TY - JOUR T1 - Prostate Cancer Screening Among American Indians and Alaska Natives: The Health and Retirement Survey, 1996-2008. JF - Prev Chronic Dis Y1 - 2015 A1 - R. Turner Goins A1 - Marc B Schure A1 - Carolyn Noonan A1 - Dedra S. Buchwald KW - Aged KW - Alaska KW - Analysis of Variance KW - Black or African American KW - Health Behavior KW - Health Surveys KW - Healthcare Disparities KW - Humans KW - Indians, North American KW - Male KW - Mass Screening KW - Middle Aged KW - Prevalence KW - Prostatic Neoplasms KW - Regression Analysis KW - Retirement KW - Self Report KW - Surveys and Questionnaires KW - United States KW - White People AB -

INTRODUCTION: Among US men, prostate cancer is the leading malignancy diagnosed and the second leading cause of cancer death. Disparities in cancer screening rates exist between American Indians/Alaska Natives and other racial/ethnic groups. Our study objectives were to examine prostate screening at 5 time points over a 12-year period among American Indian/Alaska Native men aged 50 to 75 years, and to compare their screening rates to African American men and white men in the same age group.

METHODS: We analyzed Health and Retirement Study data for 1996, 1998, 2000, 2004, and 2008. Prostate screening was measured by self-report of receipt of a prostate examination within the previous 2 years. Age-adjusted prevalence was estimated for each year. We used regression with generalized estimating equations to compare prostate screening prevalence by year and race.

RESULTS: Our analytic sample included 119 American Indian/Alaska Native men (n = 333 observations), 1,359 African American men (n = 3,704 observations), and 8,226 white men (n = 24,292 observations). From 1996 to 2008, prostate screening rates changed for each group: from 57.0% to 55.7% among American Indians/Alaska Natives, from 62.0% to 71.2% among African Americans, and from 68.6% to 71.3% among whites. Although the disparity between whites and African Americans shrank over time, it was virtually unchanged between whites and American Indians/Alaska Natives.

CONCLUSION: As of 2008, American Indians/Alaska Natives were less likely than African Americans and whites to report a prostate examination within the previous 2 years. Prevalence trends indicated a modest increase in prostate cancer screening among African Americans and whites, while rates remained substantially lower for American Indians/Alaska Natives.

PB - 12 VL - 12 N1 - Times Cited: 0 0 U1 - http://www.ncbi.nlm.nih.gov/pubmed/26247423?dopt=Abstract U2 - PMC4552140 U4 - prostate cancer/Screening/native Americans/african Americans/minorities ER -