Mbugua Ruth Gathoni, Karanja Simon, Oluchina Sherry
Mount Kenya University, Department of Community Health, P.O. Box 342-01000, Thika, Kenya.
Jomo Kenyatta University of Agriculture & Technology, School of Public Health, P.O Box 62 000-00200, Nairobi, Kenya.
Adv Prev Med. 2022 Aug 8;2022:4621446. doi: 10.1155/2022/4621446. eCollection 2022.
Globally, an increase in mortality from prostate cancer (PC) remains a big challenge with disparities existing with a slight preponderance among men in low and middle-income countries. Prostate cancer is a leading cause of mortality among men in sub-Saharan Africa. In Kenya, despite the majority of men presenting with advanced prostate cancer for treatment, knowledge and screening for prostate cancer is low. The study aimed to examine the effectiveness of a community health worker-led education intervention on knowledge, perception, and PC screening.
This was a quasiexperimental study among Kenyan men aged 40-69 years. The intervention site was Gatundu North subcounty and the control site was Kiambu subcounty in Kiambu County. Stratified random sampling was applied to select 288 respondents per arm of the study. We used a pretested interviewer-administered questionnaire to collect data at baseline and 6 months postintervention. Pearson's chi-square test was used for data analysis.
Awareness of prostate cancer significantly increased postintervention ( < 0.05). The proportion of respondents who had good knowledge of prostate cancer increased significantly from 49% to 76.4%( < 0.05) in the intervention arm. The proportion of respondents with a high perception of self-vulnerability increased significantly from 26% to 42.1% ( < 0.05). The proportion of men who had undergone PC screening significantly increased from 4.5% to 20.4% ( < 0.05) in the intervention arm. In postintervention, there was a statistically significant difference in the proportion of men screened for prostate cancer in the intervention and control arm ( < 0.05).
Health education by community health workers during household visits increased awareness and knowledge, perception, and uptake of PC screening. Utilization of community health worker delivered education is an effective strategy that requires to be adopted to enhance screening.
在全球范围内，前列腺癌（PC）导致的死亡率上升仍是一项重大挑战，存在着差异，在低收入和中等收入国家，男性患者略占多数。前列腺癌是撒哈拉以南非洲男性死亡的主要原因。在肯尼亚，尽管大多数男性前来接受晚期前列腺癌治疗，但对前列腺癌的认识和筛查率较低。本研究旨在探讨由社区卫生工作者主导的教育干预对前列腺癌知识、认知和筛查的有效性。
这是一项针对40 - 69岁肯尼亚男性的准实验研究。干预地点为加通杜北次县，对照地点为基安布县的基安布次县。采用分层随机抽样，在研究的每个组中选取288名受访者。我们使用经过预测试的访谈式问卷在基线和干预后6个月收集数据。采用Pearson卡方检验进行数据分析。
干预后对前列腺癌的知晓率显著提高（<0.05）。在干预组中，对前列腺癌有良好认知的受访者比例从49%显著增加到76.4%（<0.05）。对自身易感性认知较高的受访者比例从26%显著增加到42.1%（<0.05）。在干预组中，接受前列腺癌筛查的男性比例从4.5%显著增加到20.4%（<0.05）。在干预后，干预组和对照组中接受前列腺癌筛查的男性比例存在统计学显著差异（<0.05）。
社区卫生工作者在家庭访视期间进行的健康教育提高了对前列腺癌的认识、知识、认知和筛查接受度。利用社区卫生工作者提供教育是一种有效的策略，需要采用以加强筛查。
