Barriers & Facilitators to Help-Seeking Behaviour for Abnormal Lower Urinary Tract Symptoms in Men: Systematic Review

IF 3.1 2区医学 Q2 ONCOLOGY

Cancer Medicine Pub Date : 2025-09-12 DOI:10.1002/cam4.71214

Stephen McIntosh, Bethany Harries, Matthew Perry, Mark Cropley, Bridget Dibb

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引用次数: 0

Abstract

Background

Men face numerous challenges when deciding whether to engage in help-seeking for abnormal lower urinary tract symptoms (LUTS), with help-seeking behaviour a multi-step process.

Objective

This systematic review explores the barriers and facilitators to help-seeking behaviour in adult men for abnormal LUTS.

Methods

Eight databases (PubMed, Web of Science, Cochrane Library, EBSCOhost, SCOPUS, OVID, ProQuest and PsychINFO) were searched between January 2023 and March 2024. Studies were required to meet the inclusion criteria informed by PRISMA guidelines. Qualitative and mixed-method studies were included in the systematic review.

Results

(N) = 17 full-text articles were included in the review, totalling (n) = 704 participants. The systematic review uncovered four key themes: men have poor relationships with the healthcare system, some minority groups have dysfunctional cultural beliefs and attitudes towards help-seeking behaviour, traditional gender views and perceptions of masculinity discourage help-seeking behaviour and men have intrapersonal and external barriers.

Conclusions

Men face considerable challenges when deciding to engage in help-seeking for abnormal LUTS, with men generally lacking awareness and knowledge of what they should do when experiencing symptoms. This is more profound in men from minority groups. This review may have had a language bias as non-English studies were excluded. This review may be essential to inform the development of interventions to facilitate help-seeking behaviour for abnormal LUTS in men, specifically men from minority populations.

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男性下尿路异常症状寻求帮助行为的障碍与促进因素：系统综述

背景男性在决定是否寻求下尿路异常症状（LUTS）的帮助时面临许多挑战，寻求帮助的行为是一个多步骤的过程。目的探讨成年男性LUTS异常患者寻求帮助的障碍和促进因素。方法在2023年1月至2024年3月期间检索PubMed、Web of Science、Cochrane Library、EBSCOhost、SCOPUS、OVID、ProQuest和PsychINFO 8个数据库。研究需要符合PRISMA指南所告知的纳入标准。系统评价包括定性和混合方法研究。结果(N) = 17篇全文纳入本综述，共(N) = 704名受试者。系统回顾揭示了四个关键主题：男性与医疗保健系统的关系不佳，一些少数群体对寻求帮助的行为有不正常的文化信仰和态度，传统的性别观点和对男子气概的看法阻碍了寻求帮助的行为，男性有内部和外部障碍。男性在决定寻求异常LUTS帮助时面临相当大的挑战，男性通常缺乏意识和知识，当出现症状时他们应该做什么。这一点在少数族裔男性身上表现得更为明显。由于排除了非英语研究，本综述可能存在语言偏倚。这一综述可能是必要的，以告知干预措施的发展，以促进男性，特别是少数民族人群中异常LUTS的寻求帮助行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Medicine ONCOLOGY-

CiteScore

5.50

自引率

2.50%

发文量

907

审稿时长

19 weeks

期刊介绍： Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.