Awareness and use of the prostate-specific antigen test among African-American men

Although African-American men have a greater burden of prostate cancer than whites and other racial and ethnic groups, few studies on the burden of prostate cancer have focused on African Americans specifically. We used a sample of African-American men (N = 736) who participated in the 2000 National...

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Bibliographic Details
Published in:Journal of the National Medical Association 2005-07, Vol.97 (7), p.963-971
Main Authors: ROSS, Louie E, UHLER, Robert J, WILLIAMS, Kymber N
Format: Article
Language:English
Subjects:
African Americans - education
African Americans - psychology
Aged
Awareness
Biological and medical sciences
General aspects
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Interviews as Topic
Male
Mass Screening - utilization
Medical sciences
Middle Aged
National Center for Health Statistics (U.S.)
Nephrology. Urinary tract diseases
Prostate-Specific Antigen
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - ethnology
Prostatic Neoplasms - prevention & control
Risk Assessment
Risk Factors
Tumors of the urinary system
United States
Urinary tract. Prostate gland
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Summary:Although African-American men have a greater burden of prostate cancer than whites and other racial and ethnic groups, few studies on the burden of prostate cancer have focused on African Americans specifically. We used a sample of African-American men (N = 736) who participated in the 2000 National Health Interview Survey to explore their awareness of the prostate-specific antigen (PSA) test. Among African-American men aged > or = 45 with no history of prostate cancer, 63% had heard of the PSA test and 48% had been tested. Bivariate analyses showed significant associations between sociodemographic, family composition, health status and perceived risk with having heard of the PSA test and having been tested. The multivariate model showed significant associations between having heard of the PSA test and age, level of education, living in an MSA, and having private or military health insurance. For ever being tested, the multivariate model showed significant associations for age, private or military health insurance, being in fair or poor health, and having a family history of prostate cancer. Some of the correlates, such as age, increased levels of education and being married, were consistent with previous studies, but other correlates, such as metropolitan statistical area, health status and perceived risk, differed from previous studies.
ISSN:0027-9684
1943-4693