title: Public awareness of testis cancer and the prevalence of testicular self-examination-changing patterns over 20 years.
abstract: OBJECTIVE
  Delay in treatment of testis cancer (TC) has a proven negative impact on disease stage, treatment outcome, and mortality. Poor public awareness of the disease and lack of testis self-examination (TSE) may account for late presentation. The aim of this study was to examine the knowledge of TC and performance of TSE in a group of men over 2 time periods 20 years apart.
  
  
  METHODS
  In the current study, 677 men from a banking institution were surveyed on their knowledge of TC and their performance of TSE. Comparisons were made from the current data and those from the original study in 1986.
  
  
  RESULTS
  This study demonstrates an increase in public awareness and modest concomitant increase in TSE since first studied in this country in 1986. There was no difference in knowledge across age groups in this study. Furthermore, men who demonstrate a superior degree of knowledge were more likely to perform TSE. Limitations included possible selection bias in the 2 studies conducted in a banking institution.
  
  
  CONCLUSIONS
  Increased testicular cancer knowledge combined with TSE may have a role in improving detection of significant testicular pathology.
authors.affiliation: Adelaide and Meath Hospital Dublin, Incorporating the National Children's Hospital, (AMNCH), Tallaght, Dublin, Ireland.
authors.forename: Rowan G
authors.initials: RG
authors.lastname: Casey
authors.forename: Ronald
authors.initials: R
authors.lastname: Grainger
authors.forename: Michael R
authors.initials: MR
authors.lastname: Butler
authors.forename: Thomas E
authors.initials: TE
authors.lastname: McDermott
authors.forename: John A
authors.initials: JA
authors.lastname: Thornhill
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016353:Self-Examination / Q000706:statistics & numerical data / Q000639:trends*; D011795:Surveys and Questionnaires; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D013737:Testis; D055815:Young Adult