PREDICTORS OF PROSTATE CANCER SCREENING USING ANDERSEN'S BEHAVIORAL MODEL OF HEALTH SERVICES USE

Author(s)

Ogunsanya ME, Jiang S, Thach AV, Bamgbade B, Brown C
The University of Texas at Austin, College of Pharmacy, Austin, TX, USA

PREDICTORS OF PROSTATE CANCER SCREENING USING ANDERSEN'S BEHAVIORAL MODEL OF HEALTH SERVICES USE OBJECTIVES: To examine the prevalence and predictors of prostate cancer screening (PCS) in the United States using Andersen's Behavioral Model of Health Services Use (ABM). METHODS: We analyzed PCS rates in men (aged ≥ 40 years) from 2012 public use data files of the Behavioral Risk Factor Surveillance System. Descriptive analysis was conducted using sampling weights to determine the prevalence of PCS [i.e., had a prostate-specific antigen (PSA) test]. Multiple logistic regression, incorporating the sampling weights, within the framework of ABM was used to identify predictors of PCS, the dependent variable. The ABM variables of predisposing (e.g., age), enabling (e.g., insurance), and need (e.g., comorbidities) comprised the independent variables.  RESULTS: Among the 129,923 men, 63.41% reported that they had a PSA test. Among all who had undergone PCS, most were married (42.63%) or white (52.81%), and about one-third (31.95%) had a college degree. More than half (55.93%) had been informed about the advantages of the PSA test from a health professional, while fewer (24.10%) were informed about its disadvantages. Among predisposing factors, age (OR = 1.08, 95% CI, 1.08-1.09), being single (OR = 0.78, 95% CI = 0.70-0.87), and being Black (OR = 1.17, 95% CI = 1.04-1.33) were significantly associated with undergoing PCS. Among enabling factors, higher income (≥$75,000) (OR = 2.44, 95% CI =2.08-2.86), and being self-employed (OR = 1.57, 95% CI=1.45-1.70) were significantly associated with undergoing PCS. Among need factors, undergoing PCS was significantly associated with those who have never smoked (OR = 1.77, 95% CI= 1.27-2.47). CONCLUSIONS: The majority of men had previously engaged in PCS.  Several ABM variables were predictive of PCS and should be considered when developing future strategies to increase PCS in men aged 40 years and older.

Conference/Value in Health Info

2014-05, ISPOR 2014, Palais des Congres de Montreal

Value in Health, Vol. 17, No. 3 (May 2014)

Code

PHS115

Topic

Health Policy & Regulatory

Topic Subcategory

Pricing Policy & Schemes

Disease

Oncology, Reproductive and Sexual Health

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