The effect of limited English proficiency on PSA screening rates in American men

You have accessJournal of UrologyCME1 Apr 2023MP12-10 THE EFFECT OF LIMITED ENGLISH PROFICIENCY ON PSA SCREENING RATES IN AMERICAN MEN Benjamin V. Stone, Muhieddine Labban, Dejan K. Filipas, Edoardo Beatrici, Nicola Frego, Zhiyu (Jason) Qian, Sandeep S. Voleti, Stuart R. Lipsitz, Adam S. Kibel, Alexander P. Cole, and Quoc-Dien Trinh Benjamin V. StoneBenjamin V. Stone More articles by this author , Muhieddine LabbanMuhieddine Labban More articles by this author , Dejan K. FilipasDejan K. Filipas More articles by this author , Edoardo BeatriciEdoardo Beatrici More articles by this author , Nicola FregoNicola Frego More articles by this author , Zhiyu (Jason) QianZhiyu (Jason) Qian More articles by this author , Sandeep S. VoletiSandeep S. Voleti More articles by this author , Stuart R. LipsitzStuart R. Lipsitz More articles by this author , Adam S. KibelAdam S. Kibel More articles by this author , Alexander P. ColeAlexander P. Cole More articles by this author , and Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003227.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: There exist disparities in prostate-specific antigen (PSA) screening and prostate cancer outcomes among racial and ethnic groups, but it is unknown how limited English proficiency impacts rates of PSA screening. METHODS: The Medical Expenditure Panel Survey was utilized to identify rates of PSA screening between 2013 and 2016 among men without prostate cancer ≥55 for whom guidelines recommend shared decision-making regarding prostate cancer screening. Men were stratified by self-reported levels of English proficiency (men who speak English very well, well, not well, or not at all). Survey weights were applied, and groups were compared using the adjusted Wald test. A multivariable logistic regression model was used to identify predictors of ever receiving PSA screening adjusting for patient-level covariates. RESULTS: The cohort included 2,889 men, corresponding to a weighted national estimate of 4,765,682 men. The rates of PSA screening varied significantly according to levels of English proficiency (p<0.0001, Figure 1). 79.6% of men who speak English very well reported receiving at least one lifetime PSA test, compared with 58.4% of men who do not speak English at all (p<0.001). Approximately half of the men who speak English very well reported PSA testing within the prior year (52.0%) compared with 34.5% of men who do not speak English at all. Significant predictors of receiving at least one lifetime PSA test included older age, income >400% of the federal poverty level, and insurance coverage (Table 1). Asian compared to White race was associated with lower rates of PSA screening (aOR 0.35; 95% CI 0.21-0.60; p<0.001). Compared to those who reported speaking English very well, men who reported not speaking English at all had significantly lower rates of PSA screening (aOR 0.55; 95% CI 0.35-0.88; p=0.012). CONCLUSIONS: Limited English proficiency is associated with significantly lower rates of PSA screening. Interventions to mitigate disparities in prostate cancer outcomes need to account for limited English proficiency among the barriers to guideline-concordant care. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e137 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin V. Stone More articles by this author Muhieddine Labban More articles by this author Dejan K. Filipas More articles by this author Edoardo Beatrici More articles by this author Nicola Frego More articles by this author Zhiyu (Jason) Qian More articles by this author Sandeep S. Voleti More articles by this author Stuart R. Lipsitz More articles by this author Adam S. Kibel More articles by this author Alexander P. Cole More articles by this author Quoc-Dien Trinh More articles by this author Expand All Advertisement PDF downloadLoading ...