探索心理健康对PSA查的影响:来自人口调查的见解
Andrea Piccolini1, Zhiyu Qian2, Stephan M Korn3
1Department of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Urology, IRCCS Humanitas Research Hospital, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Urology
|June 15, 2025
概括
心理健康不佳的男性不太可能接受前列腺特异性抗原 (PSA) 查. 解决心理健康障碍对于改善癌症预防和治疗结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 心理健康研究 心理健康研究
背景情况:
- 心理健康不佳可能会对参与预防性健康行为产生负面影响.
- 前列腺特异性抗原 (PSA) 查是50-69岁男性前列腺癌预防策略的关键组成部分.
研究的目的:
- 调查心理健康状况与接受PSA查的可能性之间的关联.
- 确定影响男性PSA查遵守的因素.
主要方法:
- 分析了2018年和2020年的行为风险因素监测系统数据,这些数据来自50-69岁的没有前列腺癌史的男性.
- 心理健康不佳的定义包括至少14天的心理健康不佳或抑郁症诊断.
- 使用后勤回归来评估心理健康,PSA查和社会人口统计和医疗保健准入等共变量之间的关系.
主要成果:
- 该研究包括114,972名男性 (加权人口:30.5百万),其中18.1%的人报告精神健康不佳.
- 心理健康良好的男性与心理健康不佳的男性 (23.2%) 相比,PSA查率较高 (29.3%).
- 心理健康不佳与PSA查的几率降低了10% (aOR:0.90). 诸如年龄,教育程度,婚姻状况和私人医生等因素显著预测了查遵守情况.
结论:
- 心理健康不佳的男性的PSA查率较低.
- 将心理健康支持纳入护理模式对于减少差异和改善前列腺癌查和结果至关重要.
- 解决心理健康障碍是提高预防性护理参与度的关键一步.
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