School of Nursing, the University of Hong Kong, Hong Kong.
Department of Family Medicine and Primary Care, the University of Hong Kong, Hong Kong.
Am J Mens Health. 2021 Sep-Oct;15(5):15579883211051442. doi: 10.1177/15579883211051442.
There are long-standing debates about the benefits of prostate cancer screening. Conflicting trial results and inconsistent recommendations regarding prostate cancer screening in clinical guidelines highlight the importance of patient factors that influence decision making in prostate cancer screening. Attitude is an important factor associated with cancer screening. However, attitudes toward prostate cancer screening among Chinese men are still poorly understood. The objective of the study was to evaluate attitudes toward prostate cancer screening and their association with prostate cancer screening intention among Chinese men. In this community-based study, 340 males were randomly recruited. Three distinct concepts related to prostate cancer screening attitudes were evaluated, including perceived consequences of screening, moral obligation, and anticipated regret. The intention to have prostate cancer screening was asked. Only 5.00% of the study participants had prostate cancer screening before, while 69.71% have an intention to undergo screening in the future. Participants with a high level of anticipated regret also had a high likelihood to have screening in the future, with an adjusted odds ratio (aOR) of 1.82. Participants who had favorable attitudes toward the consequence of participating in prostate cancer screening had a high likelihood to undergo screening, with an aOR of 1.22. Participants who were more concerned about pain and invasion of privacy were less likely to have an intention to have prostate cancer screening, with aORs of 0.53 and 0.57, respectively. To enhance screening intention, public health programs should include components related to anticipated regrets and perceived consequences.
关于前列腺癌筛查的益处一直存在争议。临床试验结果相互矛盾，临床指南对前列腺癌筛查的建议也不一致，这突显了影响前列腺癌筛查决策的患者因素的重要性。态度是与癌症筛查相关的一个重要因素。然而，中国男性对前列腺癌筛查的态度仍知之甚少。本研究旨在评估中国男性对前列腺癌筛查的态度及其与前列腺癌筛查意愿的关系。在这项基于社区的研究中，随机招募了 340 名男性。评估了与前列腺癌筛查态度相关的三个不同概念，包括筛查的预期后果、道德义务和预期遗憾。询问了他们进行前列腺癌筛查的意愿。只有 5.00%的研究参与者之前曾进行过前列腺癌筛查，而 69.71%的参与者有在未来进行筛查的意愿。有较高预期遗憾水平的参与者也更有可能在未来进行筛查，调整后的优势比（aOR）为 1.82。对参与前列腺癌筛查的后果持有利态度的参与者更有可能进行筛查，aOR 为 1.22。对疼痛和隐私侵犯更关注的参与者不太可能有进行前列腺癌筛查的意愿，aOR 分别为 0.53 和 0.57。为了增强筛查意愿，公共卫生计划应包括与预期遗憾和感知后果相关的内容。
