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Complete Health Indicator Report of Prostate Cancer Screening

Definition

The percentage of men aged 40 and above who reported having a prostate-specific antigen (PSA) test in the last five years or who reported ever having had a PSA test.

Numerator

The number of men aged 40 and above who reported having had a PSA test within the specified time period.

Denominator

The total number of male survey respondents aged 40 or older excluding those who responded "don't know" or "refused" to the numerator question.

Data Interpretation Issues

To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Why Is This Important?

Prostate cancer is the most commonly occurring form of cancer (excluding skin cancer) among men and is the second leading cause of cancer death for men in Utah and the U.S. All men over 40 should visit their doctor for a routine health visit which may include a discussion on prostate health.

How Are We Doing?

In 2016, 47.4 percent of Utah men aged 40 and older reported ever receiving a prostate-specific antigen (PSA) test (age-adjusted rate). Since 2010, PSA testing has been declining which is expected since routine testing is no longer recommended (see Evidence-based Practices section). PSA testing rates in Utah increased significantly with age. For example, 16.9 percent of men aged 40 to 49 had ever had a PSA compared with 56.4 percent of men aged 50 to 64 (2012-2016 data). From 2012-2016 Hispanic men were less likely then non-Hispanic men to report ever having had a PSA test (37.3 percent compared with 49.7 percent).

How Do We Compare With the U.S.?

Historically, since 2002 rates of prostate-specific antigen (PSA) in the Utah male population have shown little difference in comparison to U.S. rates. However, in 2012 and 2014, Utah males aged 40 and older were less likely to have ever had a PSA test than U.S. males of the same age (47.6 percent of Utah males compared with 53.8 percent of U.S. males in 2014).

Evidence-based Practices

Screening recommendations have changed over time. Until recently, many doctors and professional organizations encouraged yearly prostate-specific antigen (PSA) screening for men beginning at age 50. However, as more has been learned about both the benefits and harms of prostate cancer screening, a number of organizations have begun to caution against routine population screening. Although some organizations continue to recommend PSA screening, there is widespread agreement that any man who is considering getting tested should first be informed in detail about the potential harms and benefits. Currently, Medicare provides coverage for an annual PSA test for all Medicare-eligible men age 50 and older. Many private insurers cover PSA screening as well. Since 2012, the U.S. Preventive Services Task Force (USPSTF) recommends against PSA-based screening for prostate cancer. Healthy diet, exercise, and lifestyle play an important role in cancer prevention.


Related Indicators

Related Relevant Population Characteristics Indicators:




Graphical Data Views

Men Aged 40+ Who Reported Ever Having a PSA Test by Year, Utah and U.S., 2002-2016

::chart - missing::
confidence limits

BRFSS Utah vs. U.S.YearAge-adjusted Percentage of Men Aged 40+Lower LimitUpper Limit
Record Count: 16
UT Old Methodology200264.4%61.0%67.8%
UT Old Methodology200458.2%55.3%61.0%
UT Old Methodology200660.1%57.5%62.7%
UT Old Methodology200860.7%58.0%63.4%
UT Old Methodology201062.5%60.6%64.4%
US Old Methodology200261.8%61.1%62.5%
US Old Methodology200461.3%60.7%61.9%
US Old Methodology200659.3%58.7%59.9%
US Old Methodology200864.0%63.5%64.5%
US Old Methodology201064.2%63.7%64.7%
UT New Methodology201061.6%59.7%63.5%
UT New Methodology201251.6%49.7%53.4%
UT New Methodology201447.6%46.0%49.2%
UT New Methodology201647.4%45.4%49.5%
US New Methodology201255.1%54.5%55.7%
US New Methodology201453.8%53.2%54.4%

Data Notes

Age-adjusted to U.S. 2000 standard population. Old Methodology: Previous BRFSS methodology used "post-stratification" which was used to weight data by age, gender, and local health district (LHD). New Methodology: To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. It began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. With raking, education, race/ethnicity, marital status, home ownership/renter, and telephone source are included in the weighting procedure. Due to changes in sampling and weighting methodology, data from the new methodology represents a new baseline, and comparisons from new to old methodology data are not appropriate.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Men Aged 40+ Who Reported Ever Having a PSA Test by LHD, Utah, 2014 and 2016

