Factors determining men's behavior regarding participation in screening programs for early detection of colorectal cancer: A qualitative analysis

Dejavniki, ki opredeljujejo vedenje moških glede vključitve v presejalni program za zgodnje odkrivanje predrakavih sprememb na debelem črevesu in danki: kvalitativna analiza

Nurses and Midwives Association of Slovenia 2023-12-18

Introduction: The response of men to the SVIT national screening program is still lower than in women. The purpose of qualitive research was to examine the personal factors associated with the low participation of men in the screening and early detection of colorectal cancer program.Methods: The study is based on qualitative methodology. We included nine men aged between 50 and 74 who were invited to participate in the Svit screening program and had experience with it. The data were obtained by conducting semi-structured interviews with these men between May and June 2022. The data were analyzed using the content analysis method.Results: Four themes that define men's perception and behavior that affect their response regarding the screening test were identified 1) Experience of medical care (2) Knowledge, attitudes and beliefs about the Svit screening program (3) Experience of the Svit screening program (4) Influence of the social environment on responsiveness to the Svit screening program.Discussion and conclusion: Findings suggest that the reasons for participating in male cancer screening and early detection programs are diverse and critical for early cancer detection and reduction in mortality rates associated with the disease. The findings of the research have shown that men often experience the white coat syndrome and a negative attitude towards medical examinations. The majority of men experience fear, ignorance, and the need to maintain a "macho image". Further research should include the impact of planned promotion screening programs on men’s response regarding screening programs.
Uvod: Odzivnost moških na Svit, državni program presejanja in zgodnjega odkrivanja predrakavih sprememb in raka na debelem črevesu in danki je še vedno nižja kot pri ženskah. Namen raziskave je bil pridobiti vpogled v osebno perspektivo moških, ki opredeljuje njihovo vedenje glede vključitve v presejalni program za zgodnje odkrivanje predrakavih sprememb na debelem črevesu in danki.Metode: Raziskava temelji na kvalitativni metodologiji. Na namenskem vzorcu devetih moških, starih med 50 in 74 let, ki so bili ciljano povabljeni v presejalni program Svit in so imeli izkušnjo z njim, so bili izvedeni delno strukturirani intervjuji. Raziskava je potekala med majem in junijem leta 2022. Podatki so bili analizirani s tematsko analizo vsebine.Rezultati: S kvalitativno analizo podatkov smo ugotovljene kode razporedili v štiri teme, ki opredeljujejo percepcijo in vedenje moških, kar vpliva na njihov odziv na program presejanja in zgodnjega odkrivanja raka moških: (1) doživljanje zdravstvene oskrbe; (2) znanje, stališča in prepričanja o presejalnem programu Svit; (3) doživljanje presejalnega programa Svit; (4) vpliv družbenega okolja na odzivnost na presejalni program Svit.Diskusija in zaključek: Ugotovitve kažejo, da so vzroki za vključevanje v program presejanja in zgodnjega odkrivanja raka moških različni in so ključnega pomena za zgodnje odkrivanje raka in manjšo umrljivost zaradi bolezni. Ugotovitve raziskave kažejo, da imajo moški prisoten sindrom bele halje in odpora do zdravstvenih pregledov. Pri večini so prisotni strah, neznanje in pomembnost vzdrževanja »mačo imidža«. Nadaljnje raziskovanje bi moralo vključevati vpliv promocije načrtovanih presejalnih programov na odziv moških na presejalni program.

colorectal cancer; screening tests; response; machismo; kolorektalni rak; presejalni testi; odziv; mačizem; info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; original; izvirni

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Slovenian

SKOZN oai:ojs.obzornik.zbornica-zveza.si:article/3216
10.14528/snr.2023.57.4.3216
1439198530

OBZORNIK ZDRAVSTVENE NEGE / SLOVENIAN N
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