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1.
Prostate ; 82(14): 1315-1321, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35748021

RESUMO

BACKGROUND: Morbidity and mortality from prostate cancer (PCa) are known to vary heavily based on socioeconomic and demographic risk factors. We sought to describe prescreening PSA (prostate-specific antigen) counseling (PPC) rates amongst male-to-female transgender (MtF-TG) patients and non-TG patients using the behavioral risk factor surveillance system (BRFSS). METHODS: We used the survey data from 2014, 2016, and 2018 BRFSS and included respondents aged 40-79 years who completed the "PCa screening" and "sexual orientation and gender identity" modules. We analyzed differences in age, education level, income level, marital status, and race/ethnicity using Pearson's χ2 tests. The association of PPC with MtF-TG status and other patient characteristics was evaluated using multivariate logistic regression. RESULTS: A total of 175,383 respondents were included, of which 0.3% identified as MtF-TG. Overall, 62.4% of respondents reported undergoing PPC. On univariate analysis, PPC rates were lower among MtF-TG respondents when compared to the non-TG group (58.3% vs. 62.4%, p = 0.03). MtF-TG respondents were also more likely to report lower education level (p < 0.01), lower-income level (p < 0.01), and were less likely to be white (p < 0.01) than non-TG respondents. However, multivariate analysis adjusting for these respondent features demonstrated an association between higher income and higher education levels with increased odds of PPC, but no association was demonstrated between MtF-TG status and PPC rates. PPC rates for the MtF-TG and non-TG populations did not change significantly over time. CONCLUSIONS: Although PPC was less frequently reported among MtF-TG respondents than in the non-TG group on univariate analysis, this association was not demonstrated when controlling for confounders, including education and income levels. Instead, on multivariate analysis, low education and income levels were more predictive of PPC rates. Further research is needed to ensure equivalent access to prescreening counseling for patients across the socioeconomic and gender identity spectrum.


Assuntos
Pessoas Transgênero , Aconselhamento , Feminino , Identidade de Gênero , Humanos , Masculino , Programas de Rastreamento , Antígeno Prostático Específico , Pessoas Transgênero/psicologia
2.
J Cyst Fibros ; 18(6): 823-828, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31126899

RESUMO

BACKGROUND: The daily burden of health maintenance for children and families with cystic fibrosis (CF) is immense with respect to time and complexity of care. Infection control practices, specifically nebulizer cleaning and disinfection, are a recommended component of home health care for CF families due to colonization of home respiratory equipment with lung pathogens. To better inform education interventions at our center, we were interested in studying how families' views on infection prevention and awareness of CF Foundation infection prevention and control (IP&C) guidelines correlate with actual home nebulizer care and the presence of microorganisms on their nebulizers. METHODS: Twenty families who have children with CF were surveyed to better understand attitudes toward infection prevention, awareness of CFF IP&C guidelines and nebulizer cleaning and disinfection practices in the home. Their nebulizers were also cultured for microbes to correlate recovery with infection control behaviors. RESULTS: A subset of families recognizes the importance of germ avoidance but do not recognize nebulizer cleaning and disinfection as very important for infection control practices. Decreased frequency of disinfection, but not cleaning, was correlated with the recovery of organisms on the nebulizers. CONCLUSIONS: The study questionnaire results identify a gap between recognizing the importance of infection prevention and consistently implementing CFF IP&C guidelines in the home. This demonstrates the need at our center for new educational interventions to promote cleaning and disinfection of home nebulizers after each use as recommended by the CFF.


Assuntos
Infecções Bacterianas/prevenção & controle , Efeitos Psicossociais da Doença , Fibrose Cística , Desinfecção , Contaminação de Equipamentos/prevenção & controle , Controle de Infecções , Nebulizadores e Vaporizadores , Autocuidado , Administração por Inalação , Atitude , Criança , Fibrose Cística/tratamento farmacológico , Fibrose Cística/psicologia , Desinfecção/métodos , Desinfecção/normas , Saúde da Família , Feminino , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Masculino , Nebulizadores e Vaporizadores/microbiologia , Nebulizadores e Vaporizadores/normas , Avaliação das Necessidades , Autocuidado/métodos , Autocuidado/psicologia
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