Objective: identify the association between risk perception for prostate cancer and willingness for a digital rectal examination. Method: cross-sectional analytical study, 361 people participated through a non-probabilistic sampling by convenience. Risk perception was assessed with the health belief model for prostate cancer, a Likert-type scale validated in Mexican population was used for this purpose, and the willingness for a digital rectal examination was determined through a question. The χ2 test was used to explore the relation between the risk perception level for prostate cancer, and willingness to perform a digital rectal examination. or was calculated for the magnitude of association. Results: 13.57% of the participants had a good perception of risk, 33.24% had an inconclusive perception, and 53.19% had a poor perception. 35.18% of the participants were willing for a digital rectal examination, and 64.82% refused. 18.9% of the rectal exams performed were abnormal. There is a statistically significant association between risk perception for prostate cancer, and willingness for a digital rectal examination (p<0.05). Inconclusive and poor risk perception for prostate cancer were risk factors for a digital rectal examination willingness (or=16.72, ci 6.54-42.77, and or=21.5, ci8.62-53.65 respectively), these values were statistically significant. Conclusion: risk perception for prostate cancer can influence men’s decision making, and performance of digital rectal examination. Interventions aimed at patient education are required to increase men’s participation in comprehensive prostate cancer screening.
Objetivo: identificar la asociación entre percepción de riesgo para cáncer prostático y disposición para el tacto rectal. Método: estudio transversal analítico, participaron 361 personas mediante muestro no probabilístico por conveniencia. La percepción de riesgo se evaluó con el modelo de creencias en salud para cáncer prostático, se utilizó para ello una escala tipo Likert validada en población mexicana y la disposición para el tacto rectal mediante una pregunta. Se utilizó la prueba χ2 para explorar la relación entre el grado de percepción de riesgo para cáncer prostático y la disposición para realizar un tacto rectal. Se calculó or para la magnitud de asociación. Resultados: 13.57% de los participantes resultó tener buena percepción de riesgo, 33.24% tuvo percepción no concluyente y 53.19% mala percepción. 35.18% de los participantes tuvo disposición para el tacto rectal y 64.82% se negó. 18.9% de los tactos rectales realizados fue anormal. Existe una asociación estadísticamente significativa entre la percepción de riesgo para cáncer prostático y la disposición para el tacto rectal (p<0.05). La percepción de riesgo para cáncer prostático no concluyente y mala fueron factores de riesgo para disposición del tacto rectal (or=16.72, ic 6.54-42.77 y or=21.5, ic 8.62-53.65 respectivamente), estos valores fueron estadísticamente significativos. Conclusión: la percepción de riesgo para cáncer prostático puede influir en los hombres para la toma de decisiones y la realización del tacto rectal. Se requiere de intervenciones encaminadas a la educación del paciente para incrementar la participación de los hombres en el cribado completo para cáncer prostático.
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