Testicular cancer represents the most common cancer of men ages 15 to 35 years, with peak incidence occurring in men between the ages of 20 and 34 yrs. Many men in this age group have a knowledge deficit of testicular cancer and testicular self-examination (TSE), a method for early detection of testicular cancer. A descriptive survey study, using the Health Belief Model as a theoretical framework, was conducted to answer the following two research questions: What is the incidence of TSE in men attending a southeastern state university and what are the factors affecting the practice of TSE? One hundred males at a southeastern state university were surveyed by questionnaire at the campus health center. The incidence of TSE was 22%. The primary factor influencing the practice of TSE was lack of knowledge. If clients are not practicing TSE, nurse practitioners need to explore reasons for not practicing TSE and reinforce the importance of monthly TSE in early detection of TSE. A qualitative study to explore reasons why men do not practice TSE is appropriate since surveys do not always identify factors nor allow for subjects' personal input. Based on the findings, the researcher recommends increasing health care providers' awareness about the importance of TSE education. The researcher also recommends replication of the study with a more ethnically diverse sample. Further research on men's perceptions, attitudes, and behaviors regarding health promotion practices is encouraged.


Master of Science in Nursing (MSN)


Graduate Nursing

Degree Date


Publication Number


First Advisor

Dr. Patricia E. Smyth

Second Advisor

Dr. Melinda E. Rush

Third Advisor

Sandra Faulkner

Document Type


Included in

Nursing Commons