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Related Experiment Video

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Educational level and first-time PSA testing in general practice.

Caroline Sophie Lerhmann-Lerche1,2, Signe Benzon Larsen1,2, Ingelise Andersen3

  • 1Survivorship Unit, Danish Cancer Society Research Center, Copenhagen, Denmark.

Scandinavian Journal of Urology
|October 31, 2019
PubMed
Summary
This summary is machine-generated.

Socioeconomic status impacts prostate cancer screening. Men with less education were less likely to undergo their first prostate-specific antigen (PSA) test, potentially contributing to health disparities.

Keywords:
Socioeconomic positioneducationprimary health careprostate-specific antigenprostatic neoplasm

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Area of Science:

  • Urology
  • Public Health
  • Epidemiology

Background:

  • Socioeconomic disparities are observed in prostate cancer incidence and mortality.
  • Prostate-specific antigen (PSA) testing patterns may contribute to these differences.

Purpose of the Study:

  • To investigate the association between socioeconomic position and first-time PSA testing.
  • To understand how education influences healthcare utilization for prostate cancer screening.

Main Methods:

  • Population-based cohort study of 431,997 men aged 45-79 in Denmark (2000-2014).
  • Utilized national registries for socioeconomic data, diagnoses, and vital status.
  • Analyzed first-time PSA test dates from a primary care laboratory database.
  • Employed multivariable Cox proportional hazards models to assess associations.

Main Results:

  • 24% of men (105,476) underwent a first-time PSA test.
  • Higher education, income, cohabitation, and employment correlated with increased PSA testing rates.
  • Men with short education had a 13% lower rate of first PSA testing (HR 0.87; 95% CI, 0.85-0.89) compared to men with long education.

Conclusions:

  • Significant socioeconomic disparities exist in first-time PSA testing based on education.
  • These differences in healthcare utilization may partially explain socioeconomic variations in prostate cancer outcomes.