Knowledge about prostate cancer and screening among men attending Kibogora Level Two Teaching Hospital

Kabutare Jean Marie Vianney, David C. Ikwuka, Margaret I. Fitch

Abstract


Introduction: Globally, prostate cancer ranks as one of the primary causes of cancer-related mortality for men. Prostate cancer death rates in sub-Saharan Africa are 2.7 times higher than the global norm. Delayed detection of the disease is one of the factors that contributes to this high mortality. Currently, little is known about how Rwandan men perceive, know about, and approach prostate cancer screening.

Purpose: This study was designed to evaluate the level of awareness about prostate cancer and screening among men attending Kibogora Level Two Teaching in Rwanda.

Methods: A cross-sectional survey was conducted with a convenience sample of male patients showing symptoms of urinary tract infections or prostate cancer. The survey included questions about demographic characteristics, and prostate cancer risks, signs and symptoms, and screening. Descriptive statistics were utilized to identify frequencies in responses.

Results: A total of 164 men completed the survey. Most men were farmers (88.0%) with 67.1% having primary level education. About a third were between 41 and 50 yeas of age. Only 38.4% had heard of prostate cancer. Participants identified obesity (62.2%), smoking (58.5%), and exposure to agent orange (55.5%) most frequently as risk factors and 31.1% named difficulty urinating most frequently as a symptom of prostate cancer. Other symptoms mentioned were blood in the urine (20.7%) and erectile dysfunction (18.3%). Only five men indicated they had ever been screened for prostate cancer.

Conclusion: The study revealed this sample of Rwandan men had a low level of awareness and knowledge about prostate cancer and very few had engaged in prostate cancer screening. The results support the need for public education about the disease and screening approaches.

Keywords: prostate cancer, knowledge of prostate cancer, screening for prostate cancer

DOI: 10.5737/2368807636180


Full Text:

PDF

References


Adibe, M. O., Aluh, D. O., Isah, A., & Anosike, C. (2017). Knowledge, attitudes and perceptions of prostate cancer among male staff of the University of Nigeria. Asian Pacific Journal of Cancer Prevention, 18(7), 1961–1966. https://doi.org/10.22034/APJCP.2017.18.7.1961

Benurugo, G., Munyambaraga, E., Chironda, G., & Bisanukuri, E. (2020). Awareness on prostate cancer and screening practices among men attending outpatient at a referral hospital in Kigali, Rwanda: A quantitative study. International Journal of Africa Nursing Sciences, 13(August), 100241. https://doi.org/10.1016/j.ijans.2020.100241

Bosland, M. C., Shittu, O. B., Ikpi, E. E., & Akinloye, O. (2023). Potential new approaches for prostate cancer management in resource-limited countries in Africa. Annals of Global Health, 89(1), 1–7. https://doi.org/10.5334/aogh.3994

Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492

Gift, S., Nancy, K., & Victor, M. (2020). Assessment of knowledge, practice and attitude towards prostate cancer screening among male patients aged 40 years and above at Kitwe Teaching Hospital, Zambia. African Journal of Urology, 26, Article 70. https://doi.org/10.1186/s12301-020-00067-0

Jaratlerdsiri, W., Jiang, J., Gong, T., Patrick, S. M., Willet, C., Chew, T., Lyons, R. J., Haynes, A. M., Pasqualim, G., Louw, M., Kench, J. G., Campbell, R., Horvath, L. G., Chan, E. K. F., Wedge, D. C., Sadsad, R., Brum, I. S., Mutambirwa, S. B. A., Stricker, P. D., … Hayes, V. M. (2022). African-specific molecular taxonomy of prostate cancer. Nature, 609(7927), 552–559. https://doi.org/10.1038/s41586-022-05154-6

Mutua, K., Pertet, A. M., & Otieno, C. (2017). Cultural factors associated with the intent to be screened for prostate cancer among adult men in a rural Kenyan community. BMC Public Health, 17(1), 1–8. https://doi.org/10.1186/s12889-017-4897-0

Nakandi, A., Kirabo, M., Semugabo, C., Kittengo, A., Kitayimbwa, P., Kalungi, S., Maena, J. (2014). Knowledge, attidtudes and practices of Ugandan men regarding prostate cancer. African Journal of Urology, 19(4), 165–170. https://doi.org/10.1016/j.afju.2013.08.001

Nzeyimana, I., Nyirimodoka, A., Ngendahayo, E., Bonane, A., Muhawenimana, E., Umurangwa, F., Gasana, A., Sibomana, A. M., Teplitsky, S., Rusatira, C., Rickard, J., Hategekimana, T., & Rwamasirabo, E. (2021). Diagnosis of advanced prostate cancer at the community level in Rwanda. International Urology and Nephrology, 53(10), 1977–1985. https://doi.org/10.1007/s11255-021-02921-8

Odedina, F. T., Scrivens, J., Emanuel, A., LaRose-Pierre, M., Brown, J., & Nash, R. (2004). A focus group study of factors influencing African-American men’s prostate cancer screening behavior. Journal of the National Medical Association, 96(6), 780–788.

Ogunsanya, M. E., Brown, C. M., Odedina, F. T., Barner, J. C., Adedipe, T. B., & Corbell, B. (2017). Knowledge of prostate cancer and screening among young multiethnic black men. American Journal of Men’s Health, 11(4), 1008–1018. https://doi.org/10.1177/1557988316689497

Ojewola, R. W., Oridota, E. S., Balogun, O. S., Ogundare, E. O., Alabi, T. O., Banjo, O. O., Laoye, A., Adetunmbi, B., Adebayo, B. O., & Oluyombo, R. (2017). Knowledge, attitudes and screening practices regarding prostatic diseases among men older than 40 years: A population-based study in southwest Nigeria. Pan African Medical Journal, 27, 1–13. https://doi.org/10.11604/pamj.2017.27.151.10605

Rubagumya, F., Costas-Chavarri, A., Manirakiza, A., Murenzi, G., Uwinkindi, F., Ntizimira, C., Rukundo, I., Mugenzi, P., Rugwizangoga, B., Shyirambere, C., Urusaro, S., Pace, L., Buswell, L., Ntirenganya, F., Rudakemwa, E., Fadelu, T., Mpunga, T., Shulman, L. N., & Booth, C. M. (2020). State of cancer control in Rwanda: Past, present, and future opportunities. JCO Global Oncology, 6, 1171–1177. https://doi.org/10.1200/go.20.00281

Saleh, A. M., Ebrahim, E. E., Aldossary, E. H., & Almutairi, M. A. M. (2020). The effect of prostate cancer educational program on the level of knowledge and intention to screen among Jordanian men in Amman. Asian Pacific Journal of Cancer Prevention, 21(1), 211–215. https://doi.org/10.31557/APJCP.2020.21.1.211

Wang, L., Lu, B., He, M., Wang, Y., Wang, Z., & Du, L. (2022). Prostate cancer incidence and mortality: Global status and temporal trends in 89 countries from 2000 to 2019. Frontiers in Public Health, 10(February), Article 811044. https://doi.org/10.3389/fpubh.2022.811044

Yeboah-Asiamah, B., Yirenya-Tawiah, D., Baafi, D., & Ackumey, M. M. (2017). Perceptions and knowledge about prostate cancer and attitudes towards prostate cancer screening among male teachers in the Sunyani Municipality, Ghana. African Journal of Urology, 23(3), 184–191. https://doi.org/10.1016/j.afju.2016.12.003


Refbacks

  • There are currently no refbacks.