Prostate examination among adult and elderly subjects in southern Brazil: a cross-sectional population-based study
São Paulo med. j
;
138(6): 483-489, Nov.-Dec. 2020. tab
Article
in English
| LILACS, SES-SP
| ID: biblio-1145135
ABSTRACT
ABSTRACT BACKGROUND:
Population-wide screening for prostate cancer remains a controversial topic, given the need for an individualized approach to patients regarding the risks and benefits of prostate-specific antigen testing and digital rectal examination.OBJECTIVE:
The aim of this study was to investigate the prevalence of, and factors associated with, prostate examination among men aged 45 or older. DESIGN ANDSETTING:
Cross-sectional population-based study developed in the city of Rio Grande (RS), Brazil.METHODS:
The outcome of interest was a history of prostate examination (prostate-specific antigen testing or digital rectal examination). The following independent variables were analyzed age group, skin color, marital status, schooling, economic level, leisure-time physical activity, smoking habits, excessive alcohol consumption, overweight, health insurance, visits to the doctor during the preceding year, hypertension and diabetes. After a two-stage sampling process, the final sample consisted of 281 male individuals.RESULTS:
The prevalence of a history of prostate-specific antigen testing or digital rectal examination was 68.3% (95% confidence interval (CI) 62.2 to 74.5). The highest prevalence rates were observed among men aged 70 years or older (88%) and the lowest among smokers (36%). The following characteristics were found to be associated with theoutcome:
advanced age; marital status other than single; more schooling and higher economic status; practicing physical activity; non-smoking habits; overweight; having health insurance; and having visited a doctor during the preceding year.CONCLUSION:
Approximately two thirds of the study population had been screened for prostate examination, mostly older individuals, with higher socioeconomic status and a healthier lifestyle.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Prostate-Specific Antigen
/
Digital Rectal Examination
/
Early Detection of Cancer
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Risk factors
/
Screening study
Limits:
Aged
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
São Paulo med. j
Year:
2020
Type:
Article
Institution/Affiliation country:
Fundação Universidade Federal/BR
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