Saturday, 16 August 2008

Health Risk Behaviors And Prostate Specific Antigen Awareness Among Men In California

�UroToday.com - In the August 2008 issue of the Journal of Urology, Dr. Firas Ahmed and associates investigated the correlation coefficient between certain health jeopardy behaviors and awareness of the PSA test among men residing in California. They hypothesized that men reporting health risk behaviors would have less awareness of the PSA test.


The study used the 2003 CHIS, a population based, random digit-dialing phone survey conducted between August 2003 and February 2004. It secondhand a sample approach to randomly prize telephone numbers game from 41 geographic sampling strata example of the California population. Interviews were performed in multiple languages and the interview response rate was 60%. Men with prostate cancer were excluded, departure a study population of 7,297 men.


PSA awareness was determined from the enquiry "Have you ever heard of the PSA test?" Study variables included smoke status, walk, BMI, and binge alcohol drinking. Personal confounding variables included demographics, socioeconomic status, access to health fear, health condition and colon cancer screening. Age, race and ethnicity were besides recorded.


Almost half of the subjects were between ages 50 and 60 years. Most were white, married and spoke simply English, were up-to-date on colorectal screening and lived most of their lives in the US. Their reported wellness status was good or better and income were at least 300% of the federal poverty grade. Most had health policy and some college education.


The overall prevalence of PSA consciousness in the study population was 73% and the prevalence of PSA testing was 39%. PSA cognisance increased with age up to 70-years and then it reduced. PSA awareness was highest in white men and was positively associated with education, income, health condition and the number of physician visits in the last year. Statistical analysis demonstrated that smoking, physical inactivity and obesity were significantly associated with frown odds of PSA cognisance. The prevalence of PSA awareness decreased from 78% of hands with no risk behaviors to 71%, 68%, and 55% in men with 1, 2, and 3 or more than risk behaviors, respectively.


Ahmed FS, Borrell LN, Spencer BA

Urol. 2008 Aug;180(2):658-62

doi:10.1016/j.juro.2008.04.007


Reported by UroToday.com Contributing Editor Christopher P. Evans, MD, FACS

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