Race and the likelihood of localized prostate cancer at diagnosis among men in 4 southeastern states.
OBJECTIVE
To assess the statistical relationship between stage at diagnosis of prostate cancer and racial category in 4 southeastern states.


METHODS
Data from state cancer registries in Florida, Georgia, Kentucky, and Maryland were analyzed using a hierarchical generalized linear model to adjust for both patient-level characteristics and area-based measures of socioeconomic status.


RESULTS
African American men had lower odds of being diagnosed with localized disease than white men in 3 of the 4 state populations. After adjusting for patient- and area-level characteristics, the difference is that odds were statistically significant for men living in Florida (OR, 0.79, 95% CI, 0.73-0.85) but not in Georgia (OR, 0.84; 95% CI, 0.70-1.01), Kentucky (OR, 1.02; 95% CI, 0.82-1.27) or Maryland (OR, 0.91; 95% CI, 0.74-1.12).


CONCLUSIONS
Differences in the likelihood of localized prostate cancer diagnosis between African American and white men in 4 states were not statistically different in 3 states after adjustments for individual and census-level characteristics. Variation in the proportion of men diagnosed with localized disease across states may reflect differences in sample size or real differences between the populations of these states.
Oliver
Mohammed Norman
MN
University of Virginia Health Systems, Department of Family Medicine, Box 800729, Charlottesville, VA 22908, USA. noliver@virginia.edu
Stukenborg
George J
GJ
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D016009:Chi-Square Distribution; D005431:Florida / Q000453:epidemiology; D005845:Georgia / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007629:Kentucky / Q000453:epidemiology; D016013:Likelihood Functions; D016014:Linear Models; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008875:Middle Aged; D011336:Probability; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000208:ethnology*; D012042:Registries; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data*