Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Brief ReportBrief Report

Prostate-Specific Antigen Testing Initiation and Shared Decision-Making: Findings from the 2000 and 2015 National Health Interview Surveys

Jun Li, Helen Ding, Thomas B. Richards, Iman Martin, Sarah Kobrin and Pamela M. Marcus
The Journal of the American Board of Family Medicine July 2018, 31 (4) 658-662; DOI: https://doi.org/10.3122/jabfm.2018.04.170448
Jun Li
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Helen Ding
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
MD, MSPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Thomas B. Richards
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Iman Martin
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah Kobrin
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Pamela M. Marcus
From Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (JL, TBR); DB Consulting Group INC, Silver spring, MD (HD); Division of Cancer Prevention, National Cancer Institute, Bethesda, (IM); Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, (SK, PMM).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1.

    Age-Standardized* Prevalence of Physician-Initiated Prostate-Specific Antigen Testing by Sociodemographic and Screening-Related Factors Among Men Aged 40 Years and Older Who Had the Test in the Past Year, National Health Interview Survey, 2000 and 2015

    20002015P value‡
    N†%95% CIN†%95% CI(2015 vs 2000)
    Total164272.369.075.4201884.982.0–87.4<.01
    Age, crude estimates
        40 to 54 years46266.160.771.138083.278.2–87.2<.01
        55 to 69 years70776.272.479.7102985.582.5–88.1<.01
        70+ years47385.481.288.760989.385.2–92.4.13
    Race
        White137572.969.376.2169284.681.4–87.3<.01
        Black18972.764.379.724387.379.0–92.7<.01
        Others7871.0§58.680.98387.175.7–93.6.03
    Ethnicity
        Hispanic13260.951.070.014085.275.3–91.5<.01
        Non-Hispanic151073.069.576.2187884.981.9–87.5<.01
    Region
        Northeast32576.871.081.834681.772.6–88.3.31
        Midwest37967.561.473.144186.379.2–91.2<.01
        West63474.067.679.474586.082.1–89.2<.01
        South30470.563.077.048683.876.6–89.1.01
    Born in United States
        Yes148973.169.676.4179285.782.6–88.3<.01
        No14662.153.170.222481.773.9–87.5<.01
    Education
        Less than high school27363.053.971.318488.8§74.2–95.6<.01
        High school graduate43174.767.680.648383.475.3–89.2.07
        Some college41673.668.178.555485.780.1–89.9<.01
        College graduate51069.364.174.179484.379.9–88.0<.01
    Marital status
        Married or living with partner115571.667.975.0133985.282.0–88.0<.01
        Widowed, divorced, or separated35774.566.880.950381.974.3–87.7.13
        Never married12675.966.483.317481.170.1–88.7.41
    Currently employed
        No82279.271.485.3106790.185.9–93.2.01
        Yes82069.765.473.794984.080.0–87.3<.01
    Poverty threshold, %
        <20033980.070.187.237887.881.8–92.0.12
        200 to 29928368.260.575.130888.579.5–93.8<.01
        300 to 39921974.866.981.325782.372.3–89.2.19
        400 to 49918970.862.977.722982.473.3–88.8.03
        500 and more61269.864.874.484684.580.0–88.1<.01
    Usual source of medical care
        Yes160473.069.776.1197185.082.0–87.5<.01
        No3841.9§27.458.04681.8§63.3–92.1<.01
    Health insurance
        Uninsured/Medicaid10682.2§68.790.714483.673.1–90.5.85
        Private/Military/Other153171.968.575.1186985.082.0–87.5<.01
    Number of doctor visits in the past year
        124271.363.877.729873.164.7–80.1.73
        252267.161.372.468186.481.9–89.9<.01
        3+87876.372.180.1103989.485.8–92.2<.01
    Family history of prostate cancer
        No151773.269.876.3180687.184.6–89.2<.01
        Yes12564.855.772.921268.6§56.9–78.2.59
    Cancer, excluding prostate and nonmelanoma skin
        No153472.269.075.2182085.082.0–87.5<.01
        Yes10675.0§58.886.319783.2§67.1–92.3.39
    Comorbidity‖
        None132671.468.174.5160884.981.8–87.6<.01
        1 disease27979.770.786.533981.5§67.0–90.5.80
        2+ diseases3682.9§67.991.87197.291.1–99.2.02
    Reported health status
        Excellent/very good90072.068.075.7109383.879.8–87.1<.01
        Good/fair or poor74172.166.876.892586.582.8–89.5<.01
    Had colorectal cancer screening
        Yes80572.668.776.342683.478.3–87.5<.01
        No82470.765.375.6158887.784.1–90.6<.01
    • ↵* Results for all variables except age were age standardized to the age distribution of the 2000 standard population.

