在埃塞俄比亚亚的斯亚贝巴提克里安巴萨专科医院泌尿科就诊的男性患者对前列腺癌及其相关因素的认知。
Awareness of prostate cancer and its associated factors among male patients attending care in the urology unit at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
机构信息
School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
School of Nursing and Midwifery, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
出版信息
BMJ Open. 2023 Aug 8;13(8):e073602. doi: 10.1136/bmjopen-2023-073602.
BACKGROUND
Globally, prostate cancer is the most common cancer among men. It is the second most common cause of cancer-related deaths in men. Symptoms may be non-specific and may not present until the cancer has progressed. Raising awareness, knowing risk factors and symptoms and seeking early medical attention is critical for prevention and detection. The objective of this study is to assess the level of awareness of prostate cancer among male patients attending care in a urology unit in Ethiopia.
METHODS
We conducted a cross-sectional study among 241 male patients at Tikur Anbessa Specialized Hospital from February to April 2021. Data were collected using an interviewer-administered questionnaire adapted from published studies and cancer awareness measurement tools. We used EpiData V.4.6.0 and SPSS V.26 for data entry and analysis. Descriptive statistics and linear regressions were used for analyses. Bivariate and multivariate linear regression analysis identified factors associated with prostate cancer awareness. Adjusted odd ratio (AOR) at 95% CI and p value<0.05 were considered statistically significant.
RESULTS
A total of 250 patients were approached, and 241 (96.4%) responded. The mean scores for awareness of prostate cancer risk factors, symptoms, screening and prevention were 41.2%, 43.8%, 44.7% and 49.5%, respectively. Families with an average monthly income of more than 8900 ETB (Ethiopian birr), having heard about prostate cancer, having a regular source of care every six months or more, having a history of hospitalisation and having healthcare providers as the main source of information were all significantly associated with awareness of prostate cancer.
CONCLUSION
The findings of this study indicate that male patients have a relatively low level of awareness of prostate cancer risk factors, symptoms, screening and prevention. There should be more public awareness initiatives to educate men in Ethiopia on the risk factors, symptoms, screening and prevention of prostate cancer.
背景
在全球范围内，前列腺癌是男性中最常见的癌症。它是男性癌症相关死亡的第二大常见原因。症状可能不具有特异性，并且可能在癌症进展之前不会出现。提高认识、了解风险因素和症状并尽早寻求医疗关注对于预防和检测至关重要。本研究的目的是评估在埃塞俄比亚一家泌尿科就诊的男性患者对前列腺癌的认识水平。
方法
我们于 2021 年 2 月至 4 月在提库安贝萨专科医院对 241 名男性患者进行了横断面研究。数据使用从已发表的研究和癌症意识测量工具改编的访谈者管理问卷收集。我们使用 EpiData V.4.6.0 和 SPSS V.26 进行数据输入和分析。使用描述性统计和线性回归进行分析。使用双变量和多变量线性回归分析确定与前列腺癌意识相关的因素。调整后的优势比（AOR）在 95%置信区间和 p 值<0.05 被认为具有统计学意义。
结果
共接触了 250 名患者，其中 241 名（96.4%）做出回应。对前列腺癌风险因素、症状、筛查和预防的认识平均得分为 41.2%、43.8%、44.7%和 49.5%。家庭平均月收入超过 8900 埃比尔（埃塞俄比亚比尔）、听说过前列腺癌、每六个月或更长时间有规律的护理来源、有住院史以及医疗保健提供者作为主要信息来源与前列腺癌意识显著相关。
结论
本研究结果表明，男性患者对前列腺癌的风险因素、症状、筛查和预防的认识相对较低。应该有更多的公众意识倡议，在埃塞俄比亚教育男性了解前列腺癌的风险因素、症状、筛查和预防。
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