Recorded presentation

Nasar U. Ahmed, PhD, Epi-Stat Core, Internal Medicine, Meharry Medical College, 1005 D.B. Todd Blvd., Nashville, TN 37208, 615 327 5800, nahmed@mmc.edu

Background and Purpose: Prostate cancer is the most common cancer diagnosed in American men. Five and ten-year overall survival rates are 98% and 84%, respectively. Nonetheless, it is the second leading cause of cancer deaths among US men. Through early detection, more patients with curable early-stage lesions are being treated. Despite the excellent survival rates for diagnosed cases, the rate of a prostate-specific antigen (PSA) screening is low. Among the predictors, physician initiative is a major contributor to screening rates. The purpose of this study is to identify correlates of PSA screening among patients and physician directive for the test. Methods: We applied multiple logistic regression to the National Health Interview Survey (NHIS) 2000 data to examine predictors of PSA screening and correlates of physician assessment among eligible men. Results: The proportion of men receiving PSA screening generally increased with age. Employment, income, insurance, utilization of care, physician communication, family history of prostate cancer, and physical activity were also positively associated with PSA screening. Physician directive in PSA screening increased according to similar variables, specifically, income, insurance, employment, frequency of doctor visits, age and family history. Conclusion: Financial status, access and utilization of health care and health risk factors play significant roles in PSA adherence and doctors’ decision in performance of PSA screening.

Learning Objectives: At the conclusion of the session, the participant will be able to

• Identify variables positively associated with patient adherence to PSA screening.
• Identify variables positively associated with a physician directive to perform PSA screening.
• Describe findings from national survey data.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation