Predictors of prostate cancer screening intention among older men in Jordan

Abstract

Intention to prostate cancer screening (PCS) is one of the major factors affecting the long-term success of population-based PCS programmes. The aim of this study is to explore strong factors linked to intention to PCS among older Jordanian adults using the Health Belief Model (HBM). Data were obtained from Jordanian older adults, aged 40 years and over, who visited a comprehensive health care centre within a ministry of health. A pilot test was conducted to investigate the internal consistency of the Champion Health Belief Model Scale for PCS and the clarity of survey questions. Sample characteristics and rates of participation in PCS were examined using means and frequencies. Important factors associated with intention to PCS were examined using bivariate correlation and standard multiple linear regression analysis. About 13% of the respondents were adherent to PCS over the prior decade. Four out of the seven HBM-driven factors (perceived susceptibility, benefits and barriers to prostate-specific antigen (PSA) test, and health motivation) were statistically significant. Those with greater levels of susceptibility, benefits of PSA test and health motivation and lower levels of barriers to PSA testing were having more intention to participate in PCS. Family history, presence of urinary symptoms, age and knowledge about prostate cancer significantly predicted the intention to PCS. Intervention programmes, which lower perceived barriers to PSA testing and increase susceptibility, benefits of PSA testing and health motivation, should be developed and implemented.

Prostate specific antigen test uptake: a cross sectional study on elderly men in Western Iran

“…In the field of cancer screening test uptake, many studies have underlined the predictive potential of benefits, severity, and cues to action for uptake screening test by men ( [20,35,36], and). Consequently, the results confirm suggestions that the HBM is a suitable theoretical basis for develop of the cancer screening promotion programs [12][13][14][15][16][17].…”

“…The items which assessed determinants of the HBM were derived from the questionnaires of beliefs towards PCa screening behaviors [12][13][14][15][16][17] and in accordance with expert panel comments. The expert panel included five health educators, two health policymakers, two health services manager, one public health expert, and two urologists.…”

“…Furthermore, perceived susceptibility and perceived severity of people refers to their belief based on their vulnerability to PCa [15,16]. The HBM is one of the most commonly used models in the field of PCa screening behaviors [12][13][14][15][16][17]. The objective of current study was to determine prevalence and determinates related to uptake PSA test among sample of Iranian elderly men based on the HBM.…”

“…For example, Bilgili et al [ 12 ] conducted a study on 650 Turkish men aged 40 years old and older and showed that strong positive correlation between knowledge and seriousness perception of PCa. Moreover, several studies have been carried out to assess the HBM determinants predict the PCa screening behaviors and indicated that the when men perceive the benefits of screening behavior, they can defeat the barriers and costs of the behavior through believing in their ability to perform these behaviors (perceived self-efficacy) and uptake test [ 13 , 14 ]. Furthermore, perceived susceptibility and perceived severity of people refers to their belief based on their vulnerability to PCa [ 15 , 16 ].…”

Prostate cancer screening: assessment of knowledge and willingness to screen among men in Obio Akpor LGA, Rivers State, Nigeria

“…Furthermore, in Rivers State there is a paucity of data on the knowledge of prostate cancer among men. Studies that have looked at men's intention to screen for prostate cancer have reported variable findings with screening intentions as high as 86% and as low as 28% [13,14]. This study determined the knowledge and intention for prostate cancer screening in Obio Akpor Local Government Area, Rivers State, Nigeria.…”