title: Race and the likelihood of localized prostate cancer at diagnosis among men in 4 southeastern states.
abstract: 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.
authors.affiliation: University of Virginia Health Systems, Department of Family Medicine, Box 800729, Charlottesville, VA 22908, USA. noliver@virginia.edu
authors.forename: Mohammed Norman
authors.initials: MN
authors.lastname: Oliver
authors.forename: George J
authors.initials: GJ
authors.lastname: Stukenborg
mesh_terms: 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*