ABSTRACT
Objective
To elucidate trends of prostate-cancer (PCa) screening in gay and bisexual men and
assess the association of sexual orientation with PCa screening in the United States
of America.
Methods
Data for men ≥40 years-old with no history of PCa were collected from the National
Health Interview Survey for the years 2013, 2015, and 2018. Multivariable logistic
regression models were created to determine the associations between sexual orientation
and PCa screening and the discussion of advantages and disadvantages prior to PCa
screening.
Results
Gay men screened for prostate cancer were younger than their straight counterparts
with a median age (IQR) of 58 years (52-66) vs 64 years (56-71). Gay men were more
likely to have undergone a screening PSA test (OR 1.56; 95% CI 1.20-2.02) and discuss
the advantages of PSA testing with the physician prior to the test (OR 1.64; 95% CI
1.22-2.21) when compared to straight men. In yearly analysis, gay men were more likely
to have undergone screening in 2013 (OR 1.65, 95% CI 1.01-2.68) and 2015 (OR 1.95,
95 CI% 1.30-2.91), however, there was no difference when compared to straight men
in 2018 (OR 1.32, 95% CI 0.85-2.04).
Conclusion
Gay men were screened for PCa at a younger age comparted to straight men. They were
also more likely to have undergone PCa cancer screening than straight men between
2013 and 2018. Further study is needed to better understand the role of sexual orientation
in PCa screening and management.
Abbreviations:
aOR (Adjusted odds ratio), AUA (American Urological Association), NHIS (National Health Interview Survey), OR (Odds ratio), PCa (Prostate cancer), PSA (Prostate-specific antigen), US (United States of America)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 07, 2021
Accepted:
July 6,
2021
Received in revised form:
June 27,
2021
Received:
March 24,
2021
Footnotes
Funding: DS and JS are supported by The Frederick J. and Theresa Dow Wallace Fund of the New York Community Trust. JS is supported by the Damon Runyon Cancer Research Foundation Physician Scientist Training Award.
Identification
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