坦桑尼亚达累斯萨拉姆男性前列腺癌筛查服务的知识、感知风险和使用情况。

IF 2.3 Q3 ONCOLOGY
Prostate Cancer Pub Date : 2019-12-03 eCollection Date: 2019-01-01 DOI:10.1155/2019/2463048
Fidelis Charles Bugoye, Germana Henry Leyna, Kåre Moen, Elia John Mmbaga
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引用次数: 17

摘要

背景:前列腺癌的晚期诊断在低收入和中等收入国家很常见,并导致该疾病的高发病率和死亡率。利用前列腺癌筛查服务在预防不良后果方面起着重要作用。然而,在坦桑尼亚,关于前列腺癌筛查的知识、感知风险和利用的信息有限。目的:了解坦桑尼亚达累斯萨拉姆男性对前列腺癌的认知和感知风险,前列腺癌筛查服务的利用情况及其相关因素。设计:2018年5月至8月期间,研究人员对居住在达累斯萨拉姆的40岁及以上男性进行了一项基于人群的横断面研究。研究方法:采用多阶段随机抽样方法,采用结构化的面对面访谈。分类变量用比例来总结,而连续变量用中位数和季度间范围(IQR)来总结。使用卡方检验比较比例之间的差异,并使用逻辑回归模型确定与前列腺癌筛查利用相关的因素。报告了粗比值比和调整比值比(OR),并给出了相应的95%置信区间。所有分析均为双尾分析,显著性水平设为5%。结果:共有388名男性参与,中位年龄53岁(IQR 44-55)。一半(52.1%)的受访者对前列腺癌及前列腺癌筛查知识贫乏。三分之一(32.3%,n = 125)的人认为患前列腺癌的风险较低。只有30名受访者(7.7%)曾接受过前列腺癌筛查。前列腺癌筛查服务的使用与年龄在60岁以上[AOR = 21.46, 95% CI: 6.23, 73.93]、月收入在305美元以上[AOR = 15.68, 95% CI: 4.60, 53.48]、前列腺癌感知风险[AOR = 16.34, 95% CI: 7.82, 14.92]、前列腺癌知识[AOR = 67.71, 95% CI: 8.20, 559.57]独立相关。结论:达累斯萨拉姆的男性对前列腺癌和前列腺癌筛查服务的了解程度较低,三分之一的人认为自己没有患前列腺癌的风险。筛查服务的使用率较低,且与低收入、年龄较小、前列腺癌认知风险较低以及对该疾病的了解较低有关。迫切需要采取干预措施,提高对前列腺癌和筛查服务的认识,并提供负担得起的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Knowledge, Perceived Risk and Utilization of Prostate Cancer Screening Services among Men in Dar Es Salaam, Tanzania.

Knowledge, Perceived Risk and Utilization of Prostate Cancer Screening Services among Men in Dar Es Salaam, Tanzania.

Background: Late diagnosis of prostate cancer is common in low and middle income countries and contributes to high morbidity and mortality of the disease. Utilization of prostate cancer screening services plays a major role in prevention of adverse outcomes. However, there is limited information on the knowledge about, the perceived risk of, and the utilization of prostate cancer screening in Tanzania.

Objective: To determine knowledge and perceived risk of prostate cancer, and the utilization of prostate cancer screening services, and associated factors, among men in Dar es Salaam, Tanzania.

Design: A population-based cross-sectional study involving men aged 40 years and above living in Dar es Salaam was conducted between May and August, 2018.

Methodology: Participants were recruited through multistage random sampling and took part in structured face-to-face interviews. Categorical variables were summarized using proportions while continuous variables were summarized as medians and inter-quarterly range (IQR). Chi square test was used to compare differences between proportions, and logistic regression modelling was used to determine factors associated with utilization of prostate cancer screening. Both crude and adjusted odds ratios (OR), with corresponding 95% confidence intervals, are reported. All analyses were two-tailed and the significance level set at 5%.

Results: A total of 388 men with a median age of 53 years (IQR 44-55) participated. Half (52.1%) had poor knowledge about prostate cancer and prostate cancer screening. A third (32.3%, n = 125) perceived the risk of prostate cancer to be low. Only 30 respondents (7.7%) had ever been screened for prostate cancer. Utilization of prostate cancer screening services was independently associated with age above 60 years [AOR = 21.46, 95% CI: 6.23, 73.93], monthly income above 305 US Dollars [AOR = 15.68, 95% CI: 4.60, 53.48], the perceived risk of prostate cancer [AOR = 16.34, 95% CI: 7.82, 14.92] and knowledge about prostate cancer [AOR = 67.71, 95% CI: 8.20, 559.57].

Conclusions: Knowledge about prostate cancer and prostate cancer screening services was low among men in Dar es Salaam with a third perceiving themselves to be at no risk for the disease. Utilization of screening services was low and associated with low income, younger age, low perceived risk of prostate cancer and low knowledge about the disease. Intervention measures aiming to increase knowledge about prostate cancer and screening services, and affordable provision of services, are urgently called for.

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来源期刊
Prostate Cancer
Prostate Cancer ONCOLOGY-
CiteScore
2.70
自引率
0.00%
发文量
9
审稿时长
13 weeks
期刊介绍: Prostate Cancer is a peer-reviewed, Open Access journal that provides a multidisciplinary platform for scientists, surgeons, oncologists and clinicians working on prostate cancer. The journal publishes original research articles, review articles, and clinical studies related to the diagnosis, surgery, radiotherapy, drug discovery and medical management of the disease.
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