Nguyen Giap Viet, Lee Kyeongmin, Lee Hyeon Ji, Kang EunKyo, Suh Mina, Jun Jae Kwan, Choi Kui Son
Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang, Korea.
National Cancer Control Institute, National Cancer Center, Goyang, Korea.
Cancer Res Treat. 2025 Apr;57(2):539-546. doi: 10.4143/crt.2024.879. Epub 2024 Oct 29.
Research on the prevalence of prostate cancer (PCa) screening and reasons for undergoing screening is limited. We aimed to identify the factors influencing PCa screening behavior and explore the underlying motivations among Korean men.
This cross-sectional study used data from the 2023 Korean National Cancer Screening Survey, which employs a nationally representative random sampling method. This study included 1,784 men aged 40-74 years. The respondents reported their experiences with PCa screening. Multivariable logistic regression analysis was conducted to identify the factors associated with participation in PCa screening.
The lifetime PCa screening rate was 18.6%. Among screening modalities, transrectal ultrasonography was the most frequently used (31.9%), followed by prostate-specific antigen tests (25.6%) and digital rectal examinations (21.5%). The multivariable analysis identified several factors that significantly increased the likelihood of screening participation, including older age, living with a spouse, poor self-reported health, and abstinence from alcohol consumption in the previous 12 months. Men who had undergone colorectal cancer screening were more likely to participate in PCa screening (adjusted odds ratio, 4.01; 95% confidence interval, 2.03 to 7.93) than those who had not. The primary motivations for screening were recommendations from family or social networks (31.9%) and inclusion in health examination packages (24.3%), whereas healthcare provider recommendations (18%) and symptomatic concerns (5.7%) were the least influential.
Our findings highlight the importance of providing evidence-based information for PCa screening recommendations and the need for improved communication and implementation of a shared decision-making approach for PCa screening in Korea.
关于前列腺癌（PCa）筛查患病率及进行筛查原因的研究有限。我们旨在确定影响韩国男性PCa筛查行为的因素，并探究其潜在动机。
这项横断面研究使用了2023年韩国全国癌症筛查调查的数据，该调查采用全国代表性随机抽样方法。本研究纳入了1784名年龄在40 - 74岁的男性。受访者报告了他们的PCa筛查经历。进行多变量逻辑回归分析以确定与参与PCa筛查相关的因素。
终生PCa筛查率为18.6%。在筛查方式中，经直肠超声检查是最常用的（31.9%），其次是前列腺特异性抗原检测（25.6%）和直肠指检（21.5%）。多变量分析确定了几个显著增加筛查参与可能性的因素，包括年龄较大、与配偶同住、自我报告健康状况较差以及在过去12个月戒酒。接受过结直肠癌筛查的男性比未接受过的更有可能参与PCa筛查（调整后的优势比为4.01；95%置信区间为2.03至7.93）。筛查的主要动机是来自家庭或社交网络的建议（31.9%）和包含在健康检查套餐中（24.3%），而医疗保健提供者的建议（18%）和症状担忧（5.7%）的影响最小。
我们的研究结果强调了为PCa筛查建议提供循证信息的重要性，以及在韩国改善PCa筛查的沟通和实施共同决策方法的必要性。
