Kunkel Elisabeth J S, Meyer Birgit, Daskalakis Constantine, Cocroft James, Jennings-Dozier Kathleen, Myers Ronald E
Department of Psychiatry and Human Behavior, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Cancer Epidemiol Biomarkers Prev. 2004 Jan;13(1):78-86. doi: 10.1158/1055-9965.epi-010-3.
This paper reports on behaviors men use to protect themselves against prostate cancer. Data were collected via a telephone or mailed survey from 353 men enrolled in two studies of prostate cancer screening. Respondents reported behaviors they used to protect themselves against prostate cancer, and responses were coded as conventional care, self-care, or nothing. Men who reported using both conventional care and self-care were categorized as conventional care users. Polytomous logistic regression was conducted to evaluate the association between sociodemographic background, prior prostate screening, and cognitive, affective, and social support and influence factors with protective behavior type. The distribution of protective behaviors was as follows: conventional care, 63%; self-care only, 19%; and nothing, 18%. In multivariable analyses, higher education level was found to be positively associated with conventional care use. Perceived salience and coherence of prostate cancer screening was positively associated with conventional care use among men in one of the two studies. Low concern about screening was positively associated with self-care use, as was mailed survey completion. This study presents self-report data regarding prostate cancer protection behaviors. Most men in the study reported using some type of prostate cancer protective behavior. Decision-making about whether or not to take protective action and what type of behavior to use may be influenced by socioeconomic background, cognitive perceptions related to behavioral options, and concern about risk.
本文报告了男性用于预防前列腺癌的行为。数据通过电话或邮寄调查收集，来自参与两项前列腺癌筛查研究的353名男性。受访者报告了他们用于预防前列腺癌的行为，回答被编码为常规护理、自我护理或无。报告同时使用常规护理和自我护理的男性被归类为常规护理使用者。进行了多分类逻辑回归分析，以评估社会人口学背景、既往前列腺筛查以及认知、情感和社会支持与影响因素与保护行为类型之间的关联。保护行为的分布如下：常规护理，63%；仅自我护理，19%；无，18%。在多变量分析中，发现较高的教育水平与常规护理的使用呈正相关。在两项研究中的一项研究中，前列腺癌筛查的感知显著性和连贯性与男性常规护理的使用呈正相关。对筛查的低关注度与自我护理的使用呈正相关，邮寄调查的完成情况也是如此。本研究提供了关于前列腺癌保护行为的自我报告数据。该研究中的大多数男性报告使用了某种类型的前列腺癌保护行为。关于是否采取保护行动以及使用何种行为类型的决策可能受到社会经济背景、与行为选择相关的认知观念以及对风险的关注的影响。
