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Prostate Cancer Screening Decisions: Which Aspects Do Men Value Most? An Interview Study With Men Invited to a
Linda Svensson1,2, Ola Bratt1,2, Jonas Hugosson1,2
1Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
American Journal of Men'S Health
|June 23, 2025
Summary
Men
Area of Science:
- Oncology
- Public Health
- Behavioral Science
Background:
- Prostate cancer screening participation is crucial for early detection.
- Understanding men's decision-making factors is key to improving screening uptake.
- Invitation letter content's impact on screening decisions requires further investigation.
Purpose of the Study:
- To explore factors influencing men's decisions regarding prostate cancer screening participation.
- To assess the role of invitation letter information in these decisions.
Main Methods:
- Qualitative content analysis of semi-structured interviews with 18 men (aged 50-62) invited to a prostate cancer screening program.
- Analysis focused on manifest and indicative approaches to understand decision-making processes.
Main Results:
- Invitation letter information was not the primary driver for screening decisions.
- Key decision factors included: perceived authority responsibility, fear (as both motivator and barrier), intuition/social support, and personal risk perception.
- Men struggled to evaluate screening's potential disadvantages.
Conclusions:
- Achieving truly informed decision-making for prostate cancer screening is challenging.
- Further research is needed on risk assessment, perceived pros/cons, and cultural influences to optimize screening information and uptake.
