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Prostate cancer screening practices of African-American and non-African-American US primary care physicians: a cross-sectional survey

机译:非裔美国人和非裔美国人美国初级保健医生的前列腺癌筛查实践:横断面调查

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Purpose: We explored whether African-American (AA) primary care physicians (PCPs) have different prostate cancer screening practices compared to non-AA PCPs, after adjustment for potential confounding factors such as the proportion of AA patients in PCP practices.Methods: We used SAS/SUDAAN to compare weighted responses from AA PCPs (n = 604) with those from non-AA PCPs (n = 647) in the 2007–2008 National Survey of Primary Care Physician Practices Regarding Prostate Cancer Screening. We used multivariate logistic regression to calculate the weighted odds ratios (OR) and 95% confidence intervals (CI).Results: We found that AA PCPs had higher odds of working in practices with above-the-median (≥21%) proportions of AA male patients (OR, 9.02; 95% CI: 5.85–13.91). A higher proportion of AA PCPs (53.5%; 95% CI: 49.5–57.4) reported an above-the-median proportion (≥91%) of PSA testing during health maintenance exams as compared to non-AA PCPs (39.4%; 95% CI: 35.5–43.4; P < 0.0002). After adjusting for the proportion of AA patients and other factors, we found that AA PCPs had higher odds of using PSA tests to screen men (OR, 1.74; 95% CI: 1.11–2.73).Conclusion: This study quantifies the magnitude of the differences reported in previous focus group studies. Our results may be helpful in hypothesis generation and in planning future research studies.
机译:目的:在调整了潜在的混淆因素(例如AA患者在PCP做法中的比例)之后,我们探讨了非裔美国人(AA)的初级保健医师(PCP)与非AA PCP相比是否具有不同的前列腺癌筛查做法。在2007-2008年全国前列腺癌​​筛查初级保健医师实践调查中,使用SAS / SUDAAN比较了AA PCP(n = 604)和非AA PCPs(n = 647)的加权反应。我们使用多元logistic回归来计算加权比值比(OR)和95%置信区间(CI)。结果:我们发现,AA PCP在中位数(≥21%)的实践中具有较高的工作几率。 AA男性患者(OR,9.02; 95%CI:5.85-13.91)。与非AA PCPs(39.4%; 95)相比,更高比例的AA PCPs(53.5%; 95%CI:49.5-57.4)报告的健康维护检查中PSA测试的中位数比例(≥91%) %CI:35.5–43.4; P <0.0002)。在调整了AA患者的比例和其他因素之后,我们发现AA PCPs使用PSA检测筛查男性的几率更高(OR,1.74; 95%CI:1.11-2.73)。结论:本研究量化了AAPCP的幅度以前的焦点小组研究报告的差异。我们的结果可能有助于假设的产生和计划未来的研究。

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