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A review of prostate-specific antigen screening prevalence and risk perceptions for first-degree relatives of men with prostate cancer

McDowell, Michelle, Occhipinti, Stefano, Gardiner, Robert, Baade, Peter, & Steginga, Suzanne (2009) A review of prostate-specific antigen screening prevalence and risk perceptions for first-degree relatives of men with prostate cancer. European Journal of Cancer Care, 18(6), pp. 545-555.

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Abstract

First-degree relatives of men with prostate cancer have a higher risk of being diagnosed with prostate cancer than men without a family history. The present review examines the prevalence and predictors of testing in first-degree relatives, perceptions of risk, prostate cancer knowledge and psychological consequences of screening. Medline, PsycInfo and Cinahl databases were searched for articles examining risk perceptions or screening practices of first-degree relatives of men with prostate cancer for the period of 1990 to August 2007. Eighteen studies were eligible for inclusion. First-degree relatives participated in prostate-specific antigen (PSA) testing more and perceived their risk of prostate cancer to be higher than men without a family history. Family history factors (e.g. being an unaffected son rather than an unaffected brother) were consistent predictors of PSA testing. Studies were characterized by sampling biases and a lack of longitudinal assessments. Prospective, longitudinal assessments with well-validated and comprehensive measures are needed to identify factors that cue the uptake of screening and from this develop an evidence base for decision support. Men with a family history may benefit from targeted communication about the risks and benefits of prostate cancer testing that responds to the implications of their heightened risk.

Impact and interest:

11 citations in Scopus
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12 citations in Web of Science®

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ID Code: 29560
Item Type: Journal Article
Keywords: Family History, Prostate Cancer, Screening, Review
DOI: 10.1111/j.1365-2354.2008.01046.x
ISSN: 0961-5423
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Cancer Diagnosis (111202)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2009 Wiley Blackwell
Deposited On: 22 Jan 2010 07:42
Last Modified: 29 Feb 2012 23:59

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