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Health Education Research, Vol. 17, No. 1, 73-84, February 2002
© 2002 Oxford University Press

Testicular self-examination (TSE) among Dutch young men aged 15–19: determinants of the intention to practice TSE

Lilian Lechner, Anke Oenema1 and Jascha de Nooijer1

Department of Social Science, Open University The Netherlands, 6401 AT Heerlen and
1 Department of Health Education and Promotion, Maastricht University, 6200 MD Maastricht, The Netherlands

The present study analyzed what determinants are important to describe and explain the intention of testicular self-examination (TSE) for young men aged 15–19 attending senior high school (response rate 80%, n = 274). The questionnaire assessed determinants, including knowledge, attitude (positive and negative consequences, anticipated regret, and moral obligation), social influence (social norm, social support and modeling) and self-efficacy. Knowledge of testicular cancer and TSE was very low. Only 2% of the subjects reported regularly performing TSE. After hearing of TSE (through the questionnaire), 41% of all young men had a positive intention to start performing TSE regularly. The various intention groups (positive, neutral and negative) differed significantly on almost all of the determinants. Multiple regression analysis showed that young men who where anxious about TSE and those who were not anxious had different determinants explaining the variance in the intention to perform TSE regularly (R2 = 41–57%). Differences in determinants of intention between young men who are anxious about TSE and young men who are not can be used to design health education interventions that may therefore be more effective for these different subgroups.


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