CE;Garza MA;Yeh HC;Markakis D;Phelan-Emrick DF;Wenzel J;Shapiro GR;Bone L;Johnson L;Ford JG
我们研究了老年非裔美国男性的社会经济地位(SES)和前列腺特异性抗原(PSA)癌症筛查的相关性。我们分析了参加癌症预防和治疗示范试验的485名居住在社区的非裔美国男性样本的基线数据。结果是在过去一年内接受了PSA筛查。SES是用收入和教育程度来衡量的。采用序贯多因素Logistic回归模型研究SES和PSA筛查之间的关系是否与医疗服务途径、患者-提供者关系和癌症宿命论有关。更高的教育程度与过去一年中PSA筛查的几率更高显著相关(大学毕业生与高中毕业生相比，优势比(OR)2.08，95%可信区间(CI)1.03-4.24)；收入没有相关性。医疗保健途径和患者-提供者沟通并没有改变教育和筛查之间的关系；然而，关于癌症宿命论的信念在一定程度上调节了所观察到的关系。非裔美国男性的前列腺癌筛查率因受教育程度的不同而不同；关于癌症宿命论的信念有助于解释这种差异。了解癌症宿命论的决定因素是建立旨在确保公平获得前列腺癌筛查机会的干预措施的关键下一步。
We examined the association between socioeconomic status (SES) and prostate-specific antigen (PSA) cancer screening among older African American men. We analyzed baseline data from a sample of 485 community-dwelling African American men who participated in the Cancer Prevention and Treatment Demonstration Trial. The outcome was receipt of PSA screening within the past year. SES was measured using income and educational attainment. Sequential multivariate logistic regression models were performed to study whether health care access, patient–provider relationship, and cancer fatalism mediated the relationship between SES and PSA screening. Higher educational attainment was significantly associated with higher odds of PSA screening in the past year (odds ratio (OR) 2.08 for college graduate compared to less than high school graduate, 95 % confidence interval (CI) 1.03–4.24); income was not. Health care access and patient–provider communication did not alter the relationship between education and screening; however, beliefs regarding cancer fatalism partially mediated the observed relationship. Rates of prostate cancer screening among African American men vary by level of educational attainment; beliefs concerning cancer fatalism help explain this gradient. Understanding the determinants of cancer fatalism is a critical next step in building interventions that seek to ensure equitable access to prostate cancer screening.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
1.6
作者：
Befort, Christie A.;Nazir, Niaman;Choi, Won
通讯作者：
Choi, Won
影响因子：
12.7
作者：
Braveman, Paula A.;Cubbin, Catherine;Pamuk, Elsie
通讯作者：
Pamuk, Elsie
影响因子：
5.7
作者：
Hammond, Wizdom Powell;Matthews, Derrick;Corbie-Smith, Giselle
通讯作者：
Corbie-Smith, Giselle
影响因子：
5.1
作者：
Jordan, TR;Price, JH;Bedell, AW
通讯作者：
Bedell, AW