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Why do men refuse or attend population-based screening for prostate cancer?

H G Nijs1, M L Essink-Bot, H J DeKoning

  • 1Department of Health Promotion, Municipal Health Services Rotterdam Area, The Netherlands. nijs@ggdzhz.nl

Journal of Public Health Medicine
|November 15, 2000
PubMed
Summary

Men’s decisions about prostate cancer screening are influenced by health knowledge, attitudes, and personal factors. Understanding these motives is key for effective public health outreach regarding cancer detection.

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Area of Science:

  • Urology
  • Public Health
  • Epidemiology

Background:

  • Population-based screening for prostate cancer aims to detect the disease early.
  • Understanding men's motivations for participating or refusing screening is crucial for program effectiveness.

Purpose of the Study:

  • To investigate the reasons behind men's decisions to attend or refuse prostate cancer screening.
  • To analyze these motives in relation to various sociodemographic and health-related characteristics.

Main Methods:

  • Part of the European Randomized Study of Screening for Prostate Cancer (ERSPC) conducted in 1995-1996.
  • Questionnaires were administered to men aged 55-75 years who were invited for screening.
  • Assessed motives, knowledge, attitudes, and urological symptoms (AUA7) in both screening attendees and refusers.

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Main Results:

  • Primary reasons for refusal included lack of urological complaints and fear of pain.
  • Motives for attending were personal benefit, contribution to research, and presence of urological complaints.
  • Refusers were older, less educated, less knowledgeable about prostate cancer, and had fewer urological complaints than attendees.

Conclusions:

  • Motivations for prostate cancer screening participation are multifactorial, involving health complaints, knowledge, attitudes, and sociodemographic factors.
  • Tailored approaches are necessary to effectively engage the general population in screening programs.