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The Effect of Testicular Self-Examination Education on Knowledge, Performance, and Health Beliefs of Turkish Men

Abstract

Testicular cancer is the most common cancer among young adult men and easily detected at an early stage by periodic testicular self-examination (TSE); however, health care providers seldom teach TSE, thus opportunities for early detection are missed. We aimed to evaluate the efficacy of TSE education on the knowledge, performance, and health beliefs of Turkish young men. This quasi-experimental follow-up research was conducted on 174 male Health Science university students in Turkey. The data was collected by a modified socio-demographic form and questionnaire, and the Turkish version of Champion Health Belief Model Scale which was performed at two stages: before and 3 months after education. Before education, 66.2% of the students did not know anything about TSE, and the main reason for not to perform TSE was the lack of knowledge prior to education. The results showed a significant increase in the perceived benefits in terms of TSE after education (p < 0.05). Furthermore, a positive improvement in the behavior of the students toward TSE was observed after education. These results indicate that TSE training is effective in young men, but TSE training should be repeated periodically for better efficacy. These results support that health professionals should have a more active role in the training of adult young men in colleges in terms of TSE.

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References

  1. Pinar G, Oksuz E, Beder A, Elbas NO (2011) Reliability and validity of the Turkish adaptation of the Champion’s Health Belief Model Scale at testicular cancer screening. TAD 9(2):89–96

    Google Scholar 

  2. Ugurlu Z, Akkuzu G, Karahan A, Beder A, Dogan N, Okdem S, Kav S (2011) Testicular cancer awareness and testicular self-examination among university students. Asian Pac J Cancer Prev 12(3):695–698

    PubMed  Google Scholar 

  3. Mcglynn KA, Trabert B (2012) Adolescent and adult risk factors for testicular cancer. Nat Rev Urol 9(6):339–349. doi:10.1038/nrurol.2012.61

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Gocgeldi E, Kocak N (2010) Evaluation of the education given to the young adult males about testicular self examination. Gulhane Med J 52(4):270–275

    Google Scholar 

  5. Ugbama HAA, Aburoma HLS (2011) Public awareness of testicular cancer and testicular self-examination in academic environments: a lost opportunity. Clinics (Sao Paulo) 66(7):1125–1128. doi:10.1590/S1807-59322011000700001

    Google Scholar 

  6. Asgar Pour H, Cam R (2014) Evaluation of men’s knowledge, attitude and behavior about testicular self-examination and testicular cancer. F N Nur J 22(1):33–38. doi:10.17672/fnhd.59508

    Google Scholar 

  7. Yılmaz E, Kutlu AK, Cecen D (2009) Sağlık Yüksekokulu Öğrencilerinin Testis Kanseri ve Kendi Kendine Testis Muayenesi ile ilgili Bilgi, Tutum Ve Davranışları. Fırat Sağlık Hiz Derg 4(10):72–85. doi:10.5455/pmb1-1330516108

    Google Scholar 

  8. Gleason AM (2006) Racial disparities in testicular cancer: impact on health promotion. J Transcult Nurs 17:58–64. doi:10.1177/1043659605281980

    Article  PubMed  Google Scholar 

  9. Lechner L, Oenema A, de Nooijer J (2002) Testicular self-examination (TSE) among Dutch young men aged 15–19: determinants of the intention to practice TSE. Health Educ Research 17(1):73–84. doi:10.1093/her/17.1.73

    Article  Google Scholar 

  10. Avci IA, Altinel B (2015) The validity and reliability of health belief scale for testicular cancer self-examination. Am J Mens Health:1–8. doi:10.1177/1557988315611226

  11. Hashemian M, Shokravi FA, Lamyian M, Hassanpour K, Akaberi A (2013) Reliability and validity of the champion’s health belief model scale for mammography among Iranian women with family history of breast cancer. Health Education and Health Promotion (Hehp) 1(3,4):19–31

    Google Scholar 

  12. Akar SZ, Bebis H (2014) Evaluation of the effectiveness of testicular cancer and testicular self-examination training for patient care personnel: intervention study. Health Educ Res 9(6):966–976. doi:10.1093/her/cyu055

    Article  Google Scholar 

  13. Taymoori P, Berry T (2009) The validity and reliability of champion’s health belief model scale for breast cancer screening behaviors among Iranian women. Cancer Nurs 32(6):465–472. doi:10.1097/NCC.0b013e3181aaf124

    Article  PubMed  Google Scholar 

  14. Altinel B, Avci IA (2013) The knowledge, beliefs and practises of university students on testicular cancer and testicular self-examination. TAF Prev Med Bulletin 12(4):365–370. doi:10.5455/pmb.1-1330516108

    Article  Google Scholar 

  15. Ramim T, Mousavi S, Rosatmnia L, Bazyar A, Ghanbari V (2014) Student knowledge of testicular cancer and self-examination in a medical sciences university in Iran. Basic Clinical Cancer Res 6(3):7–11

    Google Scholar 

  16. Rudberg L, Nilsson S, Wikblad K, Carlsson M (2005) Testicular cancer and testicular self-examination: knowledge and attitudes of adolescent Swedish men. Cancer Nurs 28(4):256–262

    Article  PubMed  Google Scholar 

  17. Evans RE, Steptoe A, Wardle J (2006) Testicular self-examination: change in rates of practice in European university students, from 13 countries, over a 10-year period. J of Men’s Health and Gender 3(4):368–372. doi:10.1016/j.jmhg.2006.08.005

    Article  Google Scholar 

  18. Ward KD, Vander Weg MW, Read MC, Sell MA, Beech BM (2005) Testicular cancer awareness and self-examination among adolescent males in a community-based youth organization. Preventive Med 41(2):386–398. doi:10.1016/j.ypmed.2005.02.003

    Article  Google Scholar 

  19. Khadra A, Oakeshott P (2002) Pilot study of testicular cancer awareness and testicular self-examination in men attending two South London general practices. Fam Pract 19(3):294–296. doi:10.1093/fampra/19.3.294

    Article  PubMed  Google Scholar 

  20. Muliira JK, Nalwanga PB, Muliira RS, Nankinga Z (2012) Knowledge, perceived risk and barriers to testicular self-examination among male university students in Uganda. J of Men’s Health 9(1):36–44. doi:10.1016/j.jomh.2011.11.004

    Article  Google Scholar 

  21. Kuzgunbay B, Yaycioglu O, Soyupak B, Kayis AA, Ayan S, Yavascaoglu I (2013) Turkish study Group of Public Awareness in testicular cancer. Public awareness of testicular cancer and self-examination in Turkey: a multicenter study of Turkish Urooncology Society. InUrologic Oncology: Seminars and Original Investigations Elsevier 31(3):386–391. doi:10.1016/j.urolonc.2011.01.020

    Article  Google Scholar 

  22. Onyiriuka AN, Imoebe FE (2013) Testicular self-examination among Nigerian adolescent secondary school boys: knowledge, attitudes and practices. J of Preventive Med and Hygiene 54(3):163–166. doi:10.15167/2421-4248/jpmh2013.54.3.403

    CAS  Google Scholar 

  23. Cenesiz E, Atak N (2007) Türkiye’de saglik inanç modeli ile yapılmıs arastirmalarin degerlendirilmesi. Yüksek Lisans Tezi. Ankara Üniversitesi, Ankara Available from: http://www.scopemed.org/fulltextpdf.php?mno=277

    Google Scholar 

  24. Kilic S, Ucar M, Seymen E, Ince S, Erguvenli O, Yildirim A, Portakal N, Kuru N (2006) Kendi kendine meme muayenesi bilgi ve uygulamasinin GATA egitim hastanesinde gorevli hemsire, hemsirelik ogrencileri ve hastaneye muracaat eden kadin hastalarda arastirilmasi. Gulhane Tip Der 48:200–204 Available from: http://www.scopemed.org/fulltextpdf.php?mno=5320

    Google Scholar 

  25. Karayurt O, Coskun A (2008) Cerit K (2008) Hemsirelerin meme kanseri ve kendi kendine meme muayenesine iliskin inancları ve uygulama durumu. J of Breast Health 1(4):15–20 http://www.thejournalofbreasthealth.com/sayilar/11/buyuk/991.pdf

    Google Scholar 

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Acknowledgements

The authors thank the students of the School of Health.

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Correspondence to Hossein Asgar Pour.

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The authors declare that they have no conflict of interest.

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No specific grant for this research was received from any funding agency in the public, commercial, or not for profit sectors.

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Asgar Pour, H., Kunter, D., Norouzzadeh, R. et al. The Effect of Testicular Self-Examination Education on Knowledge, Performance, and Health Beliefs of Turkish Men. J Canc Educ 33, 398–403 (2018). https://doi.org/10.1007/s13187-016-1132-0

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  • DOI: https://doi.org/10.1007/s13187-016-1132-0

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