Alshammari Sulaiman, Alojayri Raed, AlJehani Muaath, Almuhid Faisal, Alotaibi Omar, Alqahtani Mohammed, AlGhamdi Abdulaziz
Department of Family and Community Medicine, Saudi Society of Men Health, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Student, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2021 Dec;10(12):4423-4430. doi: 10.4103/jfmpc.jfmpc_828_21. Epub 2021 Dec 27.
The evidence showed that prostate cancer (PC) is the second most common malignancy in men globally. Unfortunately, it rarely produces symptoms, and the diagnosis is delayed until the tumor is advanced.
To determine the participants' uptake of prostate cancer screening (PCS). Also, to assess their perceptions regarding PCS. Furthermore, to evaluate the association between patients' knowledge of PC and their beliefs and behaviors towards PCS.
This cross-sectional study recruited men aged older than 40attending the King Khalid University Hospital (KKUH) between October 2020 and March 2021. SMS messages were sent to a random sample of 228 participants, inviting them to participate in an online self-administered questionnaire. The questionnaire consisted of 1- demography and history of PCS; 2- the knowledge questionnaire about PC; 3-the Champion's Health Belief Model (HBM).
Out of the 228 participants, 45.2% were men aged 60 years and above, 54.4% with college degrees and postgraduate studies, and 92.5% were married. The median knowledge score was 5, and the range was 12. Most men (72.4%) had a low knowledge score, and 79.4% of them did not have a previous PCS. Men aged 60 + were more likely to undergo the screening than their counterparts, with values of 0.005. Higher knowledge scores were associated with the perceived benefits of prostate-specific antigen (PSA), digital rectal examination (DRE), and health motivation, values of 0.0001, 0.0001, and 0.02, respectively. PSA and DRE›s perceived barriers were associated with low knowledge scores, values of 0.0001 and 0.003, respectively. A higher probability of PCS participation was associated with the older age group, a value of 0.001. Low participation was associated with perceived barriers of DRE, a value of 0.031.
The majority of the participants had poor knowledge regarding PC and PCS. Only a fifth of the men did PCS. High knowledge was associated with PSA and DRE perceived benefits and health motivation.
有证据表明，前列腺癌（PC）是全球男性中第二常见的恶性肿瘤。不幸的是，它很少产生症状，诊断往往延迟到肿瘤进展期。
确定参与者对前列腺癌筛查（PCS）的接受情况。此外，评估他们对PCS的看法。此外，评估患者对PC的了解与他们对PCS的信念和行为之间的关联。
这项横断面研究招募了2020年10月至2021年3月期间在哈立德国王大学医院（KKUH）就诊的40岁以上男性。向228名参与者的随机样本发送短信，邀请他们参与在线自填问卷。问卷包括：1-人口统计学和PCS史；2-关于PC的知识问卷；3-冠军健康信念模型（HBM）。
在228名参与者中，45.2%为60岁及以上男性，54.4%拥有大学学位和研究生学历，92.5%已婚。知识得分中位数为5，范围为12。大多数男性（72.4%）知识得分较低，其中79.4%以前未进行过PCS。60岁及以上男性比同龄人更有可能接受筛查，P值为0.005。较高的知识得分与前列腺特异性抗原（PSA）、直肠指检（DRE）的感知益处以及健康动机相关，P值分别为0.0001、0.0001和0.02。PSA和DRE的感知障碍与低知识得分相关，P值分别为0.0001和0.003。PCS参与概率较高与年龄较大的组相关，P值为0.001。参与度低与DRE的感知障碍相关，P值为0.031。
大多数参与者对PC和PCS的了解较差。只有五分之一的男性进行了PCS。高知识水平与PSA和DRE的感知益处以及健康动机相关。
