Patterns of prostate-specific antigen (PSA) testing in Australian men: the influence of family history
MetadataShow full item record
OBJECTIVE 堔o describe how a family history of prostate cancer infl uences men ' s prostate cancer testing behaviours, information support preferences, and motives for testing. SUBJECTS AND METHODS 堍en with a fi rst-degree family history (239 men) and a comparison sample from the general population of Queensland, Australia (289) aged 40 - 65 years, and no prior history of cancer. 堃ross-sectional, retrospective survey assessing: prevalence of prostate-specific antigen (PSA) testing and digital rectal examination (DRE); discussion of prostate cancer risks and benefi ts with a physician; prostate cancer information needs and preferences; motivations for testing. RESULTS 堍en with a family history were more likely to report: having ever had a PSA test (odds ratio [ OR ] 4.98; 95% confi dence interval [ CI ] 3.16 - 7.85), more PSA tests in their lifetimes ( b 1.04; SE 0.40; 95% CI 0.26 - 1.82); to have had a DRE (OR 2.23; 95% CI 1.54 - 3.23); to have spoken to a doctor about prostate cancer (OR 3.72; 95% CI 2.30 - 6.02); and to have instigated these discussions (OR 1.74; 95%CI 1.13 - 2.70). 堍ost men from both groups did not recall any discussion of the ' cons ' of prostate cancer testing with a doctor. 堍en with a family history reported a greater desire for information about prostate cancer prevention than did men without a family history. CONCLUSIONS 堍en with a family history are more concerned about getting prostate cancer and are tested more often; however, information needs, discussions about prostate cancer, and motivations for testing are similar to those of all men. 堔here appears to be a disparity between public health approaches that promote informed decision-making and what is happening in practice.
British Journal of Urology International
Psychology not elsewhere classified