Tanveer Mahpara, Tahir Faryal, Majid Zainab, Mustafa Hussain Muhammad, Ali Asghar Sarrah, Qadar Laila Tul, Wasti Jabran, Shahid Ashar, Tasleem Iqra, Khan Hamza Aijaz, Sami Mehroz, Arsalan Qazi
Internal Medicine, Dow University of Health Sciences, Karachi, PAK.
Cureus. 2019 May 8;11(5):e4617. doi: 10.7759/cureus.4617.
The prostate gland is a male sexual organ which has a number of diseases associated with it, such as prostatitis, benign prostatic hyperplasia (BPH), and prostatic cancer (PC). BPH is the most common neoplasm, and it causes significant urinary symptoms in adult males. According to the World Health Organization (WHO) report of 2014, out of all the cancers, PC had the fifth highest incidence in males throughout Pakistan. The purpose of this study was to determine the awareness of elderly men of Karachi regarding prostate diseases (PDs) and their attitude towards screening practices.
From September to December 2018, a cross-sectional study was performed among 450 men of Karachi older than 50 years of age. Frequencies and percentages were evaluated for categorical variables using Statistical Package for Social Sciences (SPSS), version 22 (IBM SPSS Statistics, Armonk, NY). Chi-square test was used to determine if there was any significant difference. A p-value of < 0.05 was considered significant.
A total of 350 respondents answered the questionnaire. The mean age of the respondents was 61 years. Almost half of the population had heard about the prostate but 64% did not know any PDs, whereas 48% were aware of the increased risk of PDs in the elderly. Almost 48% of the respondents believed that age was the main cause of disorders involving the prostate. Even though the knowledge was lacking, people had an overall positive attitude. Most respondents (66%) had the attitude that all adult men must undergo prostate screening. The majority of respondents (85%) had not undergone screening of the prostate as the huge group of participants (86%) had not been advised to do it. Upon statistical testing, having heard about the prostate and undergoing prostate screening in the past (p = 0.008 and 0.024, respectively) was significantly associated with age. Having prior experience with prostate screening was also associated significantly with marital status (p < 0.001).
Respondents have inadequate knowledge about PC but a good attitude about undergoing prostate examination. It is absolutely crucial to increase information on the risks of PDs, particularly PC, and the benefits of early detection.
前列腺是男性性器官，与之相关的疾病有多种，如前列腺炎、良性前列腺增生（BPH）和前列腺癌（PC）。BPH是最常见的肿瘤，它会在成年男性中引发严重的泌尿系统症状。根据世界卫生组织（WHO）2014年的报告，在巴基斯坦所有癌症中，PC在男性中的发病率排名第五。本研究的目的是确定卡拉奇老年男性对前列腺疾病（PDs）的认知情况以及他们对筛查措施的态度。
2018年9月至12月，对卡拉奇450名年龄超过50岁的男性进行了一项横断面研究。使用社会科学统计软件包（SPSS）22版（IBM SPSS Statistics，纽约州阿蒙克）对分类变量的频率和百分比进行评估。采用卡方检验来确定是否存在显著差异。p值<0.05被视为具有显著性。
共有350名受访者回答了问卷。受访者的平均年龄为61岁。几乎一半的人听说过前列腺，但64%的人不知道任何前列腺疾病，而48%的人意识到老年人患前列腺疾病的风险增加。近48%的受访者认为年龄是前列腺疾病的主要病因。尽管缺乏相关知识，但人们总体态度积极。大多数受访者（66%）认为所有成年男性都必须接受前列腺筛查。大多数受访者（85%）未接受过前列腺筛查，因为绝大多数参与者（86%）未被建议进行筛查。经统计检验，听说过前列腺和过去接受过前列腺筛查（分别为p = 0.008和0.024）与年龄显著相关。有过前列腺筛查经历也与婚姻状况显著相关（p < 0.001）。
受访者对前列腺癌的了解不足，但对接受前列腺检查态度良好。增加关于前列腺疾病，特别是前列腺癌的风险以及早期检测益处的信息至关重要。
