Patterns of prostate-specific antigen (PSA) testing in Australian men: the influence of family history
Article first published online: 28 MAR 2012
© 2012 THE AUTHORS. BJU INTERNATIONAL © 2012 BJU INTERNATIONAL
Special Issue: BJU International Australia and New Zealand Supplement
Volume 109, Issue Supplement s3, pages 64–70, April 2012
How to Cite
McDowell, M. E., Occhipinti, S., Gardiner, R. A. and Chambers, S. K. (2012), Patterns of prostate-specific antigen (PSA) testing in Australian men: the influence of family history. BJU International, 109: 64–70. doi: 10.1111/j.1464-410X.2012.11050.x
- Issue published online: 28 MAR 2012
- Article first published online: 28 MAR 2012
- Accepted for publication 10 January 2011
- prostate cancer;
- family history;
- early detection
- • To describe how a family history of prostate cancer influences men's prostate cancer testing behaviours, information support preferences, and motives for testing.
SUBJECTS AND METHODS
- • Men with a first-degree family history (239 men) and a comparison sample from the general population of Queensland, Australia (289) aged 40–65 years, and no prior history of cancer.
- • Cross-sectional, retrospective survey assessing: prevalence of prostate-specific antigen (PSA) testing and digital rectal examination (DRE); discussion of prostate cancer risks and benefits with a physician; prostate cancer information needs and preferences; motivations for testing.
- • Men with a family history were more likely to report: having ever had a PSA test (odds ratio [OR] 4.98; 95% confidence interval [CI] 3.16–7.85), more PSA tests in their lifetimes (b 1.04; se 0.40; 95% CI 0.26–1.82); to have had a DRE (OR 2.23; 95% CI 1.54–3.23); to have spoken to a doctor about prostate cancer (OR 3.72; 95% CI 2.30–6.02); and to have instigated these discussions (OR 1.74; 95%CI 1.13–2.70).
- • Most men from both groups did not recall any discussion of the ‘cons’ of prostate cancer testing with a doctor.
- • Men with a family history reported a greater desire for information about prostate cancer prevention than did men without a family history.
- • Men with a family history are more concerned about getting prostate cancer and are tested more often; however, information needs, discussions about prostate cancer, and motivations for testing are similar to those of all men.
- • There appears to be a disparity between public health approaches that promote informed decision-making and what is happening in practice.