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Prostate Cancer Screening Decisions

Which Aspects Do Men Value Most? An Interview Study With Men Invited to a Population-Based Program

Dados Bibliográficos

ID21748951
AutoresLinda Svensson (0000-0001-8661-8095, Sahlgrenska University Hospital, autor correspondente), Ola Bratt (0000-0002-9198-9445, Sahlgrenska University Hospital), Jonas Hugosson (0000-0002-2324-2817, Sahlgrenska University Hospital), Karin Stinesen (University of Gothenburg)
Ano2025
Volume19
Fascículo3
Páginas15579883251344563-15579883251344563
Data de publicação2025-05-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoAmerican Journal of Men s Health (JOURNAL)
Identificadores do periódicoISSN: 1557-9883 • E-ISSN: 1557-9891
EditoraSAGE Publications (PUBLISHER • US)
DOI10.1177/15579883251344563
PMID40548674
OpenAlexW4411559934
IdiomaEN
Referências citadas32

This study explores aspects that men consider when deciding whether to participate in a prostate cancer screening program and how the information in the invitation letter contributed to their decision. Semi-structured interviews were conducted with 50- to 62-year-old men invited by letter to a population-based prostate cancer screening program. Data from transcribed interviews were analyzed using qualitative content analysis using manifest and indicative approaches. Eighteen men were interviewed, 10 whom chose to be tested, and 8 who declined screening. The information in the invitation letter was not decisive for whether men chose to be tested or not. The aspects that the men valued in their personal decision to participate or refrain from screening were categorized as (a) the expectation that authorities should take responsibility and provide guidance; (b) fear, which was described as both a driving force and a barrier; (c) reliance upon intuition combined with seeking social and emotional support; (d) the perception of one’s own risk of being affected. Men who relied on risk assessment mentioned difficulties in evaluating the information about the potential disadvantages of screening. Our findings suggest that the intention of informed decision-making for prostate cancer screening is difficult to fully realize. Further research is needed to understand how the individual decision-making process is influenced by factors such as assessment of personal risk, perception of advantages and disadvantages, and cultural background, and to optimize the information to the invited men

Cancer · Cancer screening · Environmental health · Family medicine · Gynecology · National Health Interview Survey · Population · Prostate cancer · Prostate cancer screening · Prostate-specific antigen · Colorectal Cancer Screening and Detection · Computer Science · Global Cancer Incidence and Screening · Medicine · Prostate Cancer Diagnosis and Treatment · Psychology · Gerontology · Internal Medicine

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