Arafa Mostafa A, Rabah Danny M, Wahdan Iman H
Department of Urology/Surgery, Faculty of Medicine, King Saud University, Egypt.
Asian Pac J Cancer Prev. 2012;13(9):4321-6. doi: 10.7314/apjcp.2012.13.9.4321.
The current study aimed at exploring the knowledge and beliefs of men aged forty years and over towards prostate cancer screening and early detection in three Arab countries. The field work was conducted in three countries; Saudi Arabia, Egypt and Jordan, during the period February through December 2011. Our target population were men aged 40 years and over. It was a population-based cross sectional study comprising 400 subjects at each site. In addition to socio-demographic data, history of the present and past medical illness, practice history of prostatic cancer examination, family history of cancer prostate; participants were inquired about their knowledge and attitude towards prostate cancer and screening behavior using two different likert scales. The percentage of participants who practiced regular prostate check up ranged from 8-30%. They had poor knowledge and fair attitude towards prostate cancer screening behavior, where the mean total knowledge score was 10.25±2.5, 10.76±3.39 and 11.24±3.39 whereas the mean total attitude score was 18.3±4.08, 20.68±6.4 and 17.96±5.3 for Saudi Arabia, Egypt and Jordan respectively. The respondents identified the physicians as the main sources of this information (62.4%), though they were not the main motives for regular checkup. Knowledge was the only significant predictor for participants' attitude in the multiple regression models. Participants' attitudes depends mainly on level of knowledge and quantity of information provided to the patients and their families. Such attitudes should rely on a solid background of proper information and motivation from physicians to enhance and empower behaviors towards prostate cancer screening practices.
当前的研究旨在探索40岁及以上男性对三个阿拉伯国家前列腺癌筛查和早期检测的知识与信念。实地调查于2011年2月至12月期间在沙特阿拉伯、埃及和约旦这三个国家进行。我们的目标人群是40岁及以上的男性。这是一项基于人群的横断面研究，每个地点有400名受试者。除了社会人口统计学数据、当前和过去的病史、前列腺癌检查的实践史、前列腺癌家族史外，还使用两种不同的李克特量表询问了参与者对前列腺癌的知识、态度以及筛查行为。定期进行前列腺检查的参与者比例在8%至30%之间。他们对前列腺癌筛查行为的知识掌握较差，态度一般，沙特阿拉伯、埃及和约旦的平均总知识得分分别为10.25±2.5、10.76±3.39和11.24±3.39，而平均总态度得分分别为18.3±4.08、20.68±6.4和17.96±5.3。受访者将医生视为该信息的主要来源（占62.4%），尽管医生并非定期检查的主要动机。在多元回归模型中，知识是参与者态度的唯一重要预测因素。参与者的态度主要取决于知识水平以及提供给患者及其家属的信息量。这种态度应该基于医生提供的适当信息和激励的坚实背景，以增强和促进前列腺癌筛查实践的行为。
