提高非洲男性前列腺癌筛查的公众意识和实践：范围综述。
Enhancing public awareness and practice of prostate cancer screening among African men: A scoping review.
机构信息
Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein.
出版信息
S Afr Fam Pract (2004). 2023 Jan 17;65(1):e1-e11. doi: 10.4102/safp.v65i1.5621.
BACKGROUND
Prostate cancer (PCa)-related incidence is on the increase, with black South African men presenting disproportionately with aggressive disease. Recent studies show a greater net benefit of prostate-specific antigen (PSA) screening of black men compared with the general population. This scoping review provides an overview of available research on strategies that have enhanced PCa screening awareness and practice in the African setting.
METHODS
Relevant databases were searched to identify 2010-2021 studies. Following scoping review guidelines, data were extracted, summarised and quantitatively analysed.
RESULTS
Of the 21 articles included, 19 were from the United States. Nine were published within the last five years and 14 were pre-test/post-test. Most articles evaluated the effect of health-promoting strategies on awareness and practice of PCa screening among black men. Community-oriented strategies enhanced awareness and practice of PCa screening. Healthcare providers and community members, including PCa survivors, participated in the strategies' planning, development and implementation. Topics that improve PCa knowledge and clear cultural misconceptions were addressed, targeting public spaces unique to these men. Prostate cancer health education methods were diverse, comprehensive, user friendly and culturally sensitive.
CONCLUSION
More research on strategies to enhance PCa screening awareness and practice among African men is needed, as this is scarce. Strategies enhancing PCa screening awareness and practice among African men are community oriented and entail health education methods, topics, presenters and venues. These strategies can be adopted in the South African setting.Contribution: This study recommends strategies to enhance the awareness and practice of PCa screening among African men.
背景
前列腺癌（PCa）的发病率呈上升趋势，南非黑人男性表现出侵袭性疾病的比例不成比例。最近的研究表明，与一般人群相比，PSA 筛查对黑人男性的净获益更大。本范围综述提供了对增强非洲人群中 PCa 筛查意识和实践的策略的现有研究的概述。
方法
搜索相关数据库以确定 2010-2021 年的研究。根据范围综述指南，提取、总结和定量分析数据。
结果
21 篇文章中，19 篇来自美国。9 篇发表于过去五年内，14 篇为预测试/后测试。大多数文章评估了促进健康策略对黑人男性 PCa 筛查意识和实践的影响。以社区为导向的策略提高了黑人男性对 PCa 筛查的意识和实践。医疗保健提供者和社区成员，包括 PCa 幸存者，参与了策略的规划、制定和实施。针对这些男性特有的公共空间，解决了提高 PCa 知识和消除文化误解的主题。前列腺癌健康教育方法多种多样，全面、用户友好且具有文化敏感性。
结论
需要对增强非洲男性对 PCa 筛查意识和实践的策略进行更多研究，因为这方面的研究很少。增强非洲男性对 PCa 筛查意识和实践的策略以社区为导向，涉及健康教育方法、主题、演示者和场所。这些策略可以在南非环境中采用。
贡献
本研究建议了增强非洲男性对 PCa 筛查意识和实践的策略。
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