Cultural factors associated with the intent to be screened for prostate cancer among adult men in a rural Kenyan community

BMC Public Health

Research Article

Careena Otieno¹  Anne M. Pertet¹  Kinyao Mutua² 

[1] Great Lakes University of Kisumu (Gluk), P. O. Box: 2224-40100, Kisumu, Kenya;Kenya Medical Training Institute, P.O Box 260, Sultan Hamud, Kenya;Kenya Medical Training College, Machakos, Kenya;

关键词: Prostate cancer;    Screening;    Intention;    Beliefs;    Family influence;    Fatalism;    Fear;    Benefits;    Demographic characteristics;   

DOI  :  10.1186/s12889-017-4897-0

 received in 2017-04-18, accepted in 2017-11-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to determine cultural factors associated with prostate cancer screening intent among adult Kenyan African men.MethodsA cross-sectional quantitative study with an analytic design was carried out in a randomly selected sample of 155 adult men aged 25–98 years living in a rural community in Kenya. Constructs from the Theory of Planned Behaviour were used to guide this study. A 5 -point Likert scale was used to assess fatalistic beliefs, fear, perceived benefits, and family influence. A structured questionnaire was used to collect quantitative data at the household level.ResultsOnly 2.4% of the study participants had been screened for prostate cancer. About 2/3rd (64%) of the participants felt that they were at risk of getting prostate cancer; 44% intended to be screened within the following 6 months. Mean scores on a 5-point Likert scale indicated: strong beliefs in the benefits of prostate screening (4.2 (±SD .8), men aged over 40 were not perceived to be at risk of getting prostate cancer (1.3 ± .6), relatively high fatalistic beliefs of prostate cancer screening (3.6 (±SD .8), high degree of fear or apprehension of prostate cancer screening (3.2 (±SD 1.2), and a high level of influence of family members in prostate cancer screening (3.9 (±SD 1.0). The Wald criterion demonstrated that only family influence made a significant contribution to the intent to screen for prostate cancer (p = 0.031). Age, education, marital status, fatalism, fear, and benefit of screening were not associated with the intent to screen for prostate cancer.ConclusionsStrong beliefs of the benefits of prostate screening tended to be surpassed by relatively high fatalistic beliefs and fear or apprehension in prostate cancer screening. The family plays an important role in influencing decision making related to prostate cancer screening in Africans.

【 授权许可】

CC BY   
© The Author(s). 2017