Table 4.
Logistic regression analysis: factors associated with the propensity of GPs to screen asymptomatic men for prostate cancer
Factors | Propensity to screen N (%) | Unadjusted OR (95% CI) | p Value | Adjusted OR (95% CI) | p Value |
---|---|---|---|---|---|
GP characteristics | |||||
Age group | |||||
<40 | 16/47 (34.0) | 1 | 1 | ||
40–60 | 59/115 (51.3) | 2.04 (1.01 to 4.13) | 0.02** | 1.09 (0.33 to 3.62) | 0.88 |
>60 | 22/34 (64.7) | 3.55 (1.41 to 8.97) | 1.82 (0.32 to 10.42) | 0.50 | |
Gender | |||||
Male | 64/128 (50.0) | 1.06 (0.59 to 1.91) | 0.85 | ||
Female | 33/68 (48.5) | 1 | |||
Length of practice (years) | |||||
≤10 | 25/70 (35.7) | 1 | 0.03** | 1 | 0.11 |
11–20 | 43/79 (54.4) | 2.15 (1.11 to 4.16) | 2.44 (0.82 to 7.23) | 0.41 | |
21–30 | 19/30 (63.3) | 3.11 (1.28 to 7.56) | 1.81 (0.44 to 7.47) | 0.68 | |
>30 | 10/17 (58.8) | 2.57 (0.87 to 7.59) | 1.49 (0.23 to 9.54 | ||
Knowledge | |||||
PPV of PSA | |||||
<30% (correct) | 29/54 (53.7) | 1 | 0.55 | ||
Overestimate | 61/124 (49.2) | 0.55 (0.19 to 1.63) | |||
Not sure | 7/18 (38.9) | 0.66 (0.24 to 1.81) | |||
PPV of DRE | |||||
<30% (correct) | 24/50 (48.0) | 1 | 0.61 | ||
Overestimate | 58/111 (52.2) | 0.81 (0.34 to 1.94) | |||
Not sure | 15/35 (42.8) | 0.69 (0.32 to 1.47) | |||
PPV of PSA and DRE | |||||
<50% (correct) | 25/47 (53.2) | 1 | 0.74 | ||
Overestimate | 62/126 (49.2) | 0.68 (0.25 to 1.85) | |||
Not sure | 10/23 (43.4) | 0.79 (0.32 to 1.94) | |||
Consider having a PSA test yourself* | |||||
No | 2/13 (15.4) | 1 | 0.01** | 1 | 0.017** |
Yes | 65/115 (56.5) | 7.3 (1.55 to 34.43) | 6.88 (1.40 to 33.73) |
*Among male participants.
**p<0.05.
GPs, general practitioners; DRE, digital rectal examination; PSA, prostrate-specific antigen; PPV, positive predictive value.