{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:26:23Z","timestamp":1787401583056,"version":"build-2736575974"},"reference-count":52,"publisher":"Mark Allen Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2026,6,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prostate cancer is the most common male malignancy, yet prevention and early detection efforts show inconsistent uptake worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To identify which strategies and contextual factors enhance, or hinder, the effectiveness of prostate cancer prevention and screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An integrative review yielded 19 peer-reviewed studies. Quality was appraised using Critical Appraisal Skills Programme; data were thematically synthesised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Five themes surfaced. (1) Cultural attitudes\u2014fear of digital rectal examination reduces participation, but tailored messaging can overcome this resistance. (2) Chemoprevention\u2014finasteride and dutasteride cut incidence of prostrate cancer by \u224825 %, however, there are side effects which must be managed. (3) Biomarkers\u2014the prostate-specific antigen test is the most widely used screening test, but the prostate cancer antigen 3 test is more accurate but increases costs. (4) Access models\u2014mobile units, mass screening and theory-based education triple to six-fold prostate-specific antigen uptake in under-served groups, showing that low-barrier delivery can offset stigma. (5) Lifestyle\u2014low-fat diets and micronutrients offer modest protection against prostate cancer, while obesity raises high-grade risk, highlighting synergy between behavioural and clinical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Integrating accurate diagnostics, culturally sensitive education, low-barrier outreach and lifestyle counselling offers the strongest pathway to equitable, sustainable prostate cancer control. Future studies should evaluate cost effectiveness and long-term adherence in diverse settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/ijpn.2025.0032","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:16:02Z","timestamp":1783419362000},"page":"288-296","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the impact of prostate cancer prevention and detection initiatives"],"prefix":"10.12968","volume":"32","author":[{"given":"Roison Andro","family":"Narvaez","sequence":"first","affiliation":[{"name":"Registered Nurse, Centro Escolar University\u2014Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodessa","family":"Bongay","sequence":"additional","affiliation":[{"name":"Registered Nurse, Las Pi\u00f1as General Hospital and Satellite Trauma Center, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian Charles","family":"Federez","sequence":"additional","affiliation":[{"name":"Registered Nurse, Grampians Health Edenhope, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika B.","family":"Chan","sequence":"additional","affiliation":[{"name":"Registered Nurse, Meycauayan Hospital, Bulacan, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorina","family":"Magno","sequence":"additional","affiliation":[{"name":"Registered Nurse, Gentri Care Dialysis Center, St. Paul University, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce Celine","family":"Samarita","sequence":"additional","affiliation":[{"name":"Registered Nurse, De La Salle Medical and Health Sciences Institute, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilane","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Registered Nurse, Centro Escolar University Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph Antonio","family":"Peco","sequence":"additional","affiliation":[{"name":"Registered Nurse, Centro Escolar University Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence Anne","family":"Sumpay","sequence":"additional","affiliation":[{"name":"Registered Nurse, Inova Alexandria Hospital, Virginia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil Bryant","family":"Sangilan","sequence":"additional","affiliation":[{"name":"Registered Nurse, Lyceum of the Philippines University Batangas, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_1","doi-asserted-by":"publisher","unstructured":"American Cancer Society. 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