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南非林波波省男性对前列腺癌和筛查的知识及态度。

Knowledge and Attitudes towards Prostate Cancer and Screening among Males in Limpopo Province, South Africa.

机构信息

Department of Psychology, Faculty of Health Sciences, University of Venda, Private Bag X5050, Thohoyandou 0950, Limpopo, South Africa.

Department of English Media Studies and Linguistics, Faculty of Humanities, Social Sciences and Education, University of Venda, Private Bag X5050, Thohoyandou 0950, Limpopo, South Africa.

出版信息

Int J Environ Res Public Health. 2023 Mar 22;20(6):5220. doi: 10.3390/ijerph20065220.

Abstract

Inadequate knowledge and poor attitudes about prostate cancer (PC) negatively affect early screening practices among males. The PC mortality rate is increasing due to late reporting, screening, and treatment. This study explored the awareness, attitudes, and PC screening behaviours among males in the Limpopo, Thulamela municipality. This descriptive cross-sectional study involved 245 males that were randomly selected. A structured questionnaire was used to collect data. Fisher's exact tests and logistic regression analysis were used to examine the association between sociodemographic variables, awareness, and attitudes towards PC. Our findings revealed that 64.1% demonstrated inadequate awareness about PC. The overall score (84.9%) showed a positive attitude towards PC. However, 87.4% had a negative attitude towards the effectiveness of treatment for PC. The majority (96.7%) of respondents had never undergone a PSA test, although 53.1% were willing to undergo a PSA test. There was a significant positive correlation between awareness of prostate cancer and attitudes toward prostate cancer (r = 0.280, < 0.001). Health status predicted awareness about PC, while age and health status predicted attitudes towards PC among men. Rural community-based programmes and heightened awareness campaigns are needed to conscientize men about the risk factors, symptoms, diagnosis, and treatment of PC in rural areas of Limpopo.

摘要

男性对前列腺癌(PC)的认识不足和态度不佳,会对其早期筛查产生负面影响。由于报告、筛查和治疗较晚,PC 的死亡率正在上升。本研究探讨了林波波省、图兰勒拉市男性对前列腺癌的认识、态度和筛查行为。这是一项描述性的横断面研究,共纳入 245 名男性,采用随机抽样方法。使用结构化问卷收集数据。采用 Fisher 确切检验和 logistic 回归分析,检验社会人口统计学变量、对前列腺癌的认识和态度之间的相关性。研究结果显示,64.1%的男性对前列腺癌认识不足。对前列腺癌的总体评分(84.9%)呈积极态度。然而,87.4%的人对前列腺癌治疗的效果持消极态度。大多数(96.7%)受访者从未进行过 PSA 检测,尽管 53.1%的人愿意进行 PSA 检测。对前列腺癌的认识与对前列腺癌的态度之间存在显著正相关(r = 0.280, < 0.001)。健康状况预测了对前列腺癌的认识,而年龄和健康状况预测了男性对前列腺癌的态度。林波波省农村地区需要开展以农村社区为基础的项目和提高认识的宣传活动,使男性认识到前列腺癌的风险因素、症状、诊断和治疗。

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