随着2018年美国预防服务工作组推声明,前列腺癌查中的种族和种族差异
Nathan VanderVeer-Harris1, Zachary D Zippi1, Dev P Patel1
1Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Journal of medical screening
|April 22, 2024
概括
按照2018年的指导方针,55-69岁的非西班牙裔黑人男性的前列腺特异抗原 (PSA) 测试率低于非西班牙裔白人男性. 这表明,社会决定因素对风险人群的预防性查有影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 2018年美国预防服务工作组更新了前列腺特异性抗原 (PSA) 查的建议.
- 对于55至69岁的男性来说,现在强调了共享决策.
- 了解PSA测试中的种族和民族差异至关重要.
研究的目的:
- 根据2018年指南,分析不同种族和种族群体的前列腺特异性抗原 (PSA) 测试率.
- 根据更新的建议,确定PSA查中的潜在差异.
主要方法:
- 2020-2021年行为风险因素监测系统数据库的二次分析.
- 包括55岁或以上没有前列腺癌史的男性.
- 对年龄,社会经济地位,婚姻状况,吸烟史和医疗保健准入情况进行调整后的后勤回归分析.
主要成果:
- 55-69岁的非西班牙裔白人 (NHW) 男性在2018年后最近的PSA测试中占比最高 (72.5%).
- 同年龄组的非西班牙裔黑人 (NHB) 男人比例最低 (66.6%).
- 原始分析显示,NHB男性最近PSA测试的几率较低 (OR 0.68),尽管在完全调整后 (aOR 0.78) 这一数字并不显著.
结论:
- 在2018年之后,55-69岁的NHB男性报告PSA检测率下降,与NHW男性相比.
- 虽然原油分析表明存在差异,但调整后的分析并未在统计上证实这一点.
- 研究结果强调了健康的社会决定因素对风险人群预防性癌症查的潜在影响.
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