TY - JOUR AU - Tchir, Devan AU - Farag, Marwa AU - Szafron, Michael PY - 2020/02/04 Y2 - 2024/03/28 TI - Prostate-specific antigen (PSA) screening rates and factors associated with screening in Eastern Canadian men: Findings from cross-sectional survey data JF - Canadian Urological Association Journal JA - CUAJ VL - 14 IS - 7 SE - Original Research DO - 10.5489/cuaj.6072 UR - https://cuaj.ca/index.php/journal/article/view/6072 SP - E319-27 AB - <p><strong>Introduction:</strong> The prostate-specific antigen (PSA) test is used in Canada to detect prostate cancer (PCa) despite mixed recommendations. Complications arising from false-positives are common, posing as a cancer-screening concern. This work estimates some Canadian rates of PSA screening and identifies men at increased odds for PSA screening.</p><p><strong>Methods:</strong> The Canadian Community Health Survey (CCHS) from 2009/10 (Atlantic Canada; ATL), 2011/2012 (Ontario; ON), and 2013/2014 (Quebec; QC) were used. Lifetime and recent PSA screening with confidence intervals were constructed to estimate PSA screening in ATL, ON, and QC. Two logistic regression models (for men &lt;50 and ≥50 years of age) were used to determine associations between factors and lifetime PSA screening.</p><p><strong>Results:</strong> PSA screening rates have increased in most age groups for ATL, ON, and QC since 2000/2001. Factors positively associated with lifetime PSA screening in men of all ages were: having a digital rectal exam, having a regular doctor, and having a colorectal exam. Fruit and vegetables consumption and non-smoking status were positively associated with lifetime PSA screening in men &lt;50 years of age. High income and the presence of chronic health conditions were positively associated with lifetime PSA screening in men ≥50 years of age.</p><p><strong>Conclusions:</strong> PSA screening rates have generally increased since 2000/2001 in Canada. Physician-related factors play a role in men at all ages, while different factors are associated in men &lt;50 years of age and men ≥50 years of age. Limitations include the generalizability to all of Canada and the potential for recall bias.</p> ER -