National Healthcare Disparities Report - LDI Health Economist

Efficiency
Figure 7.8. Males age 75 and over who reported having a prostate-specific antigen test or a digital rectal
exam within the last 12 months, by race and income, 2004-2010
100 White
Black
Asian
AI/AN
Other/Missing
100
Poor
Low Income
Middle Income
High Income
75
75
Chapter 7
Percent
50
2008 Achievable
Benchmark: 62%
Percent
50
2008 Achievable
Benchmark: 62%
25
Z
0
2004
2006
2008
2010
25
Z
0
2004
2006
2008
2010
Key: AI/AN = American Indian/Alaska Native.
Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2004-2010.
Denominator: Adult males age 75 and over with no history of prostate cancer.
Note: For this measure, lower rates are better. Data for 2004, 2006, and part of 2008 precede the U.S. Preventive Services Task Force
recommendation against screening men age 75 and over. It should be noted that PSA tests and DREs are provided to this population
for purposes unrelated to prostate cancer screening. Data to determine the purpose of these services were unavailable and all
reported PSA tests and DREs are reflected in the data shown. Data for AI/ANs were statistically unreliable for 2004 and 2006, as were
data for Asians for 2004.
n Between 2004 and 2010, the overall percentage of males age 75 and over who had a PSA test or a
DRE within the last 12 months increased from 71% to 74% (data not shown).
n In all years presented, the percentage of males age 75 and over who had a PSA test or a DRE within
the last 12 months was lower for Blacks than for Whites (Figure 7.8).
n In all years presented, the percentage of males age 75 and over who had a PSA test or a DRE within
the last 12 months was lower for the lowest two income groups than for high-income males.
n In 2008, the top 5 State benchmark for males age 75 and over who had a PSA or DRE exam was
62%. iv There was no evidence of overall movement toward the benchmark, and only poor males had
attained the benchmark.
iv
The top 5 States that contributed to the achievable benchmark are California, Hawaii, Louisiana, New Jersey, and Tennessee.
200 National Healthcare Disparities Report, 2011