Myers R E, Wolf T A, McKee L, McGrory G, Burgh D Y, Nelson G, Nelson G A
Thomas Jefferson University, Department of Medicine, Division of Neoplastic Diseases, Behavioral Epidemiology Section, Philadephia, Pennsylvania, USA.
Cancer. 1996 Aug 1;78(3):471-9. doi: 10.1002/(SICI)1097-0142(19960801)78:3<471::AID-CNCR14>3.0.CO;2-W.
This study assesses whether African American men in Philadelphia are receptive to annual prostate cancer screening. Factors associated with intention to undergo prostate cancer screening are also identified.
The authors randomly selected 218 African American men from the patient population of a large primary care practice in Philadelphia. The men were 40 to 70 years of age and were available for a telephone survey. Responses to survey items defined by the Preventive Health Model were collected from 154 respondents (71%). Univariate and multivariate analyses of screening intention were performed using survey data on sociodemographic background and medical history; knowledge, attitudes, and beliefs about prostate cancer and screening; social support and influence; and, intention to undergo a screening examination.
Overall, 69% of subjects reported that they intended to have annual prostate cancer screening. Logistic regression analyses showed that subject belief in screening efficacy (P=0.0002) were positively and significantly associated with intention to screen.
Findings reported here show that African American men in an urban primary care practice setting are receptive to annual prostate cancer screening and that psychologic and social influence factors are associated with screening intention. The data highlight the need for health care professionals to provide education and advice regarding prostate cancer care to men in this population.
本研究评估费城非裔美国男性是否接受年度前列腺癌筛查。同时确定与接受前列腺癌筛查意愿相关的因素。
作者从费城一家大型初级保健机构的患者群体中随机选取了218名非裔美国男性。这些男性年龄在40至70岁之间，且可接受电话调查。从154名受访者（71%）中收集了对由预防健康模型定义的调查项目的回答。使用关于社会人口背景和病史、对前列腺癌及筛查的知识、态度和信念、社会支持和影响以及接受筛查检查意愿的调查数据，对筛查意愿进行单变量和多变量分析。
总体而言，69%的受试者表示他们打算进行年度前列腺癌筛查。逻辑回归分析表明，受试者对筛查效果的信念（P = 0.0002）与筛查意愿呈正相关且具有显著相关性。
此处报告的研究结果表明，城市初级保健机构中的非裔美国男性接受年度前列腺癌筛查，并且心理和社会影响因素与筛查意愿相关。这些数据凸显了医疗保健专业人员向该人群中的男性提供有关前列腺癌护理的教育和建议的必要性。
