Svensson Linda, Stinesen Bratt Karin, Jiborn Thomas, Börjedahl Anna-Carin, Bratt Ola
Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Urology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Eur Urol Open Sci. 2023 May 2;52:66-71. doi: 10.1016/j.euros.2023.03.012. eCollection 2023 Jun.
There is no national screening programme for prostate cancer in Sweden. Instead, population-based organised prostate cancer testing (OPT) projects are introduced to make information and testing more equal and effective.
To evaluate men's perception of being invited to OPT and of the information in the invitation letter, and whether their perception is influenced by educational level.
A questionnaire was sent out to men invited to OPT in 2020: 600 50-yr-old men in Region Västra Götaland and 1000 50-, 56-, and 62-yr-old men in Region Skåne.
Responses were evaluated on a Likert scale. The chi-square test was used to compare proportions.
A total of 534 men (34%) responded. Almost all considered the OPT concept as very good (84%) or good (13%). Among men not previously undergone a prostate-specific antigen (PSA) test, a larger proportion with nonacademic (53%) than with academic education (41%) responded that the text about disadvantages was very clear ( = 0.03). A similar difference was observed for the text about advantages (68% vs 58%, = 0.09). There was no association between education and searching for more information elsewhere. The low response rate is the main limitation.
Almost all responding men evaluating the invitation letter for OPT were positive about making a personal decision regarding whether or not to have a PSA test. Most were content with the brief information. Men with academic education were somewhat less likely to find the information very clear. This shows a need for further research about how best to describe the advantages and disadvantages of prostate cancer testing.
Almost all men who responded to a questionnaire to evaluate the invitation letter for organised prostate cancer testing were positive about the opportunity to make a personal decision regarding whether or not to have a prostate-specific antigen test.
瑞典没有全国性的前列腺癌筛查项目。取而代之的是，引入了基于人群的有组织的前列腺癌检测（OPT）项目，以使信息和检测更加公平有效。
评估男性对被邀请参加OPT以及邀请函中信息的看法，以及他们的看法是否受教育程度影响。
设计、设置和参与者：向2020年被邀请参加OPT的男性发放了问卷：西约塔兰地区600名50岁男性，斯科讷地区1000名50岁、56岁和62岁男性。
根据李克特量表对回答进行评估。采用卡方检验比较比例。
共有534名男性（34%）做出回应。几乎所有人都认为OPT概念非常好（84%）或良好（13%）。在之前未进行过前列腺特异性抗原（PSA）检测的男性中，非学术教育程度的男性中认为关于缺点的文本非常清晰的比例（53%）高于学术教育程度的男性（41%）（P = 0.03）。关于优点的文本也观察到类似差异（68%对58%，P = 0.09）。教育程度与在其他地方寻找更多信息之间没有关联。低回复率是主要局限性。
几乎所有评估OPT邀请函的回应男性都对就是否进行PSA检测做出个人决定持积极态度。大多数人对简短信息感到满意。受过学术教育的男性认为信息非常清晰的可能性略低。这表明需要进一步研究如何最好地描述前列腺癌检测的优缺点。
几乎所有回复问卷以评估有组织的前列腺癌检测邀请函的男性都对有机会就是否进行前列腺特异性抗原检测做出个人决定持积极态度。
