TY - JOUR
T1 - Prostate care and prostate cancer from the perspectives of undiagnosed men
T2 - A systematic review of qualitative research
AU - Kannan, Ashwini
AU - Kirkman, Maggie
AU - Ruseckaite, Rasa
AU - Evans, Sue M.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Objectives To summarise and evaluate evidence from men who had not been diagnosed with prostate cancer about their perspectives on prostate care and prostate cancer. Design A systematic review of qualitative research, on the perspectives of non-cancerous men regarding prostate cancer prevention and care. Setting A wide range of settings including primary and secondary care. Participants Men from varied demographic backgrounds ranging between 40 to 80 years of age. Data sources Three databases (Ovid MEDLINE, Informit, PsychInfo) and Google Scholar were searched for peer-reviewed papers in English reporting research using qualitative methods (in-depth or semistructured interviews and focus groups). Review methods Thematic analysis using inductive and deductive codes. Thematic synthesis was achieved through iterative open, axial and thematic coding. Results Eight papers (reporting seven studies conducted in Australia, UK and Germany) met inclusion criteria. Four major themes were identified: understanding prostate cancer, masculinity and prostate cancer, barriers to prostate healthcare and managing prostate health. It was reported that men often did not understand screening, prostate anatomy or their prostate cancer risk, and that concerns about masculinity could deter men from seeking health checks. There was evidence of a need to improve doctor-patient communication about case finding. Conclusion Further investigation is required to identify and understand any differences in the perspectives and experiences of men who have not been diagnosed with prostate cancer in metropolitan and regional areas, especially where there may be variations in access to healthcare.
AB - Objectives To summarise and evaluate evidence from men who had not been diagnosed with prostate cancer about their perspectives on prostate care and prostate cancer. Design A systematic review of qualitative research, on the perspectives of non-cancerous men regarding prostate cancer prevention and care. Setting A wide range of settings including primary and secondary care. Participants Men from varied demographic backgrounds ranging between 40 to 80 years of age. Data sources Three databases (Ovid MEDLINE, Informit, PsychInfo) and Google Scholar were searched for peer-reviewed papers in English reporting research using qualitative methods (in-depth or semistructured interviews and focus groups). Review methods Thematic analysis using inductive and deductive codes. Thematic synthesis was achieved through iterative open, axial and thematic coding. Results Eight papers (reporting seven studies conducted in Australia, UK and Germany) met inclusion criteria. Four major themes were identified: understanding prostate cancer, masculinity and prostate cancer, barriers to prostate healthcare and managing prostate health. It was reported that men often did not understand screening, prostate anatomy or their prostate cancer risk, and that concerns about masculinity could deter men from seeking health checks. There was evidence of a need to improve doctor-patient communication about case finding. Conclusion Further investigation is required to identify and understand any differences in the perspectives and experiences of men who have not been diagnosed with prostate cancer in metropolitan and regional areas, especially where there may be variations in access to healthcare.
KW - attitudes or behaviours
KW - health promotion
KW - Victoria
KW - prostatic neoplasms
KW - qualitative research
UR - http://www.scopus.com/inward/record.url?scp=85060815697&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2018-022842
DO - 10.1136/bmjopen-2018-022842
M3 - Review Article
C2 - 30782686
AN - SCOPUS:85060815697
VL - 9
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 1
M1 - e022842
ER -