Sociodemographic and health status characteristics associated with prostate cancer screening in a national cohort of middle-aged male veterans

Seth A. Eisen, Brian Waterman, Celette Sugg Skinner, Jeffrey F. Scherrer, James C. Romeis, Kathleen Bucholz, Andrew Heath, Jack Goldberg, Michael J. Lyons, Ming T. Tsuang, William R. True

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objectives. To characterize variables associated with obtaining prostate cancer screening in a nonclinical, nationally distributed, middle-aged male population. Methods. Telephone interviews were administered to 2652 individual members of the Vietnam Era Twin Registry in 1992 and 1995. Dependent variables were self-report measures of having had a digital rectal examination (DRE) and/or a prostate-specific antigen (PSA) test in the past 5 years. Independent variables were current measures of age, household income, education, race, insurance, source of care, and lifetime measures of physical condition, psychiatric illness, and alcohol and nicotine dependence. Results. Thirty-five percent of the sample reported having had a PSA and DRE within the past 5 years. Prevalence of obtaining either a PSA or DRE varied with age, income, education, and race. Subjects with a regular source of care, a regular physician, and health insurance reported higher rates of having had a DRE or PSA and DRE. Persons with a physical or psychiatric illness reported more screening. A multiple regression model revealed that having a regular source of care, having a regular physician, physical illness, psychiatric illness, minority status, higher income, and age predicted having had some form of screening. Conclusions. A substantial portion of middle-aged men have had both a PSA and DRE performed at least once in the preceding 5 years. It may be possible to further improve prostate cancer screening participation by directing educational programs at men who are not in contact with the healthcare system. If the PSA and DRE screening guidelines that are finally adopted discourage screening among low-risk men younger than age 50, educational programs that emphasize age screening criteria may be warranted.

Original languageEnglish (US)
Pages (from-to)516-522
Number of pages7
JournalUrology
Volume53
Issue number3
DOIs
StatePublished - Mar 1999

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Digital Rectal Examination
Veterans
Early Detection of Cancer
Health Status
Prostate-Specific Antigen
Prostatic Neoplasms
Psychiatry
Physicians
Education
Tobacco Use Disorder
Vietnam
Health Insurance
Insurance
Self Report
Alcoholism
Registries
Guidelines
Interviews
Delivery of Health Care
Population

ASJC Scopus subject areas

  • Urology

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Sociodemographic and health status characteristics associated with prostate cancer screening in a national cohort of middle-aged male veterans. / Eisen, Seth A.; Waterman, Brian; Sugg Skinner, Celette; Scherrer, Jeffrey F.; Romeis, James C.; Bucholz, Kathleen; Heath, Andrew; Goldberg, Jack; Lyons, Michael J.; Tsuang, Ming T.; True, William R.

In: Urology, Vol. 53, No. 3, 03.1999, p. 516-522.

Research output: Contribution to journalArticle

Eisen, SA, Waterman, B, Sugg Skinner, C, Scherrer, JF, Romeis, JC, Bucholz, K, Heath, A, Goldberg, J, Lyons, MJ, Tsuang, MT & True, WR 1999, 'Sociodemographic and health status characteristics associated with prostate cancer screening in a national cohort of middle-aged male veterans', Urology, vol. 53, no. 3, pp. 516-522. https://doi.org/10.1016/S0090-4295(98)00545-7
Eisen, Seth A. ; Waterman, Brian ; Sugg Skinner, Celette ; Scherrer, Jeffrey F. ; Romeis, James C. ; Bucholz, Kathleen ; Heath, Andrew ; Goldberg, Jack ; Lyons, Michael J. ; Tsuang, Ming T. ; True, William R. / Sociodemographic and health status characteristics associated with prostate cancer screening in a national cohort of middle-aged male veterans. In: Urology. 1999 ; Vol. 53, No. 3. pp. 516-522.
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abstract = "Objectives. To characterize variables associated with obtaining prostate cancer screening in a nonclinical, nationally distributed, middle-aged male population. Methods. Telephone interviews were administered to 2652 individual members of the Vietnam Era Twin Registry in 1992 and 1995. Dependent variables were self-report measures of having had a digital rectal examination (DRE) and/or a prostate-specific antigen (PSA) test in the past 5 years. Independent variables were current measures of age, household income, education, race, insurance, source of care, and lifetime measures of physical condition, psychiatric illness, and alcohol and nicotine dependence. Results. Thirty-five percent of the sample reported having had a PSA and DRE within the past 5 years. Prevalence of obtaining either a PSA or DRE varied with age, income, education, and race. Subjects with a regular source of care, a regular physician, and health insurance reported higher rates of having had a DRE or PSA and DRE. Persons with a physical or psychiatric illness reported more screening. A multiple regression model revealed that having a regular source of care, having a regular physician, physical illness, psychiatric illness, minority status, higher income, and age predicted having had some form of screening. Conclusions. A substantial portion of middle-aged men have had both a PSA and DRE performed at least once in the preceding 5 years. It may be possible to further improve prostate cancer screening participation by directing educational programs at men who are not in contact with the healthcare system. If the PSA and DRE screening guidelines that are finally adopted discourage screening among low-risk men younger than age 50, educational programs that emphasize age screening criteria may be warranted.",
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AU - Waterman, Brian

