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Prostate cancer screening: contrasting trends

Abstract : Purpose Our previously published data showed rapidly increasing rates of prostate cancer screening in men aged 50-74, which rose from 36 % in 2005 to 48 % in 2008. Based on men's reported intentions at that time, this was expected to rise to 70 % in 2011. Here we report the actual rate of prostate cancer screening. Method Three nationwide observational telephone surveys (EDIFICE opinion polls) were conducted in 2005, 2008, and 2011. The overall target was a representative sample of [1,500 individuals living in France and aged 40-75 years, including 481 men aged 50-74 years. Results Within this male population, the rate of screening reported remained stable between 2008 and 2011 (48 and 49 %, respectively). However, comparison of privileged versus disadvantaged populations showed significant differences, with a relative decrease in screening among those of higher socioprofessional status (p = 0.03) and from higher-income groups (p = 0.02). For households with a monthly income above 2,500€, the screening rate decreased from 61 % in 2008 to 51 % in 2011 (p = 0.05), while for those with an income below 2,500€, it increased from 36 % in 2008 to 44 % in 2011 (p = 0.18). Conclusion A plateau or even a reduction in prostate cancer screening is currently being observed; this is possibly due to progressive recognition among the population at large of the controversy surrounding prostate cancer screening, whereas this speculation was formerly limited to health-care professionals. After previously being more likely to undergo prostate cancer screening, it is the younger, wealthier populations that are currently showing the most noteworthy step backwards.
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Submitted on : Monday, September 27, 2021 - 11:20:42 AM
Last modification on : Sunday, June 26, 2022 - 1:22:38 AM
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F Eisinger, J F Morère, C Touboul, X Pivot, y Coscas, et al.. Prostate cancer screening: contrasting trends. Cancer Causes and Control, Springer Verlag, 2015, 26 (6), pp.949 - 952. ⟨10.1007/s10552-015-0573-9⟩. ⟨inserm-03355208⟩



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