Prostate Cancer Awareness, Knowledge, Perception On Self-Vulnerability And Uptake Of Screening Among Men In Nairobi County, Kenya

ABSTRACT

Prostate cancer is the number one cancer afflicting men in Africa and a leading cancer killer among Kenyan men. Although there is scarcity of information on the disease in African men, higher awareness with concomitant low levels on knowledge, attitudes and perception of self-risk to the disease were established among urban men in West Africa. In addition, uptake of prostate cancer screening by African men has remained extremely low despite the fact that early screening and detection is the most effective intervention tool for the disease. A lack of awareness and knowledge and poor perception on prostate cancer and prostate cancer screening, and a low uptake of screening appear to promote the increasing burden of the cancer. Most of the reports on prostate cancer from Kenya have largely been hospital-based hence little is known about prostate cancer in the community. Although prostate cancer is the leading cancer in Nairobi, awareness, knowledge and perceptions of the cancer including uptake of screening remains undetermined among men from the Nairobi community. As such, this house-hold cross-sectional descriptive study was conducted among men (n=581) of age 30-73 years to evaluate the awareness and knowledge levels; perception of prostate cancer self-vulnerability and uptake of prostate cancer screening in Nairobi County. Data was collected using structured questionnaires and summarised using descriptive statistics and presented in tables and graphs. Statistical analyses for associations between knowledge levels, perception of self-vulnerability to prostate cancer, uptake of prostate cancer screening and socio-demographic characteristics were performed using the chi-square tests followed by Spearman’s correlation tests and binary logistic regression modeling. Results of this study show high prostate cancer awareness (84.6%). The frequency of respondents with good knowledge on prostate cancer was low at 52.3%. The frequency of good perception on self-vulnerability to prostate cancer was 58.0%. Respondents with poor knowledge on prostate cancer were older relative to those with good knowledge (P=0.001) and the knowledge levels on prostate cancer were positively correlated with perception of prostate cancer self-vulnerability (r=0.144; P=0.001). Binary logistic regression analyses revealed that good knowledge of prostate cancer was associated with university [OR, 18.741; 95% CI, 6.878-51.064; P