Prostate cancer knowledge and screening practices among men from Tharaka Nithi County, Kenya

Authors

  • Joshua K. Mwangi Department of Nursing, School of Nursing and Public Health, Chuka University, Chuka, Kenya
  • Bonaventure O. Agina Department of Obstetrics and Gynecology, School of Health Science, Kenyatta University, Nairobi, Kenya
  • Isaac Mwanzo Department of Family Medicine, Community Health and Epidemiology, School of Health Sciences, Kenyatta University, Nairobi, Kenya

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20252086

Keywords:

Prostate cancer, Knowledge, Screening

Abstract

Background: Prostate cancer (PCa) is the second most commonly diagnosed cancer and the fifth leading cause of cancer death among men. In Kenya it is the leading male cancer (21.9%) followed by colorectal cancer (8,3%). It is amenable if detected early. Knowledge on prostate cancer and its screening practices are some of the predictors associated with early diagnosis and treatment. The purpose of this study was to determine PCa knowledge levels and screening practices among men from Tharaka Nithi County in Kenya.

Methods: Cross-sectional study design was adopted and multi-stage sampling was used eventually recruiting 382 men who were 40 years old and above. Researcher administered questionnaires were used to collect data. Data analysis was done using the statistical package of social science (SPSS) version 22.

Results: Awareness level of prostate cancer was high (85.1%) among participants. Majority of the participants (69.1%) had poor knowledge and screening levels were low (4.5%). Factors found to be significantly associated with PCa knowledge were prostate cancer awareness (p=0.022), awareness on PCa screening tests (p<0.001) and family history of PCa (p<0.001), while those found to be significantly associated with screening were level of education (p=0.001), awareness of PCa screening tests (p<0.001), family history of PCa (p=0.012) and knowledge on PCa (p=0.044).

Conclusions: Knowledge on PCa and PCa screening services were low among men in Tharaka Nithi County and therefore there is need for the County government to come up with strategies aimed at increasing the level of knowledge on PCa and scaling up of PCa screening services.

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References

Bray F, Laversanne M, Sung H, Ferlay J, Siege R, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74:229-63. DOI: https://doi.org/10.3322/caac.21834

Ferlay J, Lam F, Colombet M, Mery L, Pineros M, Znaor A, et al. Global cancer observatory: cancer today. Lyon, France: International Agency for Research on Cancer. 2019.

Siegel RL, Miller KD, Fuchs HE, and Jemal A. Cancer statistics. CA Cancer J Clin. 2022;2:7-33. DOI: https://doi.org/10.3322/caac.21708

Ferlay J, Ervik M, Lam F. South Africa. In: Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. 2020. Available at: https://cansa.org.za/files/2021/02/ IARC Globocan-SA-2020-Fact-Sheet. Accessed on 07 November 2024.

Bray F, Parkin D. Cancer in sub-Saharan Africa in 2020: a review of current estimates of the national burden, data gaps, and future needs. Lancet Oncol. 2022;23(6):719-28. DOI: https://doi.org/10.1016/S1470-2045(22)00270-4

Sung H, Ferlay J, Siegel R, 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. 2021. CA Cancer J Clin. 2021;71(3):209-49. DOI: https://doi.org/10.3322/caac.21660

Ministry of Health Kenya. The National Cancer Control Strategy (2023–2027). Available at: http://www.health.go.ke. Accessed on 12 May 2025.

Cancer Incidence report (2009-2013); Nairobi. Cancer Registry. Available at: http://www.kemri. go.ke>cancer-registry. Accessed on 18 February 2025.

Carlsson S, Godtman R, Pihl CG, Vickers A, Lilja H, Huggoson J, et al. Young age on starting prostate-specific antigen testing is associated with a greater reduction in prostate cancer mortality: 24-year follow-up of the Göteborg randomized population-based prostate cancer screening trial. European Urol. 2023;83:103-9. DOI: https://doi.org/10.1016/j.eururo.2022.10.006

United States Preventive Services Task Force (USPSTF). “Recommendation: Prostate Cancer: Screening United States Preventive Services Advances in Preventive Medicine 7 Task-force.” 2018. Available at: https://www.uspreventive servicestaskforce. org/uspstf/recommendation/ prostate-cancer-screening. Accessed on 18 February 2025.

Nyame Y, Gulati R, Heijnsdijk E, Tsodikov A, Mariotto A, Gore J, et al. The impact of intensifying prostate cancer screening in Black men: a model-based analysis. J Natl Cancer Inst. 2021;113:1336-42. DOI: https://doi.org/10.1093/jnci/djab072

Ministry of Health. National-Cancer-Screening-Guidelines. 2018. Available at: https://www.health. go.ke/wpcontent/uploads/2019/02/National-Cancer-Screening Guidelines-2018.pdf. Accessed on 18 February 2025.

