Barriers to medical help-seeking among older men with prostate cancer

Medina-Perucha, Laura; Yousaf, Omar; Hunter, Myra; Grunfeld, Elizabeth A.

doi:10.1080/07347332.2017.1312661

Cited by 30 publications

(38 citation statements)

References 47 publications

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“…In contrast to evidence reviews in relation to initial health seeking behaviours of men this study did not find gender differences to disclosure; the men reported being just as likely to disclose symptoms of genital oedema to female HCP as to male HCP. This may be because the patient participants were further on in their treatment pathway and had already accommodated to discussion of genital issues with female health professionals.…”

Section: Discussioncontrasting

confidence: 99%

“…However, a limiting factor would be that some men, particularly older men, have been found to be reluctant to discuss and disclose problems of a genital nature, affecting their initial health-seeking behaviours. 22,23 Whilst a pilot study by Sampuro et al 21 found that men with prostate cancer were able to disclose more sensitive information in written than verbal form, this study indicated that using a tool which had patient generated images and vocabulary, the LGUCQ, enabled earlier and more accurate disclosure and helped normalize the experience.…”

Section: Discussionmentioning

confidence: 93%

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The Lymphoedema Genitourinary Cancer Questionnaire in urology follow‐up clinics

Noble-Jones

Thomas

Bose

2018

Int J of Uro Nursing

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Is the Lymphoedema Genitourinary Cancer Questionnaire (LGUCQ) useful to men treated for genitourinary cancer through facilitating symptom disclosure? Lymphoedema can be debilitating and progressive and its association with bladder, prostate, testicular and penile cancer, either as a consequence of treatment or progressive disease is well recognized. However, lymphoedema is generally unrecognized during follow‐up. Research on genitourinary cancer‐related lymphoedema is sparse with a lack of reliable prevalence figures. A lack of empirical understanding of the experiences of these men led to the development of the LGUCQ, a simple two‐sided tool to facilitate self‐reporting of symptoms and difficulties associated with lymphoedema. Related pilot work suggests that written self‐report tools enable men to disclose more sensitive information than they would verbally. However, the LGUCQ had not been formally evaluated in an uro‐oncology department to identify the benefits from the perspective of the patients and health professionals. Thematic analysis of completed LGUCQs and interviews with patients and staff were performed. Emergent themes included the perceived barriers to symptom disclosure, the LGUCQ as facilitator and pragmatic addition, the support needs of patients and health professionals and refinements required for roll out. Issues limiting identification of lymphoedema within uro‐oncology services existed. Findings suggest the inclusion of the LGUCQ within uro‐oncology clinics could lead to earlier identification of lymphoedema. Patients could identify genital oedema problems with the LGUCQ increasing prompt and accurate disclosure and normalizing the experience.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 93%

The Lymphoedema Genitourinary Cancer Questionnaire in urology follow‐up clinics

Noble-Jones

Thomas

Bose

2018

Int J of Uro Nursing

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“…This was in agreement with study conducted by Michelleking et al (2017) which revealed that, men belief that urinary tract symptoms are associated with ageing and that sexual changes are secretive and a taboo. Further this was in consistency with study done on barriers to medical help-seeking practices among older men with prostate cancer which showed that negative attitude towards help seeking behaviors was related to male gender role, fear of the health condition, medical and treatment procedures and embarrassment as a consequence of medical examinations and communication with health and non-health professionals to include disclosure of sexual-related symptoms (Perucha et al (2017). Social cultural factors that influenced health seeking practices among men suffering from LUTS attending surgical outpatient clinic included employment, where by formal employment (p=0.001), being a casual (0.003) and also being a farmer (p=0.002) had statistical significant influence on health seeking practices.…”

Section: Discussionsupporting

confidence: 81%

Social cultural factors influencing health seeking practices among men suffering from lower urinary tract symptoms attending surgical outpatient clinic at a county referral hospital in Kenya

Muriuki

Mbithi²,

Oluchina³

2020

IJANS

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Health seeking practices is critical towards early screening, detection and control of Lower Urinary Tract Symptoms (LUTS) whereby human prostate gland is the major cause of benign prostate hyperplasia (BPH) and prostate cancer (PCA), which mostly accounts for LUTS. Social cultural factors such as cultural beliefs, educational level, income level and religion among many others have a direct influence on health seeking practices both positively and negatively in as far as LUTS are concerned. The researcher explored social cultural factors influencing health seeking practices among men with LUTS attending surgical outpatient clinic at Meru level five hospital (Kenya). De-scriptive cross-sectional study design was used to collect data from 120 men with LUTS, and 4 health workers. Census method was used to select the study participants with questionnaires, interview guide and focused group discussion used as instruments of data collection. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) software version 22, whereas the qualitative data was analyzed using qualitative techniques. Descriptive statistics were computed to generate percentages and frequencies, which were then presented in tables and charts. Logistic regression was used whereby P-values were employed to determine the statistical significance of results with cut off set at (p ≤0.05). Majority (67.0%) of the patients with LUTS were aged between 61-70 years. Also, majority (68.8%) of the respondents had primary level of education, with majority (72.0%) of them being farmers with an income level of below Ksh. 20,000. The study results showed that social cultural factors had statistical significant influence on health seeking practices among men with LUTS.

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“…Researchers ( 13 - 14 ) state that the body’s disease process undermines the maintenance of hegemonic masculinity, as it presents dilemmas in identity, including subordination, passivity, recognition of emotions, and dependence. Specifically in cancer, men reconfigure their physical and social identity and seek to preserve their family masculinity status as much as possible, but liminality is an inevitable process, as biological imbalance reflects directly on social actions by altering male identity.…”

Section: Discussionmentioning

confidence: 99%

Transitory masculinities in the context of being sick with prostate cancer

Araújo

Conceição

Zago

2019

Rev. Latino-Am. Enfermagem

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Objective:to interpret the meanings attributed by men with prostate cancer to the experience regarding their bodies and masculinities during illness.Method:ethnographic research with 17 men, guided by the narrative method and theoretical framework of medical anthropology and masculinities. The information was collected through recorded interviews, direct observation and field diary records, which were analyzed by inductive thematic analysis.Results:men undergo body and identity transformations when they get sick with prostate cancer, transiting through multiple masculinities, resigning their actions, and occupying subordinate positions in relation to other healthy bodies, which are marginalized in their social relationships and allied with regard to establishing their affective relationships.Conclusion:this evidence enhances and deepens the knowledge disclosed in the literature and contributes to the strengthening of nursing care actions when dealing with the sick.

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Barriers to medical help-seeking among older men with prostate cancer

Abstract: The barriers identified in our study strengthen the evidence for the impact of traditional masculinity on help-seeking in men.

Cited by 30 publications

References 47 publications

The Lymphoedema Genitourinary Cancer Questionnaire in urology follow‐up clinics

The Lymphoedema Genitourinary Cancer Questionnaire in urology follow‐up clinics

Social cultural factors influencing health seeking practices among men suffering from lower urinary tract symptoms attending surgical outpatient clinic at a county referral hospital in Kenya

Transitory masculinities in the context of being sick with prostate cancer

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