Leveraging female partner influence in health interventions: a study on prostate cancer screening uptake among men in rural Kiambu County, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243447Keywords:
Attitude, Cultural belief, Intention for prostate cancer screening and perceptionAbstract
Background: Globally, prostate cancer is the second most common cancer affecting men, with considerably high fatality rates. The aim of this study was to assess the effect of a female partner-led brochure method on perception, attitude, and cultural beliefs toward the intention of prostate cancer screening among men in rural Kiambu County, Kenya.
Methods: The research adopted a randomized controlled trial design. Multistage sampling was employed in this study. The Chi-square test was used to assess differences in perception, attitude, and cultural beliefs towards intention to undergo prostate cancer screening (PCS) between the control and intervention groups at baseline and end line. Further, data were subjected to structural equation modeling to assess the influence of perception, attitude, and cultural beliefs on PCS intention pre-and post-intervention.
Results: The results revealed no significant difference in perception between the control and intervention groups at baseline and end-line. Regarding attitude, there was a 39.8% and 24.7% increase in positive attitudes in the group that used gain-framed and loss-framed brochure methods, respectively, at the end line. In the end, there was a significant reduction in the number of respondents who had fatalistic beliefs, whereby 23.1% and 13.2% of the respondents in the groups’ intervention used gain-framed and loss-framed brochures, respectively.
Conclusions: The study recommends the implementation of female partner-led interventions using gain-framed messaging in prostate cancer screening campaigns, as this approach demonstrated superior effectiveness in improving attitudes, reducing fatalism beliefs, and increasing the perceived benefits of screening among men.
References
Makungu ML, Mweya CN. Assessing knowledge, attitude and practice towards prostate cancer screening among males in Southwest Tanzania: A cross-sectional study. Cancer Treat Res Commun. 2023;36:100716.
Zhang W, Cao G, Wu F, Wang Y, Liu Z, Hu H, et al. Global Burden of Prostate Cancer and Association with Socioeconomic Status , 1990 – 2019 : A Systematic Analysis from the Global Burden of Disease Study. J Epidemiol Glob Health. 2023;13(3):407-21.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics, 2021. CA Cancer J Clin. 2021;71(1):7-33.
Andrews C, Petersen DC, Hiller R, Pugh E, Neugut AI, Lachance J. Implementation of a Pan-African Cancer Research Network : Men of African Descent and Carcinoma of the Prostate. Am Soc Clin Oncol. 2015;4:1-14.
Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Catto J. Recent Global Patterns in Prostate Cancer Incidence and Mortality Rates. Eur Urol. 2020;77(1):38-52.
Bahnassy AA, Abdellateif MS, Zekri AN. Cancer in Africa : Is It a Genetic or Environmental Health Problem? Front Oncol. 2020;10(12):1-8.
Adeloye D, David RA, Aderemi AV. An Estimate of the Incidence of Prostate Cancer in Africa : A Systematic Review. PLoS One. 2016;11(4):1-18.
Okyere J, Ayebeng C, Owusu BA, Ankomahene B, Dickson KS. Prostate cancer screening uptake in Kenya: An analysis of the demographic and health survey. J Cancer Policy. 2023;37.
Hameleers M. The Effect of Gain-versus-Loss Framing of Economic and Health Prospects of Different COVID- 19 Interventions : An Experiment Integrating Equivalence and Emphasis Framing and Mark Boukes. Int J Public Opin Res. 2021;33(4):927-45.
Olapade-Olaopa EO, Obamuyide HA, Yisa G. Management of advanced prostate cancer in Africa. Can J Urol. 2008;15(1):3890-8.
Baratedi WM, Tshiamo WB, Mogobe KD, McFarland DM. Barriers to Prostate Cancer Screening by Men in Sub-Saharan Africa: An Integrated Review. J Nurs Scholarsh. 2020;52(1):85-94.
Ibrahim M, Khalil M, Ashour A, Shaala RS, Allam RM. Effect of health belief model-based educational intervention on prostate cancer prevention; knowledge , practices , and intentions. MBC Cancer. 2024;1:1-12.
Kahissay MH, Fenta TG, Boon H. Beliefs and perception of ill-health causation : a socio-cultural qualitative study in rural North-Eastern Ethiopia. BMC Public Health. 2017;1-10.
Awah PK, Kengne AP, Fezeu LLK, Mbanya J. Perceived risk factors of cardiovascular diseases and diabetes in Cameroon. Health Educ Res. 2008;23(4):612-20.
KDHS. Kenya Demographic and Health Survey 2022. 2022. Available at: https://dhsprogram.com/ pubs/pdf/PR143/PR143.pdf. Accessed on 12 August 2024.
KNBS. 2019 Kenya Population and Housing Census Results. 2019. Available at: https://www.knbs.or.ke/ 2019-kenya-population-and-housing-census-results/. Accessed on 09 September 2024.
Magnani R. Sampling Guide Robert Magnani. 1997. Available at: file:///C:/Users/acer/Downloads/ FANTA_-_Sampling_Guide%20(1). Accessed on 09 September 2024.
KCG. Kiambu County Integrated Development Plan 2018-2022. 2018. Available at: https://repository. kippra.or.ke/handle/123456789/709. Accessed on 09 September 2024.
Taylor KL, Williams RM, Davis K, Luta G, Penek S, Barry S, et al. Decision Making in Prostate Cancer Screening Using Decision Aids vs Usual Care: A Randomized Clinical Trial. JAMA Intern Med. 2013;173(18):1704.
Mutua K, Pertet AM, Otieno C. Cultural factors associated with the intent to be screened for prostate cancer among adult men in a rural Kenyan community. BMC Public Health. 2017;17(1):1-8.
Kim HJ. Increasing the Persuasiveness of Gain vs. Loss Framing: The Effects of Gender and Fear Arousal on Processing Gain- vs. Loss-Framed Breast Cancer Screening Messages. University of Missouri-Columbia. 2010.
Okuhara T, Ishikawa H, Okada H, Kiuchi T. Identification of gain- and loss-framed cancer screening messages that appeared in municipal newsletters in Japan. BMC Res Notes. 2014;7(1).
Kobayashi LC, Smith SG. Cancer Fatalism, Literacy, and Cancer Information Seeking in the American Public. Heal Educ Behav. 2016;43(4):461-70.
Zajac LE, Land SR, Ling BS. An affective booster moderates the effect of gain- and loss-framed messages on behavioral intentions for colorectal cancer screening. J Behav Med. 2023;35:452-61.
Luo C, He Y, Xu Y, Yang X, Wang H. How does loss-versus-gain message framing affect HPV vaccination intention? Mediating roles of discrete emotions and cognitive elaboration. Curr Psychol. 2024;43(10):9443-56.
Gallagher KM, Updegraff JA, Ph D. Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review. Ann Behav Med. 2012;43(1):101-16.
Mbugua RG, Karanja S, Oluchina S. Barriers and Facilitators to Uptake of Prostate Cancer Screening in a Kenyan Rural Community. Ann Afr Surg. 2021;18(3):130-6.
Mbugua RG, Oluchina S, Karanja S. Prostate cancer awareness and screening among men in a rural community in Kenya: a cross-sectional study. Afr J Urol. 2021;27(1).
Hawley ST, Management H, Morris AM, Behavior H. Cultural Challenges to Engaging Patients in Shared Decision Making. Patient Educ Couns. 2018;100(1):18-24.
