title: The role of interpersonal relationships in men's attendance in primary care: qualitative findings in a cohort of men with prostate cancer.
abstract: OBJECTIVE
  Men's response to ill health is framed as a "battleground" for the enactment of masculinities. With an increase in diagnoses of men's cancers, there is a need to better understand the features which influence timely access to diagnostic services. This study explored the ways in which men account for the timing of their diagnosis of prostate cancer.
  
  
  METHODS
  Thirty semi-structured interviews were conducted with men and, where possible, their partner. Data were analyzed with reference to framework analysis.
  
  
  RESULTS
  Relationships, including spousal, familial, and friendships, appear pivotal in informing men's help-seeking behaviors. Friends and partners were often critical in facilitating access to primary care. Following their own diagnosis, this virtuous cycle of encouragement led many men to encourage others to seek medical attention for prostate tests.
  
  
  CONCLUSIONS
  Interpersonal relationships are a missing dimension in models of delay. We need to know more about how to use relationships, in addition to traditional routes, to harness health promotion messages. Interpersonal relationship, including partners and social networks, may be powerful conduits and may prove effective mechanisms to identify and access men most at risk of prostate cancer.
authors.affiliation: Cancer Care Research Centre, University of Stirling, Stirling, FK9 4LA, UK, elizabeth.forbat@stir.ac.uk.
authors.forename: Liz
authors.initials: L
authors.lastname: Forbat
authors.forename: Morag
authors.initials: M
authors.lastname: Place
authors.forename: Gill
authors.initials: G
authors.lastname: Hubbard
authors.forename: Hing
authors.initials: H
authors.lastname: Leung
authors.forename: Daniel
authors.initials: D
authors.lastname: Kelly
mesh_terms: D000368:Aged; D005190:Family; D006293:Health Promotion; D006301:Health Services Needs and Demand; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D057228:Masculinity; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011320:Primary Health Care; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D036301:Qualitative Research; D012747:Sexual Partners