Department of Health Care Services, Elderly Care Program Tonya, Tonya Vocational School, Trabzon University, Trabzon, Türkiye.
Karadeniz Technical University, Faculty of Health Sciences, Public Health Nursing Department, Trabzon, Türkiye.
Support Care Cancer. 2024 Aug 26;32(9):612. doi: 10.1007/s00520-024-08802-x.
This study aimed to examine the relationship between health literacy level and health beliefs and attitudes regarding prostate cancer screening in males aged 40-70 who lived in rural areas and had not been diagnosed with prostate cancer. The sample of the study consisted of 379 men. The data were collected between January and December 2022 using the "Participant Information Form," the "Turkey Health Literacy-32 Scale," and the "Prostate Cancer Screening Health Belief Model Scale." 58% of the participants are between the ages of 40-55. It was determined that 61.2% defined cancer as a fatal disease, only 14.2% had PSA in their blood and 21.6% had DRE. The average health literacy scale total score of the participants is 33.76 ± 11.55. The health literacy level of men was found to be limited in 14.8%. There was a negative relationship between the total scores of the health literacy scale and the susceptibility perception, seriousness perception, and barriers perception sub-dimensions of the Health Belief Model Scale of Cancer Screenings and a positive relationship between the total scores of the Health Literacy Scale and health motivation and benefits perception subdimensions (p < .001). As a result, men living in rural areas should be given individual counseling by health professionals to use screening tests for cancer symptoms and early diagnosis. In addition, men's health literacy levels should be increased by providing planned and regular health education in order to create positive attitudes and perceptions regarding cancer screenings, especially prostate cancer.
本研究旨在探讨农村地区 40-70 岁未被诊断患有前列腺癌的男性的健康素养水平与前列腺癌筛查相关健康信念和态度之间的关系。研究样本由 379 名男性组成。研究数据于 2022 年 1 月至 12 月间通过“参与者信息表”“土耳其健康素养-32 量表”和“前列腺癌筛查健康信念模型量表”收集。参与者的年龄在 40-55 岁之间的占 58%。结果发现，61.2%的参与者将癌症定义为致命疾病，只有 14.2%的参与者血液中存在 PSA，21.6%的参与者进行了 DRE 检测。参与者的平均健康素养量表总分为 33.76±11.55。男性的健康素养水平有限，占 14.8%。健康素养量表总分与癌症筛查健康信念模型量表的易感性感知、严重性感知和障碍感知子维度呈负相关，与健康动机和获益感知子维度呈正相关（p<.001）。因此，应通过健康专业人员为农村地区的男性提供个体咨询，以使用癌症症状筛查测试和早期诊断。此外，应通过有计划和定期的健康教育来提高男性的健康素养水平，以建立对癌症筛查，特别是前列腺癌筛查的积极态度和认知。
