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

Autor: Careena Otieno, Kinyao Mutua, Anne M. Pertet
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Adult
Male
Rural Population
medicine.medical_specialty
Beliefs
Cross-sectional study
Demographic characteristics
Intention
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Fatalism
Prostate
Surveys and Questionnaires
Epidemiology
Medicine
Humans
Family influence
Early Detection of Cancer
Aged
Gynecology
Aged
80 and over

030505 public health
Cultural Characteristics
business.industry
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health

Theory of planned behavior
Prostatic Neoplasms
lcsh:RA1-1270
Fear
Middle Aged
medicine.disease
Benefits
Kenya
Prostate cancer screening
medicine.anatomical_structure
Cross-Sectional Studies
030220 oncology & carcinogenesis
Family medicine
Screening
Marital status
Biostatistics
0305 other medical science
business
Research Article
Zdroj: BMC Public Health
BMC Public Health, Vol 17, Iss 1, Pp 1-8 (2017)
ISSN: 1471-2458
Popis: Background The aim of this study was to determine cultural factors associated with prostate cancer screening intent among adult Kenyan African men. Methods A 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. Results Only 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. Conclusions Strong 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.
Databáze: OpenAIRE