Asian Oncol Nurs.  2015 Dec;15(4):256-263. 10.5388/aon.2015.15.4.256.

Factors Affecting Prostate Cancer Screening Behavior

• Lee EN
• Park JH
• Kang SG
• Yun S
• Sin KM
• Kim KM

• KMID: 2168734
• DOI: http://doi.org/10.5388/aon.2015.15.4.256

Abstract

PURPOSE
This study was to examine the factors affecting prostate cancer screening behavior in Korean men using the health belief model (HBM).
METHODS
It was a descriptive cross-sectional survey. A total of 121 participants answered questionnaires which included general characteristics, knowledge, and HBM variables related to prostate cancer and prostate cancer screening tests.
RESULTS
Only 18 participants (14.9%) had had a prostate cancer screening test before. Participants who had had a prostate cancer screening test were more likely to perceive lower health status (odds ratio: 0.61 [95% confidence interval: 0.39, 0.93]), higher perceived sensitivity (odds ratio: 3.55 [95% confidence interval: 1.11, 11.36]), and higher self-efficacy (odds ratio: 5.77 [95% confidence interval: 1.51, 22.08]) than participants who had not had a test.
CONCLUSION
We recommend developing an educational program which can increase the level of perceived sensitivity and self-efficacy to involve themselves in prostate cancer screening test actively.

Keyword

Prostatic Neoplasms; Early Detection of Cancer; Men; Health Behavior

MeSH Terms

Cross-Sectional Studies
Early Detection of Cancer
Health Behavior
Humans
Male
Mass Screening*
Prostate*
Prostatic Neoplasms*

Reference

1. Korea Central Cancer Registry Division. National cancer registry statistics (Annual report of cancer statistics in Korea in 2011). Ministry of Health and Welfare;2013.

2. Jung K, Won Y, Kong H, Oh C, Lee DH, Lee JS. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2011. Cancer Res Treat. 2014; 46(2):109–123.

3. Han JH, Yoon SJ, Lee YG. Background and validity of the promotion of prostate-specific antigen based prostate cancer screening to national cancer screening program. Korean J Urol Oncol. 2010; 8(1):1–9.

4. Song SY, Kim SR, Ahn G, Choi HY. Pathologic characteristics of prostatic adenocarcinomas: a mapping analysis of Korean patients. Prostate Cancer Prostatic Dis. 2003; 6(2):143–147.

5. Sirovich BE, Schwartz LM, Woloshin S. Screening men for prostate and colorectal cancer in the United States: does practice reflect the evidence? JAMA. 2003; 289(11):1414–1420.

6. Melia J, Moss S, Johns L. Rates of prostate-specific antigen testing in general practice in England and Wales in asymptomatic and symptomatic patients: a cross-sectional study. BJU Int. 2004; 94(1):51–56.

7. Collin SM, Martin RM, Metcalfe C, Gunnell D, Albertsen PC, Neal D, et al. Prostate-cancer mortality in the USA and UK in 1975-2004: an ecological study. Lancet Oncol. 2008; 9(5):445–452.

8. Schröder FH, Hugosson J, Roobol MJ, Tammela TL, Ciatto S, Nelen V, et al. Screening and prostate-cancer mortality in a randomized European study. N Engl J Med. 2009; 360(13):1320–1328.

9. Park SK, Sakoda LC, Kang D, Chokkalingam AP, Lee E, Shin H, et al. Rising prostate cancer rates in South Korea. Prostate. 2006; 66(12):1285–1291.

10. Rosenstock IM. What research in motivation suggests for public health. Am J Public Health Nations Health. 1997; 03. 50:295–302.

11. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. New York, NY: John Wiley & Sons;2008.

12. Redding CA, Rossi JS, Rossi SR, Velicer WF, Proschaska JO. Health behavior models. Int Electron J Health Educ. 2000; 3(Special issue):180–193.

13. The Korean Urological Oncology Society. Clinical guidelines on prostate carcinoma 2004. Accessed December 13, 2012. http://www.kuos.or.kr./05/05.condition.asp.

14. Faul F, Erdfelder E, Lang A, Buchner A. G^*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191.

15. Radosevich DM, Partin MR, Nugent S, Nelson D, Flood AB, Holtzman J, et al. Measuring patient knowledge of the risks and benefits of prostate cancer screening. Patient Educ Couns. 2004; 54(2):143–152.

16. Boehm S, Coleman-Burns P, Schlenk EA, Funnell MM, Parzuchowski J, Powell IJ. Prostate cancer in African American men: increasing knowledge and self-efficacy. J Community Health Nurs. 1995; 12(3):161–169.

17. Jacobs LA. Health beliefs of first-degree relatives of individuals with colorectal cancer and participation in health maintenance visits: a population-based survey. Cancer Nurs. 2002; 08. 25(4):251–265.

18. Champion VL. Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health. 1999; 22(4):341–348.

19. Choi KS, Park JK. Epidemiologic Characteristics of Prostate Cancer Detection. Korean J Urol Oncol. 2009; 50(11):1054–1058.

20. Ministry of Health and Welfare. Study report for 5 items of cancer screening test to reach to all population in South Korea. Ministry of Health and Welfare;2004.

21. Park KH. Related Factors to Do Prostate Cancer Screening Test [master's thesis]. Seoul: Chung-Ang Univ;2009.

22. Lee HY, Jung Y. Older Korean American men's prostate cancer screening behavior: the prime role of culture. J Immigr Minor Health. 2013; 15(6):1030–1037.

23. Pierce R, Chadiha LA, Vargas A, Mosley M. Prostate cancer and psychosocial concerns in African American men: literature synthesis and recommendations. Health Soc Work. 2003; 11. 28(4):302–311.

24. Hannover W, Kopke D, Hannich HJ. Perceived barriers to prostate cancer screenings among middle-aged men in north-eastern Germany. Public Health Nurs. 2010; 11-12. 27(6):504–512.

25. Lehto RH, Song L, Stein KF, Coleman-Burns P. Factors influencing prostate cancer screening in African American men. West J Nurs Res. 2010; 10. 32(6):779–793.

26. Kim NS, Lee KE. Effecting factors on cancer preventive behaviors for middle aged man/woman. J Korean Acad Fundam Nurs. 2014; 21(1):29–38.

27. Kim MH, Choi SH. Effect of nursing intervention on the knowledge, health beliefs, self-efficacy and rescreening compliance of cervical cancer screening clients. Korean J Women Health Nurs. 2007; 13(3):157–164.

28. Drake BF, Shelton RC, Gilligan T, Allen JD. A church-based intervention to promote informed decision making for prostate cancer screening among African American men. J Natl Med Assoc. 2010; 03. 102(3):164–171.