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confidence limits

Local Health DistrictAge-adjusted Percentage of Men 40+Lower LimitUpper Limit
Record Count: 14
Bear River47.6%42.9%52.3%
Central50.5%45.2%55.9%
Davis County48.9%45.2%52.6%
Salt Lake County46.6%44.2%49.0%
San Juan34.9%20.4%52.9%
Southeast47.6%39.5%55.9%
Southwest47.4%42.9%51.9%
Summit54.7%47.4%61.8%
Tooele48.1%40.9%55.4%
TriCounty46.3%39.8%52.9%
Utah County49.0%45.8%52.4%
Wasatch51.2%45.4%57.0%
Weber-Morgan45.7%41.5%50.0%
State of Utah47.5%46.2%48.8%

Data Notes

Age-adjusted to the U.S. 2000 standard population. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Men Aged 40+ Who Reported Ever Having a PSA Test by Age, Utah, 2012, 2014, 2016

::chart - missing::
confidence limits

Age GroupPercentage of Men Aged 40+Lower LimitUpper Limit
Record Count: 3
Age 40-4916.9%15.2%18.8%
Age 50-6456.4%54.4%58.3%
Age 65+78.8%77.0%80.4%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Men Aged 40+ Who Reported Ever Having a PSA Test by Ethnicity, Utah, 2012, 2014, 2016

::chart - missing::
confidence limits

Hispanic EthnicityAge-adjusted Percentage of Men 40+Lower LimitUpper Limit
Record Count: 3
Hispanic37.3%32.2%42.7%
Non-Hispanic49.7%48.7%50.8%
All Utahns48.8%47.8%49.9%

Data Notes

Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Men Aged 40+ Who Reported Ever Having a PSA Test by Race, Utah, 2012, 2014, 2016

::chart - missing::
confidence limits

RaceAge-adjusted Percentage of Men 40+Lower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan45.2%36.2%54.6%
Asian42.8%34.6%51.4%
Black41.2%27.7%56.2%
Pacific Islander38.7%22.4%58.1%
White49.7%48.6%50.7%
All Races48.8%47.8%49.9%

Data Notes

Age-adjusted to the U.S. 2000 standard population based on 3 age groups: 40-49, 50-64 and 65+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Men Aged 40+ Who Reported Ever Having a PSA Test by Education, Utah, 2012, 2014, 2016

::chart - missing::
confidence limits

Education LevelAge-adjusted Percentage of Men Aged 40+Lower LimitUpper Limit
Record Count: 5
Less Than High School33.0%28.3%38.1%
H.S. Grad or G.E.D.44.7%42.4%47.0%
Some Post High School48.6%46.7%50.5%
College Graduate55.1%53.6%56.5%
Total48.8%47.8%49.9%

Data Notes

Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Men Aged 40+ Who Reported Ever Having a PSA Test by Income, Utah, 2012, 2014, 2016

::chart - missing::
confidence limits

Income CategoryAge-adjusted Percentage of Men Aged 40+Lower LimitUpper Limit
Record Count: 5
<$25,00039.2%36.2%42.4%
$25,000-$49,99945.6%43.1%48.2%
$50,000-$74,99950.1%47.7%52.5%
$75,000+55.0%53.5%56.6%
Total48.8%47.8%49.9%

Data Notes

Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

Cancer Society: [http://www.cancer.org][[br]] National Cancer Institute: [http://www.cancer.gov][[br]] Huntsman Cancer Institute: [http://www.huntsmancancer.org][[br]] Utah Cancer Control Program: [http://www.cancerutah.org][[br]] Utah Cancer Action Network: [http://www.ucan.cc]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/27/2018, Published on 02/07/2019
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 18 June 2019 13:41:25 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 7 Feb 2019 15:25:18 MST