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Predictors of participation in risk-based prostate cancer screening

Author

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  • Marie Koitsalu
  • Martin Eklund
  • Jan Adolfsson
  • Mirjam A G Sprangers
  • Henrik Grönberg
  • Yvonne Brandberg

Abstract

Background: Implementation of risk-based prostate cancer screening has been proposed as a means to reduce the harms of PSA screening. Little is known, however, about the factors influencing men’s decision to attend a prostate cancer screening based on a risk assessment. Method: We sent postal invitations with a login to a survey to 10.000 men, three months before invitation to a risk-based prostate cancer screening. Prostate cancer specific worry, prostate cancer-related knowledge, health behaviour, and health related quality of life were used as predictors of subsequent participation. Participation to risk-based prostate cancer screening was defined as providing a blood sample for the STHLM3 trial, a study evaluating a risk-based model that predicts the risk for aggressive prostate cancer. Results: With a response rate of 20%, 1.347 men (70%) participated in ensuing risk-based prostate cancer screening three months later whereas 568 men (30%) declined participation in the STHLM3-study. These decliners reported less worry and feeling less vulnerable to prostate cancer and responded “Do not know” more often than participants when asked questions about prostate cancer knowledge. Participants reported greater benefits of prostate testing (p = 0.0005), less barriers to prostate testing (p

Suggested Citation

  • Marie Koitsalu & Martin Eklund & Jan Adolfsson & Mirjam A G Sprangers & Henrik Grönberg & Yvonne Brandberg, 2018. "Predictors of participation in risk-based prostate cancer screening," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-11, July.
  • Handle: RePEc:plo:pone00:0200409
    DOI: 10.1371/journal.pone.0200409
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