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Analysis of Prostate Cancer Prevention Behavior in Florida Utilizing The 2002 BRFSS Data

Analysis of Prostate Cancer Prevention Behavior in Florida Utilizing The 2002 BRFSS Data. Yussif Dokurugu MPH Candidate April 9, 2004. Outline. Background Purpose Objectives Methodology Results Conclusion Limitations Recommendations Acknowledgement Questions.

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Analysis of Prostate Cancer Prevention Behavior in Florida Utilizing The 2002 BRFSS Data

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  1. Analysis of Prostate Cancer Prevention Behavior in Florida Utilizing The 2002 BRFSS Data Yussif Dokurugu MPH Candidate April 9, 2004

  2. Outline • Background • Purpose • Objectives • Methodology • Results • Conclusion • Limitations • Recommendations • Acknowledgement • Questions

  3. Background & Epidemiological Relevance • Prostate cancer is a malignant tumor of the prostate gland, a walnut-sized organ located in front of the rectum and right below the bladder

  4. Background & Epidemiological Relevance • Prostate Cancer (PC) is the single most common form of tumor • One new case of PC every three minutes • Is present in more than 9 million men

  5. Background & Epidemiological Relevance • Kills one man every 13 minutes • Lacks national awareness • 2003, 15,800 new PC cases in FL • 2,100 cancer deaths in FL

  6. Background & Epidemiological Relevance • Prostate Cancer develops in four stages: • Initiation • Promotion • Progression • Metastasis

  7. Background & Epidemiological Relevance • Symptoms • Frequent urination • Burning with urination • Painful ejaculation • Blood in urine • Stiffness in lower back and hips

  8. Background & Epidemiological Relevance • Risk Factors • Age • Race • Family history • Diet

  9. Background & Epidemiological Relevance • Treatment options • Watchful waiting • Surgery • Radiation • Chemotherapy • Hormonal therapy • Treatment depends on • Confinement of cancer • Stage of cancer • Metastasis of cancer

  10. Purpose To examine the preventive health practices and risk factors among men in Florida that are associated with the incidence of prostate cancer as reported in the Florida BRFSS data.

  11. Objectives • To investigate demographic factors associated with the prostate cancer prevention behaviors • To examine the impact of health insurance and health utilization associated prostate cancer prevention behaviors

  12. MethodologyBRFSS • State-based • Cross-sectional • Non-institutionalized • Adult population over the age of 18 • Developed and supported • Centers for Disease Control and Prevention (CDC)

  13. Methodology • 2002 BRFSS • Utilized state specific data • Statistical Analysis System (SAS) 9.0 • Univariate (Frequencies) • Bivariate comparisons • Multivariate Analysis • Logistic Regression analysis for: • PSA-Test • DR-Exam • Prostate cancer incidence

  14. MethodologyBRFSS • Designed to monitor trends in: • Risk behaviors • Chronic diseases • Prostate cancer conditions • Response rates vary for subgroups • State of Florida rates range from 87 to 98 percent

  15. Demographic Characteristics • Selected population • Florida • Male (18-99) • N=2,437

  16. Demographic Characteristics

  17. Demographic Characteristics

  18. Demographic Characteristics

  19. Demographic Characteristics

  20. Demographic Characteristics

  21. Demographic Characteristics

  22. Demographic Characteristics

  23. Health Characteristic

  24. Health Behavior

  25. Health Utilization

  26. ResultsBivariate Analysis

  27. Results Bivariate Analysis

  28. Results Bivariate Analysis

  29. Results Odds Ratios for factors that affect the probability of being tested and diagnosed for prostate cancer (P<0.05).

  30. Results Odds Ratios for factors that affect the probability of being tested and diagnosed for prostate cancer (P<0.05).

  31. Results Odds Ratios for factors that affect the probability of being tested and diagnosed for prostate cancer (P<0.05).

  32. Results Odds Ratios for factors that affect the probability of being tested and diagnosed for prostate cancer (P<0.05).

  33. Conclusion • The study shows that African American men have higher prostate cancer incidents consistent with other findings • Age, race and education are important risk factors associated with prostate cancer incidence.

  34. Limitations • Non-disease specific data • Analysis of secondary data

  35. Recommendation • Increase awareness of the disease - African American Men - Legislature - General community

  36. Acknowledgements • IPH Faculty & Staff • DR. Folakemi Odedina • ESAP Faculty, Staff & Students • Good Friends • Family

  37. QUESTIONS ????

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