INTRODUCTIONIn Australia, prostate cancer is the most prevalent cancer in men, with one in seven men diagnosed by the age of 75 years [ 1 ] . Men with a fi rst-degree family history of prostate cancer are at more than double the risk of being diagnosed than men without a family history [ 2,3 ] , although the clinical course is similar for both groups [ 4 ] . Current guidelines on the use of PSA testing for the early detection of prostate cancer recommend that men considering testing should make an informed decision about testing with their health practitioner, taking into account family history [ 5 -12 ] ; with one organisation advising that men with a family history consider testing after the age of 40 years [ 5 ] . However, there is currently little Australian data to inform how this might best occur.While it appears that having a fi rst-degree family history of prostate cancer leads to greater uptake of early detection testing [ 13 ] , rigorous data on this topic is only available from North American studies. However, this data may not be relevant to Australia, where overall testing rates tend to be lower [ 14,15 ] and where public health policies on testing vary [ 5,7,16,17 ] . In addition, key motivations for why men with a family history of prostate cancer may seek testing are not known; and preferred sources of information and support for these men in making a testing decision have not yet been described in the Australian context. With regards to the latter, in North America men rate their healthcare provider as the most important source of information about testing for prostate cancer [ 18 ] . However, discussions about prostate cancer with healthcare providers did not tend to address the ' cons ' of early detection tests.The present study targets these gaps in evidence by applying a case control methodology to examine early detection of prostate cancer testing behaviours, information needs and preferences and
OBJECTIVE• To describe how a family history of prostate cancer infl uences men ' s prostate cancer testing behaviours, information support preferences, and motives for testing.
SUBJECTS AND METHODS• Men with a fi rst-degree family history (239 men) and a comparison sample from the general population of Queensland, Australia (289) aged 40 -65 years, and no prior history of cancer.• Cross-sectional, retrospective survey assessing: prevalence of prostate-specifi c antigen (PSA) testing and digital rectal examination (DRE); discussion of prostate cancer risks and benefi ts with a physician; prostate cancer information needs and preferences; motivations for testing.
RESULTS• Men with a family history were more likely to report: having ever had a PSA test (odds ratio [ OR ] • Most men from both groups did not recall any discussion of the ' cons ' of prostate cancer testing with a doctor.• Men with a family history reported a greater desire for information about prostate cancer prevention than did men without a family history.
CONCLUSIONS• Men with a family history are more concerned about getting pros...