Gencbas Dercan, Ozdemir Serpil, Yaman Uzumcu Leyla, Bulut Yunus Emre
Department of Public Health Nursing, Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Türkiye.
Department of Public Health, Gulhane Faculty of Medicine, University of Health Sciences, Ankara, Türkiye.
Front Public Health. 2025 Jul 23;13:1535564. doi: 10.3389/fpubh.2025.1535564. eCollection 2025.
Increasing men's knowledge and awareness of breast cancer is aimed at addressing a significant barrier to women's engagement in screening. This study aims to adapt the Breast Cancer Knowledge Test, originally designed for women, for use with men, in order to increase their awareness and support female screening efforts.
This methodological study was conducted with 310 male volunteers. The Davis technique was utilized to evaluate content validity to adapt the Breast Cancer Knowledge Test for males. The construct validity of the scale was evaluated using Tetrachoric Factor Analysis. Kuder Richardson-20 was calculated to determine the reliability of the scale. Item difficulty and discrimination indices were tested using Rasch analysis.
The Content Validity Index value was 0.96. The data was suitable for the factor analysis according to Bartlett's statistics ( = 0.001) and Kaiser-Meyer-Olkin test (test = 0.92). In the tetrachoric factor analysis, there were two subscales, explaining the total variance of 60.94%, and the goodness of fit indices were evaluated as indicating "excellent fit." According to the Rasch analysis, the model was found to be significant ( < 0.05), and the infit and outfit values were within the range of 0.5 to 1.5.
The male version of the Breast Cancer Knowledge Test was a valid and reliable tool for assessing the knowledge level of the Turkish male population regarding female breast cancer. By identifying areas where men lack knowledge, this scale can inform the development of targeted public health and educational initiatives, ultimately improving male engagement in breast cancer awareness and supporting female screening efforts.
提高男性对乳腺癌的认识和了解，旨在消除女性参与筛查的一个重大障碍。本研究旨在对最初为女性设计的乳腺癌知识测试进行改编，使其适用于男性，以提高他们的认识并支持女性的筛查工作。
对310名男性志愿者进行了这项方法学研究。采用戴维斯技术评估内容效度，以改编适用于男性的乳腺癌知识测试。使用四分相关因子分析评估该量表的结构效度。计算库德-理查森-20系数以确定该量表的信度。使用拉施分析测试项目难度和区分度指标。
内容效度指数值为0.96。根据巴特利特统计量（=0.001）和凯泽-迈耶-奥尔金检验（检验值=0.92），数据适合进行因子分析。在四分相关因子分析中，有两个子量表，解释总方差的60.94%，拟合优度指标被评估为“拟合优”。根据拉施分析，模型具有显著性（<0.05），内拟合和外拟合值在0.5至1.5范围内。
男性版乳腺癌知识测试是评估土耳其男性人群对女性乳腺癌知识水平的有效且可靠的工具。通过确定男性缺乏知识的领域，该量表可为有针对性的公共卫生和教育举措的制定提供信息，最终提高男性对乳腺癌的认识并支持女性的筛查工作。
