Knowledge, Attitudes and Practice of Testicular Self- examination among Male University Students from Bangladesh, Madagascar, Singapore, South Africa and Turkey.

The aim of this study was to investigate the knowledge, attitude and practice of testicular self-examination (TSE) among male university students from low income (Bangladesh, Madagascar), middle income (South Africa, Turkey) and emerging economy (Singapore) countries. Using anonymous questionnaires, data were collected from 2,061 male undergraduate university students aged 16-30 (mean age 21.4, SD=2.4) from 5 universities in 5 countries across Asia and Africa. Overall, 17.6% of the male students indicated that they knew how to perform TSE; this knowledge proportion was above 20% in Bangladesh and Singapore, while it was the lowest (12.2%) in Madagascar. Among all men, 86.4% had never practiced TSE in the past 12 months, 7.1% 1-2 times, 3.5% 3-10 times, and monthly TSE was 3.1%. The proportion of past 12 month TSE was the highest (17.6%) among male university students in South Africa and the lowest (7.3%) among students in Singapore. Logistic regression found that TSE importance or positive attitude was highly associated with TSE practice. TSE practices were found to be inadequate and efforts should be made to develop programmes that can increase knowledge related to testicular cancer as well as the practice of testicular self-examination.

[1]  V. Ghanbari,et al.  Student knowledge of Testicular cancer and self-examination in a medical sciences University in Iran , 2014 .

[2]  J. Blow,et al.  Pilot study evaluating testicular self-examination and its correlates in Hispanic college men , 2014 .

[3]  M. Norhaini,et al.  Health risk factors and health promoting behaviour among medical and non-medical students , 2014 .

[4]  A. N. Onyiriuka,et al.  Testicular-self examination among Nigerian adolescent secondary school boys: knowledge, attitudes and practices , 2013, Journal of preventive medicine and hygiene.

[5]  O. Yaycioglu,et al.  Public awareness of testicular cancer and self-examination in Turkey: a multicenter study of Turkish Urooncology Society. , 2013, Urologic oncology.

[6]  B. Altinel,et al.  The Knowledge, Beliefs and Practises of University Students on Testicular Cancer and Testicular Self-Examination - , 2013 .

[7]  J. Muliira,et al.  Knowledge, perceived risk and barriers to testicular self-examination among male university students in Uganda , 2012 .

[8]  S. Kav,et al.  Testicular cancer awareness and testicular self-examination among university students. , 2011, Asian Pacific journal of cancer prevention : APJCP.

[9]  I. Cavdar,et al.  Inadequate knowledge levels of Turkish male university students about testicular self-examination. , 2011, Asian Pacific journal of cancer prevention : APJCP.

[10]  A. K. Khuwaja.,et al.  Self-examination for breast and testicular cancers: a community-based intervention study. , 2010, Asian Pacific journal of cancer prevention : APJCP.

[11]  A. K. Khuwaja.,et al.  Self examination for breast and testicular cancers: a community-based intervention study. , 2010, Asian Pacific journal of cancer prevention : APJCP.

[12]  J. Wardle,et al.  Testicular self-examination: change in rates of practice in European university students, from 13 countries, over a 10-year period , 2006 .

[13]  K. Pienta,et al.  Testicular Cancer , 2009, Nature Reviews Disease Primers.

[14]  J. Wardle,et al.  Testicular self-examination: attitudes and practices among young men in Europe. , 1994, Preventive medicine.

[15]  J. Wardle,et al.  The European Health and Behaviour Survey: rationale, methods and initial results from the United Kingdom. , 1991, Social science & medicine.