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Med J Aust. 1999 Aug 16;171(4):185-8.

Prostate cancer testing: behaviour, motivation and attitudes among Western Australian men.

Author information

  • 1Cancer Foundation of Western Australia, Perth. terry@cancerwa.asn.au

Abstract

OBJECTIVE:

To estimate the proportion of Western Australian men aged 40-80 years who had been tested for prostate cancer, their experiences of screening and perception of its benefit.

DESIGN AND SETTING:

Cross-sectional survey (random telephone survey) of Western Australian men conducted in February 1998.

PARTICIPANTS:

400 men aged 40-80 years from 670 eligible households (60% response rate from contactable households with eligible men).

MAIN OUTCOME MEASURES:

Proportion of respondents tested for prostate cancer (by prostate-specific antigen [PSA] test or digital rectal examination); reasons for having been tested; information provided by the doctor before testing; reasons given for and beliefs about the benefits of testing.

RESULTS:

Of 391 asymptomatic men, 220 (56%) recalled having been tested for prostate cancer and 167 (43%) had had a PSA test. Of those tested, 86% had their first test in the previous five years. The two most common reasons for testing were media publicity and general practitioner recommendation. Thirty-eight per cent of men tested during the previous five years reported that the doctor did not discuss the "pros and cons" of the test; 39% reported a discussion of less than five minutes' duration; 17% were given printed information before undergoing the test for the first time. Half were "very convinced" of the benefits of testing for prostate cancer.

CONCLUSIONS:

Men are being tested for prostate cancer with minimal pretest counselling or written information.

Comment in

PMID:
10494233
[PubMed - indexed for MEDLINE]
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