居住在西非和美国的黑人男性在医疗保健获取、生活方式、前列腺癌知识及筛查方面的比较。
Comparison of health access, lifestyle, prostate cancer knowledge and screening among black men residing in West Africa and the USA.
作者信息
Colón Orlando Rivera, Bolajoko Opeyemi, Odedina Folakemi, Odedina Folakemi
机构信息
School of Kinesiology and Physical Therapy, Department of Health Sciences, University of Central Florida, Orlando, Florida, USA.
Nutrition and Dietetics Department, Federal University of Agriculture, PMB 2240, Abeokuta, Ogun State, Nigeria.
出版信息
Ecancermedicalscience. 2021 Oct 25;15:1309. doi: 10.3332/ecancer.2021.1309. eCollection 2021.
BACKGROUND
In Blacks, late presentation, lack of knowledge, health infrastructural deficiencies and socio-demographic characteristics, which result in poor outcomes, are the bane of cancers. This study evaluated health access and lifestyle association with prostate cancer (PCa) knowledge and screening among black men.
METHODOLOGY
This study used data from the Prostate Cancer Transatlantic Consortium familial cohort study. Data were gathered from a cross-sectional survey of 500 community-dwelling black men in Nigeria, Cameroon, and the USA. Information on socio-demographics, health care access, PCa knowledge score and screening behaviour was obtained, and the association between these variables was evaluated.
RESULTS
The majority (81.6%) were Nigerian. The age ranges were 35-49 (55.2%) and ≥65 (8.4%). The income distribution of the respondents showed that 23.3% earned <$1,000 and 30.7% (>$2,000) monthly. Only 43% had health insurance coverage, and 12% had accessed a doctor in 12 months. Respondents relied on orthodox medicine (50.8%), neighbourhood pharmacy (10.6%), self-medication (5%) and neighbourhood nurse (24.6%). The participants had either poor (45.2%) or very poor (23.2%) dietary patterns. Most (66.67%) do not engage in physical activity and about 33.33% engage in some exercises. Moreover, 87.8% and 78.3% have never had a digital rectal examination (DRE) and prostate-specific antigen (PSA) screening in their lifetime, respectively, while 6.8% and 1.6% had DRE last 1 year and 2 years, respectively. Furthermore, 65.2%, 19.8% and 15% of the respondents had poor, fair and good knowledge of PCa, respectively. Health care coverage ( < 0.001), medical care habit (p = 0.001), routine checkup ( = 0.013) were significantly associated with respondents' PCa knowledge. Routine checkup ( < 0.001) and country ( < 0.001) were significantly related to PSA screening.
CONCLUSION
The study showed that PCa screening uptake was poor among the respondents and country of residence was associated with PCa screening behaviours. Healthcare coverage was significantly associated with PCa knowledge.
背景
在黑人中，就诊延迟、知识匮乏、卫生基础设施不足以及社会人口特征导致了不良后果，这些都是癌症的祸根。本研究评估了黑人男性获得医疗服务的机会和生活方式与前列腺癌（PCa）知识及筛查之间的关联。
方法
本研究使用了前列腺癌跨大西洋联盟家族队列研究的数据。数据来自对尼日利亚、喀麦隆和美国500名社区居住黑人男性的横断面调查。获取了社会人口统计学、医疗服务可及性、PCa知识得分和筛查行为等方面的信息，并评估了这些变量之间的关联。
结果
大多数（81.6%）是尼日利亚人。年龄范围为35 - 49岁（55.2%）和≥65岁（8.4%）。受访者的收入分布显示，23.3%的人月收入低于1000美元，30.7%的人月收入超过2000美元。只有43%的人有医疗保险，12%的人在12个月内看过医生。受访者依赖传统医学（50.8%）、社区药房（10.6%）、自我用药（5%）和社区护士（24.6%）。参与者的饮食习惯要么较差（45.2%），要么非常差（23.2%）。大多数（66.67%）不进行体育活动，约33.33%的人进行一些锻炼。此外，87.8%和78.3%的人一生中从未进行过直肠指检（DRE）和前列腺特异性抗原（PSA）筛查，而分别有6.8%和1.6%的人在过去1年和2年进行过DRE检查。此外，65.2%、19.8%和15%的受访者对PCa的了解较差、一般和良好。医疗保健覆盖（<0.001）、就医习惯（p = 0.001）、定期体检（=0.013）与受访者的PCa知识显著相关。定期体检（<0.001）和国家（<0.001）与PSA筛查显著相关。
结论
研究表明，受访者中PCa筛查的接受率较低，居住国家与PCa筛查行为有关。医疗保健覆盖与PCa知识显著相关。
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