Affordable Access

Publisher Website

Association of sociodemographic factors and prostate-specific antigen (PSA) testing

Authors
Journal
Clinical Biochemistry
0009-9120
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.clinbiochem.2014.08.006
Keywords
  • Hot Spot Analysis Maps
  • Prostate-Specific Antigen Testing
  • Psa
  • Sociodemographic Variables
Disciplines
  • Education

Abstract

Abstract Objectives There are conflicting recommendations regarding the use of prostate specific antigen (PSA) as a screening test. Integral to this debate is an understanding of who is currently being tested. The purpose of this study was to provide a detailed account of PSA testing practices in a major Canadian city (Calgary, Alberta) and to identify variables that may affect access to the PSA test. Design and methods PSA test counts were retrieved from Calgary Laboratory Services' Laboratory Information System from January 1, 2011 to December 31, 2011. A total of 75,914 individual PSA tests were included in our analysis. The frequency of PSA testing was plotted onto a dissemination area map of Calgary using ArcGIS software. Associations with sociodemographic variables were tested using Poisson regression. Results The median PSA value was 0.93μg/L and the median age at collection was 58years. Forty-three percent of men aged 60–69 received a PSA test. Visible minority status ‘Black’ (P=0.0002) and Métis status (P=0.0075) were associated with lower PSA testing frequencies, while median household income (P=<0.0001) and university education (P=<0.0001) were associated with higher PSA testing frequencies. Conclusion There are areas in Calgary which are significantly over or under tested relative to the mean. The amount of PSA testing in men <50years of age is increasing, which is contrary to PSA testing guidelines.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Prostate-specific-antigen (PSA) testing.

on Progress in transplantation (A... December 2001

Prostate specific antigen (PSA) testing.

on Harvard men's health watch August 2006

[Prostate-specific antigen (PSA), PSA-ACT, free PS...

on Nihon rinsho. Japanese journal... August 2005

[Prostate-specific antigen(PSA), PSA-ACT, free PSA...

on Nihon rinsho. Japanese journal... July 2010
More articles like this..