Prevalence and associated risk factors of prostate cancer among a large Chinese population

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Abstract

Prostate cancer (PCa) is one of the most important health problems among elderly in China, with the increasingly serious problem of aging. A cross-sectional survey was conducted in eastern China from 2022 to 2023. Recruitment included a total of 70342 participants aged 60 or older. Socio demographic profiles, examinations were administrated. Age-standardised prevalence rates were calculated by a direct method with a standard population. T test and chi-square test were used to compare the statistical differences. Multivariate regression models were used to identify the risk factors of PCa. Overall, the crude and age-adjusted PCa prevalence is 0.93% and 0.91%, respectively in eastern China. When we adjusted all the co-variables, it showed that elderly, smoking, having a higher BMI, smoking were associated with PCa. Faced with the epidemiological transition, we need innovative strategies to control and prevent PCa. Conducting early screening among male population in community health service centers in eastern of China, especially among population with high associated risk factors, such as elderly, overweight or obese and so on, and conducting community-based intervention programs might be helpful to address this serious problem.

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