Jacobsen Paul B, Lamonde Laurie A, Honour Melissa, Kash Kathryn, Hudson Perry B, Pow-Sang Julio
Moffitt Cancer Center and University of South Florida, Tampa, FL 33612, USA.
Psychooncology. 2004 Feb;13(2):80-5. doi: 10.1002/pon.760.
Men with a positive family history of prostate cancer are known to be at increased risk for the disease; however, relatively little is known about their risk perceptions or screening behavior. To address these issues, the current study examined the relationship of family history of prostate cancer to perceived vulnerability of developing prostate cancer and prostate cancer screening practices. Participants were 83 men with a positive family history of prostate cancer and 83 men with a negative family history of prostate cancer. As predicted, men with a positive family history reported greater (p< or =0.05) perceived vulnerability of developing prostate cancer and stronger intentions to undergo screening (p< or =0.05). They also reported greater past performance of prostate-specific antigen screening and were more likely to request information about prostate cancer (p< or =0.05). Additional analyses indicated that perceived vulnerability mediated the relation between family history and intentions to undergo prostate cancer screening. Findings confirm the increased likelihood of men with a positive family history to undergo prostate cancer screening and suggest that heightened concerns about developing the disease are an important motivating factor.
已知有前列腺癌家族史的男性患该病的风险会增加；然而，对于他们的风险认知或筛查行为却知之甚少。为了解决这些问题，当前的研究考察了前列腺癌家族史与患前列腺癌的感知易感性以及前列腺癌筛查行为之间的关系。参与者包括83名有前列腺癌家族史的男性和83名无前列腺癌家族史的男性。正如所预测的那样，有前列腺癌家族史的男性报告称患前列腺癌的感知易感性更高（p≤0.05），且接受筛查的意愿更强（p≤0.05）。他们还报告称过去进行前列腺特异性抗原筛查的频率更高，并且更有可能索要有关前列腺癌的信息（p≤0.05）。进一步的分析表明，感知易感性介导了家族史与接受前列腺癌筛查意愿之间的关系。研究结果证实了有前列腺癌家族史的男性接受前列腺癌筛查的可能性增加，并表明对患该病的高度担忧是一个重要的驱动因素。
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