    • ↵† Number may differ from 1646 for 2000 National Health Interview Survey and 2024 for 2015 NHIS because of “don't know,” refused, or missing responses.

    • ↵‡ P value is calculated by t test from the contrast statement of PROC DESCRIPT procedure.

    • ↵§ Estimates may not be reliable as the confidence interval half width ≥10.

    • ↵‖ Number of the following comorbidities (none, 1, 2, and more diseases): hypertension, stroke, diabetes, chronic heart, kidney, liver, and lung diseases.

    • CI, confidential interval.

    • View popup
    Table 2.

    Prevalence of Ever Discussed Both Advantages and Disadvantages of Prostate-Specific Antigen Testing Among Men Aged 40 Years and Older Who Had the Test Within the Past Year, National Health Interview Survey, 2015

    Ever Discussed Advantages and Disadvantages*
    N†%95% CIP value
    Total195531.028.1–34.1
    Who first suggested the PSA test.061
        Patient or someone else28725.119.0–32.3
        Physician166832.028.9–35.4
    40 to 54 years37328.222.1–35.2
    Who first suggested the PSA test.771
        Patient or someone else7426.214.6–42.5
        Physician29928.621.8–36.5
    55 to 69 years100334.830.8–39.1
    Who first suggested the PSA test.006
        Patient or someone else14823.616.1–33.2
        Physician85536.832.4–41.3
    70+ years57926.021.8–30.6
    Who first suggested the PSA test.830
        Patient or someone else6527.316.0–42.6
        Physician51425.821.3–30.8
    • PSA, prostate-specific antigen testing; CI, confidential interval.

    • ↵* Status of “Ever discussed advantages and disadvantages” was assessed based on two survey questions: (1) Did a doctor ever talk with you about the advantages of the test?; and (2) Did a doctor ever talk with you about the disadvantages of the test.

    • ↵† Number may differ from the total of 2024 because of “don't know,” refused, or missing responses.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 31 (4)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 4
July-August 2018
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Prostate-Specific Antigen Testing Initiation and Shared Decision-Making: Findings from the 2000 and 2015 National Health Interview Surveys
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 12 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Prostate-Specific Antigen Testing Initiation and Shared Decision-Making: Findings from the 2000 and 2015 National Health Interview Surveys
Jun Li, Helen Ding, Thomas B. Richards, Iman Martin, Sarah Kobrin, Pamela M. Marcus
The Journal of the American Board of Family Medicine Jul 2018, 31 (4) 658-662; DOI: 10.3122/jabfm.2018.04.170448

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Prostate-Specific Antigen Testing Initiation and Shared Decision-Making: Findings from the 2000 and 2015 National Health Interview Surveys
Jun Li, Helen Ding, Thomas B. Richards, Iman Martin, Sarah Kobrin, Pamela M. Marcus
The Journal of the American Board of Family Medicine Jul 2018, 31 (4) 658-662; DOI: 10.3122/jabfm.2018.04.170448
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Multilevel Small Area Estimation of Prostate-Specific Antigen Screening Test in the United States by Age Group: 2018 Behavioral Risk Factor Surveillance System
  • The Potpourri of Family Medicine, in Sickness and in Health
  • Google Scholar

More in this TOC Section

  • Association of Social Needs with Diabetes Outcomes in an Older Population
  • Insurance Instability Among Community-Based Health Center Patients with Diabetes Post-Affordable Care Act Medicaid Expansion
  • Factors Influencing Changing Scopes of Practice Among Contemporary Graduates of the Nation’s Largest Family Medicine Residency
Show more Brief Reports

Similar Articles

Keywords

  • Decision Making
  • Early Detection of Cancer
  • Logistic Regression
  • Prevalence
  • Prostate Cancer
  • Prostate-Specific Antigen

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire