Chin Hai Teo1, Chirk Jenn Ng2, Andrew Booth3, Alan White4. 1. Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. 2. Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. Electronic address: ngcj@um.edu.my. 3. School of Health & Related Research (ScHARR), University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, United Kingdom. 4. Centre for Men's Health, Leeds Beckett University, Calverley 512, City Campus, Leeds, LS1 3HE, United Kingdom.
Abstract
RATIONALE: Men have poorer health status and are less likely to attend health screening compared to women. OBJECTIVE: This systematic review presents current evidence on the barriers and facilitators to engaging men in health screening. METHODS: We included qualitative, quantitative and mixed-method studies identified through five electronic databases, contact with experts and reference mining. Two researchers selected and appraised the studies independently. Data extraction and synthesis were conducted using the 'best fit' framework synthesis method. RESULTS: 53 qualitative, 44 quantitative and 6 mixed-method studies were included. Factors influencing health screening uptake in men can be categorized into five domains: individual, social, health system, healthcare professional and screening procedure. The most commonly reported barriers are fear of getting the disease and low risk perception; for facilitators, they are perceived risk and benefits of screening. Male-dominant barriers include heterosexual -self-presentation, avoidance of femininity and lack of time. The partner's role is the most common male-dominant facilitator to screening. CONCLUSIONS: This systematic review provides a comprehensive overview of barriers and facilitators to health screening in men including the male-dominant factors. The findings are particularly useful for clinicians, researchers and policy makers who are developing interventions and policies to increase screening uptake in men.
RATIONALE: Men have poorer health status and are less likely to attend health screening compared to women. OBJECTIVE: This systematic review presents current evidence on the barriers and facilitators to engaging men in health screening. METHODS: We included qualitative, quantitative and mixed-method studies identified through five electronic databases, contact with experts and reference mining. Two researchers selected and appraised the studies independently. Data extraction and synthesis were conducted using the 'best fit' framework synthesis method. RESULTS: 53 qualitative, 44 quantitative and 6 mixed-method studies were included. Factors influencing health screening uptake in men can be categorized into five domains: individual, social, health system, healthcare professional and screening procedure. The most commonly reported barriers are fear of getting the disease and low risk perception; for facilitators, they are perceived risk and benefits of screening. Male-dominant barriers include heterosexual -self-presentation, avoidance of femininity and lack of time. The partner's role is the most common male-dominant facilitator to screening. CONCLUSIONS: This systematic review provides a comprehensive overview of barriers and facilitators to health screening in men including the male-dominant factors. The findings are particularly useful for clinicians, researchers and policy makers who are developing interventions and policies to increase screening uptake in men.
Authors: Matt C Jackson; Shifan Dai; Renée A Skeete; Michelle Owens-Gary; Michael J Cannon; Bryce D Smith; Rajai Jabrah; Svetlana E Masalovich; Robin E Soler Journal: Diabetes Educ Date: 2020-10-16 Impact factor: 2.140
Authors: Michael Fenstermaker; Sujay Paknikar; Amarnath Rambhatla; Dana A Ohl; Ted A Skolarus; James M Dupree Journal: Curr Urol Rep Date: 2017-09-18 Impact factor: 3.092
Authors: M Amalia Pesantes; Francisco Diez-Canseco; Antonio Bernabé-Ortiz; Vilarmina Ponce-Lucero; J Jaime Miranda Journal: Nutrients Date: 2017-07-05 Impact factor: 5.717
Authors: David Eldred-Evans; Henry Tam; Heminder Sokhi; Anwar R Padhani; Mathias Winkler; Hashim U Ahmed Journal: Nat Rev Urol Date: 2020-07-21 Impact factor: 14.432
Authors: C J Ng; C H Teo; K M Ang; Y L Kok; K Ashraf; H L Leong; S W Taher; Said Z Mohd; Z F Zakaria; P F Wong; C P Hor; T A Ong; H Hussain; Paranthaman V; C W Ng; K Agamutu; M A Abd Razak Journal: Malays Fam Physician Date: 2020-03-18
Authors: Janie Houle; Sophie Meunier; Simon Coulombe; Coralie Mercerat; Isabelle Gaboury; Gilles Tremblay; Francine de Montigny; Lyne Cloutier; Bernard Roy; Nathalie Auger; Brigitte Lavoie Journal: Am J Mens Health Date: 2017-07-02