Racial differences in postpandemic trends in prostate-specific antigen screening

Author:

Qian Zhiyu12,Alexander Jameshisa12,Daniels Danesha12,Abdollah Firas34,Cole Alexander P12,Iyer Hari S5,Trinh Quoc-Dien12ORCID

Affiliation:

1. Department of Urology, Brigham and Women’s Hospital, Harvard Medical School , Boston, MA, USA

2. Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School , Boston, MA, USA

3. Vattikuti Urology Institute Center for Outcomes Research, Analytics and Evaluation, Henry Ford Hospital , Detroit, MI, USA

4. Vattikuti Urology Institute, Henry Ford Hospital , Detroit, MI, USA

5. Section of Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey , New Brunswick, NJ, USA

Abstract

Abstract Our study investigates the trends in prostate cancer screening amid the COVID-19 pandemic, particularly focusing on racial disparities between Black and White men. Utilizing data from the Behavioral Risk Factor Surveillance System from 2018, 2020, and 2022, we analyzed prostate-specific antigen screening rates in men aged 45-75 years. Our findings reveal initial declines in screening rates for both groups during the pandemic, with subsequent recovery; however, the pace of rebound differed statistically significantly between races. Whereas White men showed a notable increase in screening rates postpandemic, Black men’s rates recovered more slowly. This disparity underscores the impact of socioeconomic factors, health-care access, and possibly systemic biases affecting health-care delivery. Our study highlights the need for targeted interventions to address these inequalities and ensure equitable access to prostate cancer preventive care in the aftermath of COVID-19.

Publisher

Oxford University Press (OUP)

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