Rauscher Emily A, Dean Marleah
Department of Communication, Texas A&M University, College Station, TX, USA.
Department of Communication, University of South Florida, Tampa, FL, USA.
Patient Educ Couns. 2018 Feb;101(2):340-345. doi: 10.1016/j.pec.2017.07.015. Epub 2017 Jul 23.
To examine men's approaches to managing BRCA-related cancer risks.
25 Qualitative interviews were conducted with men who are at risk for BRCA-related cancers. Thematic analysis was conducted using the constant comparison.
Qualitative analysis revealed two different approaches for how men managed their BRCA-related cancer risks. Men were engaged when: (1) initially seeking information, (2) uptake of genetic testing, and (3) population screening procedures. Men were passively avoidant for: (1) follow-up information seeking, (2) uptake of genetic testing, and (3) BRCA-specific screening. Men's justifications for engaged risk management were to: (1) protect their family, (2) respond to encouragement from others, and (3) get knowledge for themselves. Their justifications for passively avoidant management were due to: (1) limited access to clear risk information, (2) little fear of cancer development, (3) barriers to testing/screening, and (4) reliance on incomplete illness representations.
Men at risk for developing BRCA-related cancers approached risk management by primarily using a passive avoidance approach. That approach should be interpreted in context with the inconsistent information available to them, and the minimal NCCN guidelines for their risk surveillance.
Findings may assist healthcare providers and family members in helping men manage their BRCA-related cancer risks.
研究男性应对与BRCA相关的癌症风险的方式。
对有患BRCA相关癌症风险的男性进行了25次定性访谈。采用持续比较法进行主题分析。
定性分析揭示了男性应对其BRCA相关癌症风险的两种不同方式。男性在以下情况下积极参与：（1）最初寻求信息时，（2）接受基因检测时，以及（3）进行群体筛查程序时。男性在以下情况下被动回避：（1）后续寻求信息时，（2）接受基因检测时，以及（3）进行BRCA特异性筛查时。男性积极进行风险管理的理由是：（1）保护家人，（2）回应他人的鼓励，以及（3）为自己获取知识。他们被动回避管理的理由是：（1）获取明确风险信息的机会有限，（2）对癌症发展的恐惧较小，（3）检测/筛查存在障碍，以及（4）依赖不完整的疾病认知。
有患BRCA相关癌症风险的男性主要通过被动回避的方式来应对风险管理。这种方式应结合他们可获得的不一致信息以及针对其风险监测的极少的美国国立综合癌症网络（NCCN）指南来进行解读。
研究结果可能有助于医疗保健提供者和家庭成员帮助男性应对其BRCA相关的癌症风险。
