中年男性担心前列腺癌和风险感知:来自PROBASE试验的结果
Valentin H Meissner1, Andreas Dinkel2, Martina Kron3
1Department of Urology, Klinikum rechts der Isar, School of Medicine and Health, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany. valentin.meissner@tum.de.
Journal of behavioral medicine
|March 5, 2025
概括
担心前列腺癌 (PCa) 和风险感知受到下泌尿道症状 (LUTS) 和PCa家族病史的影响. 这些因素对于与患者进行有效的风险沟通策略至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 心理学 心理学 心理学
背景情况:
- 癌症担忧和风险感知显著影响预防性健康行为.
- 了解影响这些心理方面的因素对于公共卫生倡议至关重要.
- 前列腺癌 (PCa) 查试验为评估风险感知提供了有价值的数据.
研究的目的:
- 评估45岁男性社区样本中前列腺癌的患病率,担忧和风险感知.
- 确定与前列腺癌相关的关键因素,包括担忧,绝对风险感知和比较风险感知.
- 为预防前列腺癌提供风险沟通策略的信息.
主要方法:
- 从德国PCa选试验PROBASE收集的数据.
- 用于变量评估的自我报告问卷和临床访谈.
- 多变量后勤回归分析了与担忧和风险感知相关的因素.
主要成果:
- 7.3%的男性表示担心PCa;3.7%和9.9%的人认为他们的绝对和比较风险分别很高.
- 下尿道症状 (LUTS) 和阳性PCa家族史是PCa担忧和风险感知的重要预测因素.
- 尿道或非尿道癌症的病史与较高的比较风险感知相关.
结论:
- 前列腺癌的担忧和风险感知受到非癌症相关症状的影响,如LUTS.
- 一个积极的PCa家族史是一个强烈的决定性增加的担忧和风险感知.
- 调查结果强调需要将这些影响因素纳入PCa的风险沟通策略.
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