Turkan Sadi, Doğan Faruk, Ekmekçioğlu Ozan, Çolak Aslıhan, Kalkan Mehmet, Şahin Çoşkun
Clinic of Urology, Kastamonu Anadolu Hospital, Kastamonu, Turkey.
Department of Urology, Fatih University School of Medicine, İstanbul, Turkey.
Turk J Urol. 2016 Sep;42(3):134-9. doi: 10.5152/tud.2016.90235.
Our aim was to determine the general knowledge and awareness levels, information sources, and the state of medical check-up for prostate cancer (PCa) and relevant effective factors.
The participants were asked to answer to 14 questions of a questionnaire about age, education, economic and social condition, knowledge about PCa, state of being examined and their related factors. According to demographic characteristics of the participants, levels of awareness about PCa, sources of information, affecting factors and their interrelationships were examined. Two groups were formed according to age (<60 years, >60 years) and variations according to ages were investigated.
Two hundred and ninety-three men with an average age of 57 years (range 40-85) were included in the study. Our findings showed that 68.3% of the participants were thinking that PCa is a frequently seen disease, 88.4% were thinking that it can be treated and 62.8% of men specified that their information sources are doctors. We also found that 60.8% of the participants had not undergone prostate examination and prostate specific antigen (PSA) control. The most reason for not having annual examinations was (44.4%) "negligence". Significantly greater number of men with higher education (high school/university) were highly informed about PCa (p=0.037). Check-up rates were statistically significantly higher among men with intermediate income (p=0.041). Curability of PCa diagnosed at an early stage was acknowledged by statistically higher number of individuals under the age 60 (p<0.05). Health control, prostate examination and/or PSA control rates were higher in men with a family history of PCa and in the group of >60 years.
Although PCa has a high prevalence and mortality rates, personal and social information and sensitivity levels must be increased as it can be treated if diagnosed at an early stage. We think that social and medical impact of the disease can be decreased with the planning of effective methods based on sociocultural and economic factors.
我们的目的是确定前列腺癌（PCa）的一般知识和认识水平、信息来源、医学检查状况以及相关影响因素。
要求参与者回答一份关于年龄、教育程度、经济和社会状况、对PCa的了解、检查状况及其相关因素的问卷中的14个问题。根据参与者的人口统计学特征，检查对PCa的认识水平、信息来源、影响因素及其相互关系。根据年龄（<60岁，>60岁）分为两组，并研究年龄差异。
293名平均年龄为57岁（范围40 - 85岁）的男性纳入研究。我们的研究结果显示，68.3%的参与者认为PCa是一种常见疾病，88.4%的参与者认为它可以治疗，62.8%的男性表示他们的信息来源是医生。我们还发现，60.8%的参与者未进行前列腺检查和前列腺特异性抗原（PSA）检测。未进行年度检查的最主要原因是（44.4%）“疏忽”。受教育程度较高（高中/大学）的男性中，对PCa了解较多的人数显著更多（p = 0.037）。中等收入男性的检查率在统计学上显著更高（p = 0.041）。60岁以下人群中，认为早期诊断的PCa可治愈的人数在统计学上显著更多（p < 0.05）。有PCa家族史的男性以及>60岁组的健康检查、前列腺检查和/或PSA检测率更高。
尽管PCa发病率和死亡率较高，但由于早期诊断可治疗，个人和社会的信息及敏感度水平仍需提高。我们认为，基于社会文化和经济因素制定有效方法，可降低该疾病的社会和医学影响。
