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Updated: Jul 30, 2025
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Microarray-based Identification of Individual HERV Loci Expression: Application to Biomarker Discovery in Prostate Cancer
Published on: November 2, 2013
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Disparities Associated with Shared Decision-making in Prostate Cancer Screening
Michael F Basin1, Kelly Crane1, Alina Basnet2
1Department of Urology, SUNY Upstate Medical University, Syracuse, NY, USA.
European Urology Focus
|May 17, 2023
Summary
Shared decision-making (SDM) for prostate cancer screening is low overall. Older and married men are more likely to participate in SDM and PSA testing, with disparities noted among racial groups.
Area of Science:
- Urology
- Public Health
- Health Services Research
Background:
- Prostate cancer screening guidelines emphasize shared decision-making (SDM) for prostate-specific antigen (PSA) testing.
- Current data lacks clarity on SDM participation and potential disparities in prostate cancer screening.
Purpose of the Study:
- To investigate sociodemographic variations in SDM participation.
- To analyze the association between SDM and PSA testing in prostate cancer screening.
Main Methods:
- Retrospective cross-sectional study utilizing the 2018 National Health Interview Survey.
- Analysis of sociodemographic factors including age, race, marital status, and financial difficulty.
- Multivariable logistic regression to assess associations between sociodemographics, SDM, and PSA testing.
Main Results:
- Older and married men showed higher odds of undergoing PSA testing and SDM.
- Black men reported higher engagement in discussing PSA testing advantages and disadvantages compared to White men.
- Despite increased discussion, Black men did not exhibit higher rates of PSA screening compared to White men.
Conclusions:
- Shared decision-making (SDM) rates for prostate cancer screening are low across the population.
- Sociodemographic factors significantly influence participation in SDM and PSA testing.
- Racial disparities in SDM discussions do not translate to differential PSA screening rates.
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