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Submitted on January 5, 2007
Accepted on April 16, 2007
Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany; Departments of Oncology, Pathology, Pharmacology and Molecular Sciences, Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medical Institutions, Baltimore, MD USA; the Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medical Institutions, Baltimore, MD USA; the James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD USA; Department of Laboratory Medicine, Harvard Medical School and Children's Hospital, Boston, MA USA; Department of Biochemistry and Molecular Biology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of Endocrinology and Metabolism, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA; Division of Toxicology, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
* To whom correspondence should be addressed. E-mail: eplatz{at}jhsph.edu.
Context: Higher testosterone in black compared with white men has been postulated to explain their higher prostate cancer incidence. Previous studies comparing hormone levels by race might have been limited by size, restricted age variation, or lack of representation of the general population.
Objective: To compare serum testosterone, estradiol, and sex hormone binding globulin (SHBG) concentrations among non-Hispanic black, non-Hispanic white, and Mexican-American men.
Design: Cross-sectional study.
Setting: Third National Health and Nutrition Examination Survey (NHANES III).
Participants: 1,413 men, aged 20+ years, attending the morning examination session, 1988-1991.
Measurement: Serum hormones by competitive electrochemiluminescence immunoassays.
Results: After applying sampling weights and adjusting for age, percent body fat, alcohol, smoking, and activity, testosterone concentrations were not different between non-Hispanic blacks (n=363; geometric mean 5.29 ng/mL) and non-Hispanic whites (n=674; 5.11 ng/mL; p>0.05) but was higher in Mexican-Americans (n=376; 5.48 ng/mL). Non-Hispanic blacks (40.80 pg/mL) had a higher estradiol concentration than non-Hispanic whites (35.46 pg/mL; p<0.01) and Mexican-Americans (34.11 pg/mL, p<0.01). Non-Hispanic blacks (36.49 nmol/L) had a higher SHBG concentration than non-Hispanic whites (34.91 nmol/L; p<0.05) and Mexican-Americans (35.04 nmol/L).
Conclusions: Contrary to the postulated racial difference, testosterone concentrations did not differ notably between black and white men. However, blacks had higher estradiol levels. Mexican-Americans had higher testosterone than whites, but similar estradiol and SHBG concentrations. Given these findings, it may be equally, if not more important to investigate estradiol as testosterone in relation to diseases with racial disparity.
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