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Full Length
Research Paper
Analysis of perceived benefits and risks for prostate cancer
screening in Saudi Arabia.
Eyad M. Alhelih1,
Danny M. Rabah2, Mostafa A. Arafa3
1Department
of Applied Medical Sciences, RCC, King Saud University,
Riyadh, Saudi Arabia.
2Associate
Professor, Consultant Urologist, Head of Urology Department,
Princess Aljohara Alibrahim Cancer Research Center (
Prostate Cancer Research Chair) , King Khalid University
Hospital, King Saud University, Riyadh, Saudi Arabia.
3Professor
of Epidemiology, Princess Aljohara Alibrahim Cancer Research
Center (Prostate Cancer Research Chair), King Khalid
University Hospital, King Saud University, Riyadh, Saudi
Arabia.
*Corresponding author E -mail:
alhelih@yahoo.com
; Tel: 966-569-188767; Fax: 966-1-4735277- ext 399
Received 25 June, 2010; Accepted 01 August, 2010
This exploratory study examined factors and decisional
balance (DB) that influence participation in prostate cancer
(PCa) screening in Saudi Arabia. The secondary purpose of
the study is to develop the groundwork for future
interventions to support at-risk men, to develop the health
habit of getting a yearly prostate specific antigen (PSA)
and digital rectal examination (DRE). The sample consisted
of 500 Saudi men who resided in Riyadh area. Men completed
two surveys and demographic data was also collected. The
selected factors are demographic (age, race, marital
status), structural (insurance coverage) and behavioral
(screening history). No significant relationships were found
for the factors and outcome for PSA, or DRE intent to
screen. Further analysis utilizing Point Biserial
Correlations for DB, factors and intent to screen with the
PSA shows a result of a significant negative association
between race and DB. A significant positive association was
found for DB and having insurance and for DB and having had
a previous PSA. For DB, factors and DRE intent resulted in a
significant positive association with having insurance
coverage and having had a previous DRE screening.In terms of
research implications, Saudi health care providers should
focus on the recruitment of men, in prostate cancer
awareness and screening. Other roles in research is the
development of reliable and valid assessment survey
questions to measure patient knowledge, attitudes and
cultural beliefs that can identify variations in
individuals' decision making processes and benefits/risk
perception.Implications for the clinical setting include PCa
educational interventions as well as continuing to establish
relationships outside of the clinical setting to coordinate
community health efforts to provide men with resources to
obtain culturally relevant information on the latest PCa
developments.
Keywords: Prostate cancer screening, decisional
balance, perceived benefits, perceived risks, Saudi men. |