Factors Associated with PSA Screening Intensity,a 2010 National Health Interview Survey
| Factor | Low Intensity vs No Screeninga OR (95% CI)b | High Intensity vs No Screening OR (95% CI)b | P Valuec |
|---|---|---|---|
| Age, year | <.001 | ||
| 50–59 | 1.0 | 1.0 | |
| 60–69 | 1.41 (1.07–1.86) | 2.95 (2.12–4.11) | |
| 70–74 | 1.54 (0.90–2.65) | 4.59 (2.68–7.87) | |
| Education | .002 | ||
| <High school graduate | 1.0 | 1.0 | |
| High school graduate | 1.37 (0.90–2.08) | 1.56 (0.84–2.89) | |
| Some college/technical institute | 1.00 (0.64–1.56) | 1.68 (0.95–2.96) | |
| College graduate | 1.58 (0.97–2.57) | 2.92 (1.55–5.49) | |
| Usual source of medical care | <.001 | ||
| Yes | 1.0 | 1.0 | |
| No | 0.46 (0.29–0.74) | 0.15 (0.06–0.38) | |
| Doctor recommendation | <.001 | ||
| Yes | 44.10 (31.68–61.41) | 107.37 (71.42–161.41) | |
| No | 1.0 | 1.0 | |
| Extent of shared decision makingd | <.001 | ||
| No elements | 1.0 | 1.0 | |
| Partial, disadvantages only, disadvantages and uncertainty, or uncertainty only | 3.84 (1.24–11.91) | 4.87 (1.48–16.02) | |
| Partial, advantages only | 2.38 (1.53–3.71) | 3.22 (1.94–5.35) | |
| Partial, advantages and disadvantages or advantages and uncertainty | 3.97 (1.82–8.68) | 3.82 (1.67–8.69) | |
| All elements | 1.98 (0.97–4.04) | 1.96 (0.93–4.11) |
↵a PSA Screening intensity: “no screening” = no prior testing; “low intensity” = 1–3 tests/past 5 years; “high intensity” = 4–5 tests/past 5 years
↵b Confidence interval from multivariable polytomous logistic regression model with PSA screening as the dependent variable (n = 3,209); analyses adjusted for race, ethnicity, poverty ratio, self-reported health status, number of chronic diseases, personal history of cancer, family history of prostate cancer, health insurance.
↵c P value for Wald χ2 test for association.
↵d Physician discussion of the following elements: advantages, disadvantages, and uncertainty.