基于健康信念模型的退休男性前列腺癌筛查知识与信念调查
A Survey of the Knowledge and Beliefs of Retired Men about Prostate Cancer Screening Based on Health Belief Model.
作者信息
Ghodsbin Fariba, Zare Maryam, Jahanbin Iran, Ariafar Ali, Keshavarzi Sareh
机构信息
Community Based Psychiatric Care Research Center, Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
出版信息
Int J Community Based Nurs Midwifery. 2014 Oct;2(4):279-85.
BACKGROUND
Prostate cancer has been reported as the second leading cause of cancer death and the most common cancer diagnosed in men. Since Health Belief Model (HBM) has been intensively used for assessing health beliefs associated with cancer screening behaviors, we aimed to investigate the level of knowledge and health beliefs about prostate cancer screening among retired men.
METHODS
In this descriptive study carried out in 2013, we enrolled 180 men aged 50-70 years who were retired from Shiraz Education Department. Data were collected using three questionnaires including demographic questionnaire, HBM and the Knowledge about Prostate Cancer Screening questionnaires by interviewing the participants.
RESULTS
Our findings showed that 95.6% and 85.6% of the interviewees had no experience of digital rectal examination (DRE) and prostatic-specific-antigen (PSA) testing for prostate cancer screening, respectively. 86.1% of men had no knowledge about such screening. 12.7% of the respondents reported good knowledge scores. 74.4% and 90.5% of them had good health motivation and perceived benefits scores, respectively. 81.6% of them revealed intermediate scores for perceived barriers. Moreover, 32.7% and 7.2% of the subjects reported good severity and susceptibility scores, respectively.
CONCLUSION
Developing an assessment based on HBM could be effective in designing and implementing educational programs by helping to identify the needs and priorities of the target population.
背景
前列腺癌已被报道为癌症死亡的第二大主要原因，也是男性中最常被诊断出的癌症。由于健康信念模型（HBM）已被广泛用于评估与癌症筛查行为相关的健康信念，我们旨在调查退休男性对前列腺癌筛查的知识水平和健康信念。
方法
在2013年进行的这项描述性研究中，我们招募了180名年龄在50 - 70岁之间、从设拉子教育部门退休的男性。通过对参与者进行访谈，使用三份问卷收集数据，包括人口统计学问卷、HBM问卷和前列腺癌筛查知识问卷。
结果
我们的研究结果显示，分别有95.6%和85.6%的受访者没有进行过用于前列腺癌筛查的直肠指检（DRE）和前列腺特异性抗原（PSA）检测。86.1%的男性对这种筛查没有了解。12.7%的受访者报告知识得分良好。他们中分别有74.4%和90.5%的人有良好的健康动机和感知益处得分。81.6%的人显示出感知障碍的中等得分。此外，分别有32.7%和7.2%的受试者报告严重程度和易感性得分良好。
结论
基于健康信念模型开发评估方法，有助于识别目标人群的需求和优先事项，从而有效地设计和实施教育项目。
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