San Diego, CA USA (UroToday.com) Recent data suggests that Asian Americans (AsAs) are more likely to present with advanced prostate cancer at the time of diagnosis. To determine whether under-utilization of prostate cancer screening services contributed to this paradigm, Li and colleagues conducted a cross-sectional analysis of the 2012 Behavioral Risk Factor Surveillance System.
All included individuals were eligible for prostate cancer screening, per U.S Preventative Services Task Force recommendations.
A weighted sample of 36.1 million was identified and screening rates of AsAs and non-Hispanic White (NHW) communities were compared. Preliminary analysis confirmed that education, metropolitan status, marital status, and healthcare provider recommendation were accurate predictors of prostate cancer screening
(p-value < 0.05).
Results showed that AsAs were more educated, more often married, had higher levels of income and lived in urban/suburban residencies as compared to NHWs (p<0.05). However, even given these favorable circumstances, a multivariate analysis demonstrated that AsAs had lower odds of undergoing prostate cancer screening (odds ratio = 0.55, 95% CI: 0.39-0.78).
The researchers concluded that AsAs have significantly lower odds of utilizing preventative prostate cancer services, such as that of screening tests, as compared to NHW’s. This disparity was ultimately attributed to limited healthcare access, lower education level, as well as potential physician biases. However, it is important to note that the highest odds of screening in both NHWs and AsAs were associated with recommendation by a healthcare provider. From a clinician’s perspective, preventative measures and screening tests should be highly considered during patient counseling.
Presented By: Hanhan Li, MD
Written By: Linda Huynh; Biomedical Research Student, Department of Urology, University of California, Irvine at the 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA