ArticleMedical care2012
The influence of stress, depression, and anxiety on PSA screening rates in a nationally representative sample.
Article in Medical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 28 citations in OpenAlex.
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- Assessment of prostate cancer awareness and screening knowledge among men in Najran, Saudi Arabia: a cross-sectional study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025Article
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- Adolescent sources of stress, stress levels, and associations between stress and changes in weight outcomes at the time of COVID-19 related school closure in March 2020.Preventive medicine reports · 2023Article
- Circadian Rhythm Disruption as a Contributor to Racial Disparities in Prostate Cancer.Cancers · 2022Review
- Copy number variation of urine exfoliated cells by low-coverage whole genome sequencing for diagnosis of prostate adenocarcinoma: a prospective cohort study.BMC medical genomics · 2022Article
- Prostate-Specific Antigen Screening According to Health Professional Counseling and Age in the United States.Prostate cancer · 2022Article
- Psychosocial Correlates of Experience and Intention to Receive Colorectal Cancer Screening: A Cross-Sectional Study Among East African Men in the U.S.The journal of primary prevention · 2021Article
- Is there any association between prostate-specific antigen screening frequency and uptake of active surveillance in men with low or very low risk prostate cancer?BMC urology · 2019Article
- Chronic inflammatory diseases, anti-inflammatory medications and risk of prostate cancer: a population-based case-control study.BMC cancer · 2019Observational
- Surveillance for Late Effects in Childhood Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Review
- Factors associated with prostate specific antigen testing in Australians: Analysis of the New South Wales 45 and Up Study.Scientific reports · 2018Article
- Mode of prostate cancer detection is associated with the psychological wellbeing of survivors: results from the PiCTure study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Baseline and follow-up association of the MAX-PC in Men with newly diagnosed prostate cancer.Psycho-oncology · 2015Article
- Cancer Mortality in People Treated with Antidepressants before Cancer Diagnosis: A Population Based Cohort Study.PloS one · 2015Article
- Prostate specific antigen testing is associated with men's psychological and physical health and their healthcare utilisation in a nationally representative sample: a cross-sectional study.BMC family practice · 2014Article
- Daily hassles' role in health seeking behavior among low-income populations.American journal of health behavior · 2014Article
- Sexual Obligation and Perceived Stress: A National Longitudinal Study of Older Adults.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundProstate-specific antigen (PSA) testing for prostate cancer is controversial, with concerning rates of both overscreening and underscreening. The reasons for the observed rates of screening are unknown, and few studies have examined the relationship of psychological health to PSA screening rates. Understanding this relationship can help guide interventions to improve informed decision-making for screening.
methodsA nationally representative sample of men 57-85 years old without prostate cancer (N = 1169) from the National Social life, Health and Aging Project was analyzed. The independent relationship of validated psychological health scales measuring stress, anxiety, and depression to PSA testing rates was assessed using multivariable logistic regression analyses.
resultsPSA screening rates were significantly lower for men with higher perceived stress [odds ratio (OR) = 0.76, P = 0.006], but not for higher depressive symptoms (OR = 0.89, P = 0.22) when accounting for stress. Anxiety influences PSA screening through an interaction with number of doctor visits (P = 0.02). Among the men who visited the doctor once those with higher anxiety were less likely to be screened (OR = 0.65, P = 0.04). Conversely, those who visited the doctor 10+ times with higher anxiety were more likely to be screened (OR = 1.71, P = 0.04).
conclusionsPerceived stress significantly lowers PSA screening likelihood, and it seems to partly mediate the negative relationship of depression with screening likelihood. Anxiety affects PSA screening rates differently for men with different numbers of doctor visits. Interventions to influence PSA screening rates should recognize the role of the patients' psychological state to improve their likelihood of making informed decisions and improve screening appropriateness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.