Morley F, Iyer H, Tamimi R, Nanus D, Rebbeck T, Kensler K. Prostate-specific antigen testing rates in high-risk populations: results from the All of Us Research Program. Cancer Causes Control. 2024;35(3):509-21. DOI: https://doi.org/10.1007/s10552-023-01807-7

Seraphin T, Joko-Fru, W, Kamate B, Chokunonga E, Wabinga H, Somdyala N, et al. Rising prostate cancer incidence in sub-Saharan Africa: a trend analysis of data from the African Cancer Registry Network. Cancer Epidemiol Biomarkers Prev. 2021;30(1):158-65. DOI: https://doi.org/10.1158/1055-9965.EPI-20-1005

Bugoye FC, Leyna GH, Moen K, Mmbaga EJ. Knowledge, perceived risk and utilization of prostate cancer screening services among men in Dar es Salaam, Tanzania. Prostate Cancer. 2019;2463048. DOI: https://doi.org/10.1155/2019/2463048

Wanyangah P. Prostate Cancer Awareness, Knowledge, Perception on Self-vulnerability and Uptake of Screening among Men in Nairobi County, Kenya. Available at: http://ir- library.ku.ac.ke/ handle/123456789/9005. Accessed on 12 April 2025.

Mbugua R, 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):7. DOI: https://doi.org/10.1186/s12301-020-00108-8

Bartendi W, Tshiamo B, Mogobe D, McFarland M. Barriers to Prostate Cancer Screening by Men in Sub-Saharan Africa: An Integrated Review. Nurs Scholars. 2020;52(1):85-94. DOI: https://doi.org/10.1111/jnu.12529

Mutiso J, Gitonga C, Abdullahi B, Simbauni J, Gicheru M. Alarming Cases of Cancer in Kenya: A Case for Meru and Tharaka Nithi Counties. Br J Healthc Med Res. 2023;10(1):55-64. DOI: https://doi.org/10.14738/bjhmr.101.13825

Charan J, Biswas T. How to Calculate Sample Size for Different Study Designs in Medical Research? Indian J Psychol Med. 2013;35(2):121-6. DOI: https://doi.org/10.4103/0253-7176.116232

Weinrich S, Rachelle S, Barbara M, Carrie D, Sanggil K, Courtney W, et al. Knowledge of the Limitations Associated with Prostate Cancer Screening Among Low-income Men. Cancer Nursing. 2004;27(6):442-51. DOI: https://doi.org/10.1097/00002820-200411000-00003

Ngowi B, Mremi A, Mbwambo O, Mitao P, Nyindo M, Mteta A, et al. Prostate cancer knowledge and barriers to screening among men at risk in northern Tanzania: A community-based study. Cancer Treatment and Research Communications. 2024;39:100811. DOI: https://doi.org/10.1016/j.ctarc.2024.100811

Ekwan R, Bua E, Nantale R, Opito R, Abingwa P, Sserwanja Q, et al. Uptake of prostate cancer screening and associated factors among men aged 50 years and above in Lira city, Uganda: a cross-sectional study. BMC Public Health. 2023;23:432. DOI: https://doi.org/10.1186/s12889-023-15348-w

Ugochukwu U, Odukoya O, Ajogwu A, Ojewola R. Prostate cancer screening: what do men know, think and do about their risk? Exploring the opinions of men in an urban area in Lagos State, Nigeria: a mixed methods survey. Pan Afr Med J. 2019;34:168. DOI: https://doi.org/10.11604/pamj.2019.34.168.20921

Benurugo G, Munyambaraga E, Chironda G, Bisanukuri E. Awareness on prostate cancer and screening practices among men attending outpatient at a referral hospital in Kigali, Rwanda: a quantitative study. Int J Africa Nurs Sci. 2020;13:100241. DOI: https://doi.org/10.1016/j.ijans.2020.100241

Shanko A, Abute L and Tamirat T. Prostate Cancer Screening Practice and Associated Factors Among Men in Public Health Facilities of Hossana Town, Ethiopia. Patient Related Outcome Measures. 2022:229-38. DOI: https://doi.org/10.2147/PROM.S380898

Maladze N, Maphula A, Maluleke M, Makhado, L. Knowledge and Attitudes towards Prostate Cancer and Screening among Males in Limpopo Province, South Africa. Int J Environ Res Public Health. 2023;20(6):5220. DOI: https://doi.org/10.3390/ijerph20065220

Opondo CO, Onyango PO, Asweto CO. Effect of Perceived Self-Vulnerability on prostate Cancer Screening Uptake and Associated factors: a cross-sectional study of Public Health Facilities in Western Kenya. Ann Glob Health. 2022;88(1):12. DOI: https://doi.org/10.5334/aogh.3064

Abuadas M, Petro-Nustas W, Albikawi Z. Predictors of Participation in Prostate Cancer Screening among Older Men in Jordan. Asian Pac J Cancer Prev. 2015;16(13):5377-83. DOI: https://doi.org/10.7314/APJCP.2015.16.13.5377

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Published

2025-06-30

How to Cite

Mwangi, J. K., Agina, B. O., & Mwanzo, I. (2025). Prostate cancer knowledge and screening practices among men from Tharaka Nithi County, Kenya. International Journal Of Community Medicine And Public Health, 12(7), 2982–2989. https://doi.org/10.18203/2394-6040.ijcmph20252086

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Original Research Articles