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Publication Date

4-7-2017

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Advisor:

R McIntire, Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA.

Abstract

Prostate adenocarcinoma is the most common cancer affecting men in the United States. Existing factors that have been linked to developing prostate cancer (PCa) include race, age, and family history. Epidemiologic studies have shown that early detection of PCa can significantly increase the probabilities of survival among men that are of higher risk of developing PCa. Screening or testing to find PCa in men without symptoms can help detect some cancer early, when it’s more easily treated. In the US, lack of participation in preventive care for PCa by at risk populations is influenced by several sociocultural factors, including awareness, attitudes, financial barriers, and adequate healthcare. The purpose of this study was to determine if there were any significant changes in the prevalence of PCa screening within the previous 2 years among men age 45+ in SEPA between 2008-2015 and to identify demographic, access to care, and health-related correlates of PCa screening among SEPA men in 2015. Secondary data analysis of PHMC’s 2008, 2010, 2012, and 2015 SEPA HHS were used to identify trends in PCa screening among men aged 45+ from the five counties in the Philadelphia Metropolitan area, Philadelphia, Bucks, Chester, Delaware, and Montgomery County. PHMC’s 2015 SEPA HHS was also used to determine relationships between research variables. Trend analysis showed that between 2008 and 2015 rates of self-reported PCa screening among men in SEPA decreased by 8.91%. Using chi-square test for independence we observed statistical significance between PCa screening and predictor variables age, education level, marital status, poverty level, insurance status, source of care, and high blood pressure, p < .05. In a logistic regression model, men who reported not having health insurance were less likely than those with health insurance to participate in PCa screening by a factor of .455. Men who reported not having a regular source of care were less likely than those with a regular source of care to participate in PCa screening by a factor of .242. Similar to early studies, our results suggest that age, race/ethnicity, education, poverty, marital status, morbidity, and health care resources are important covariates associated with PCa screening.

Presentation: 14:01

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