AU - Sugg Skinner, Celette

AU - Scherrer, Jeffrey F.

AU - Romeis, James C.

AU - Bucholz, Kathleen

AU - Heath, Andrew

AU - Goldberg, Jack

AU - Lyons, Michael J.

AU - Tsuang, Ming T.

AU - True, William R.

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N2 - Objectives. To characterize variables associated with obtaining prostate cancer screening in a nonclinical, nationally distributed, middle-aged male population. Methods. Telephone interviews were administered to 2652 individual members of the Vietnam Era Twin Registry in 1992 and 1995. Dependent variables were self-report measures of having had a digital rectal examination (DRE) and/or a prostate-specific antigen (PSA) test in the past 5 years. Independent variables were current measures of age, household income, education, race, insurance, source of care, and lifetime measures of physical condition, psychiatric illness, and alcohol and nicotine dependence. Results. Thirty-five percent of the sample reported having had a PSA and DRE within the past 5 years. Prevalence of obtaining either a PSA or DRE varied with age, income, education, and race. Subjects with a regular source of care, a regular physician, and health insurance reported higher rates of having had a DRE or PSA and DRE. Persons with a physical or psychiatric illness reported more screening. A multiple regression model revealed that having a regular source of care, having a regular physician, physical illness, psychiatric illness, minority status, higher income, and age predicted having had some form of screening. Conclusions. A substantial portion of middle-aged men have had both a PSA and DRE performed at least once in the preceding 5 years. It may be possible to further improve prostate cancer screening participation by directing educational programs at men who are not in contact with the healthcare system. If the PSA and DRE screening guidelines that are finally adopted discourage screening among low-risk men younger than age 50, educational programs that emphasize age screening criteria may be warranted.

AB - Objectives. To characterize variables associated with obtaining prostate cancer screening in a nonclinical, nationally distributed, middle-aged male population. Methods. Telephone interviews were administered to 2652 individual members of the Vietnam Era Twin Registry in 1992 and 1995. Dependent variables were self-report measures of having had a digital rectal examination (DRE) and/or a prostate-specific antigen (PSA) test in the past 5 years. Independent variables were current measures of age, household income, education, race, insurance, source of care, and lifetime measures of physical condition, psychiatric illness, and alcohol and nicotine dependence. Results. Thirty-five percent of the sample reported having had a PSA and DRE within the past 5 years. Prevalence of obtaining either a PSA or DRE varied with age, income, education, and race. Subjects with a regular source of care, a regular physician, and health insurance reported higher rates of having had a DRE or PSA and DRE. Persons with a physical or psychiatric illness reported more screening. A multiple regression model revealed that having a regular source of care, having a regular physician, physical illness, psychiatric illness, minority status, higher income, and age predicted having had some form of screening. Conclusions. A substantial portion of middle-aged men have had both a PSA and DRE performed at least once in the preceding 5 years. It may be possible to further improve prostate cancer screening participation by directing educational programs at men who are not in contact with the healthcare system. If the PSA and DRE screening guidelines that are finally adopted discourage screening among low-risk men younger than age 50, educational programs that emphasize age screening criteria may be warranted.

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