Knowledge, Attitude and Practice Regarding Testicular Cancer and Testicular Self-Examination among Non-Health Sciences Male Undergraduate Students
DOI:
https://doi.org/10.31436/ijcs.v8i2.431Keywords:
Testicular, Cancer, Self-examination, Students, UniversitiesAbstract
Background: The incidence and late detection of testicular cancer in Malaysia are increasing with young adult as susceptible population. Testicular self-examination is a tool that can detect testicular cancer early. The practice of testicular self-examination among university students worldwide is disappointing. In Malaysia, the awareness on testicular cancer and testicular self-examination among university students is underreported. This study aimed to identify the level of knowledge, attitude and practice, and their associations among non-health sciences male undergraduate students in a university in Malaysia.
Methods: A cross-sectional study was conducted among 253 eligible respondents who were recruited using stratified random sampling. A self-administered questionnaire was used to collect the knowledge, attitude and practice data on testicular cancer and testicular self-examination. The descriptive data were presented in frequency and percentage. The associations between the variables were analyzed using Chi-square test.
Results: Majority of respondents have poor knowledge (53.4%), unfavorable attitude (53%) and not practicing testicular self-examination (76.7%). Chi-square test showed that these variables were significantly associated with each other (p<0.05). The analysis also showed a significant association between knowledge and history of testicular abnormalities (p<0.05), as well as practice and source of information (p<0.05).
Conclusion: The study found unsatisfactory level of knowledge, attitude and practice on testicular cancer and testicular self-examination, and significant associations between these variables among non-health sciences male undergraduate students at the university. This study provides a preliminary result on the importance of promoting testicular self-examination among university students in reducing the incidence of testicular cancer.
References
Park JS, Kim J, Elghiaty A, Ham WS. Recent global trends in testicular cancer incidence and mortality. Medicine (Baltimore). 2018;97(37):e12390. doi:10.1097/MD.0000000000012390
Malaysia National Cancer Registry Report 2012-2016. Putrajaya: National Cancer Institute, Ministry of Health, Malaysia; 2019.
Hawkes N. Cancer survival data emphasise importance of early diagnosis. BMJ. 2019;364:l408. Published 2019 Jan 25. doi:10.1136/bmj.l408
McCormack V, Aggarwal A. Early cancer diagnosis: reaching targets across whole populations amidst setbacks. Br J Cancer. 2021;124(7):1181-1182. doi:10.1038/s41416-021-01276-2
Saab MM, Davoren M, Murphy A, et al. Promoting men's awareness, self-examination, and help-seeking for testicular disorders: a systematic review of interventions. HRB Open Res. 2018;1:16. Published 2018 May 14. doi:10.12688/hrbopenres.12837.2
Thornton CP. Best Practice in Teaching Male Adolescents and Young Men to Perform Testicular Self-Examinations: A Review. J Pediatr Health Care. 2016;30(6):518-527. doi:10.1016/j.pedhc.2015.11.009
Lim MT, Lim YMF, Tong SF, Sivasampu S. Age, sex and primary care setting differences in patients' perception of community healthcare seeking behaviour towards health services. PLoS One. 2019;14(10):e0224260. Published 2019 Oct 21. doi:10.1371/journal.pone.0224260
Arumugam P, Tengku Ismail TA, Daud A, et al. Treatment-Seeking Behavior Among Male Civil Servants in Northeastern Malaysia: A Mixed-Methods Study. Int J Environ Res Public Health. 2020;17(8):2713. Published 2020 Apr 15. doi:10.3390/ijerph17082713
Zeleke S, Argaw Z, Kefale D. Knowledge, attitude and practice towards testicular self-examination among regular undergraduate non-health sciences university students, Debre Tabor, Amhara Regional State, North West Ethiopia. J Cancer Prev Curr Res. 2019;10(2):35-41. doi: 10.15406/jcpcr.2019.10.00388
Dhakal R, Paudel S, Paudel D. Knowledge, Attitude, and Practice regarding Testicular Cancer and Testicular Self-Examination among Male Students Pursuing Bachelor's Degree in Bharatpur Metropolitan City, Chitwan, Nepal. Biomed Res Int. 2021;2021:1802031. Published 2021 Aug 31. doi:10.1155/2021/1802031
Braga IC, Cabral J, Louro N, de Carvalho JL. Testicular Cancer Awareness and Knowledge: Is It the Same? Exploratory Study in a Mixed-Gender Population. J Cancer Educ. 2017;32(1):105-111. doi:10.1007/s13187-015-0903-3
Etita ER, Olaide EB, Mombel OM, Edeyo UA. Knowledge, Attitude and Practice of Testicular Self-Examination among Male Undergraduate Students in a Tertiary Institution in Calabar, Cross River State Nigeria. IOSR-JNHS. 2017;06(03):16-21. doi:10.9790/1959-0603031621
Vallo S, Kloft J, Jones J, et al. Evaluation of Testicular Self Examination and Testicular Partner Examination in Medical versus Non-Medical Students. Curr Urol. 2020;14(2):92-97. doi:10.1159/000499253
Ilo IJ, Omeye OB, Ede SS, Chijioke V, Okoh CF. Knowledge, Attitude and Practice of Testicular Self Examination among Male Undergraduate Students of University of Nigeria Enugu Campus. Journal of Drug Delivery and Therapeutics, 2022;12(1):78-85. doi:10.22270/jddt.v12i1.5281
Demir B, Türkben Polat H. The effect of testicular cancer and testicular self-examination on knowledge, attitude and health beliefs in university students in Turkey. J. Health Res. 2022;36(3):494-502. https://doi.org/10.1108/JHR-05-2020-0185
Znaor A, Skakkebaek NE, Rajpert-De Meyts E, et al. Global patterns in testicular cancer incidence and mortality in 2020. Int J Cancer. 2022;151(5):692-698. doi:10.1002/ijc.33999
Mani J, Kloft J, Jones J, et al. Das Bewusstsein bezüglich der klinischen Relevanz von bösartigen Hodentumoren unter Studierenden : Der Stellenwert von Aufklärungskampagnen [Awareness of clinical relevance of malignant testicular cancer among university students : The value of prevention campaigns]. Urologe A. 2019;58(7):790-794. doi:10.1007/s00120-019-0936-z
Bresciani M, Boarin M, Facconi I, Manara DF, Villa G. Awareness of testicular cancer among young men: A literature review. Int J Urol. Nurs. 2021;15:5-11. doi:10.1111/ijun.12248
Getie AS. Factors affecting the attitudes of students towards learning English as a foreign language. Cogent Educ. 2020;7:1. doi:10.1080/2331186X.2020.1738184
Serret-Montoya J, Rodríguez-Ibarra SN, Nava-Sánchez KD, Zurita-Cruz JN. Impact of an educational intervention on the knowledge of testicular self-examination and attitudes toward it. Anales de Pediatría. 2023;98(2023):19-27. doi:10.1016/j.anpede.2022.11.001
Fadich A, Giorgianni SJ, Rovito MJ, et al. USPSTF Testicular Examination Nomination-Self-Examinations and Examinations in a Clinical Setting. Am J Mens Health. 2018;12(5):1510-1516. doi:10.1177/1557988318768597
Saab MM, Landers M, Hegarty J. Exploring awareness and help-seeking intentions for testicular symptoms among heterosexual, gay, and bisexual men in Ireland: A qualitative descriptive study. Int J Nurs Stud. 2017;67:41-50. doi:10.1016/j.ijnurstu.2016.11.016
Pietrzyk ?, Denisow-Pietrzyk M, Czeczelewski M, ?lizie?-Kuczapski K, Torres K. Cancer education matters: a report on testicular cancer knowledge, awareness, and self-examination practice among young Polish men. Sci Rep. 2020;10(1):20684. Published 2020 Nov 26. doi:10.1038/s41598-020-77734-3
Milecki T, Majchrzak N, Balcerek A, Rembisz M, Kasperczak M, Antczak A. Attitudes about Testicular Self-Examination among Polish Males. Biology (Basel). 2021;10(3):239. Published 2021 Mar 19. doi:10.3390/biology10030239
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