Volume 9, Issue 1, March 2021, Page: 41-52
Assessment of Knowledge and Practices of Prostate Cancer Screening Among Men in the Lower Manya Krobo Municipality in the Eastern Region of Ghana
Victoria Nartey Laweh, Ensign College of Public Health, Kpong, Ghana; Greater Accra Regional Hospital, Accra, Ghana
Stephen Manortey, Ensign College of Public Health, Kpong, Ghana
Received: Feb. 6, 2021;       Accepted: Feb. 16, 2021;       Published: Feb. 23, 2021
DOI: 10.11648/j.crj.20210901.16       View        Downloads  
Prostate cancer is the leading cause of cancer-related deaths among men 40 years and above globally. Incidence and mortality rates are higher in African men as they grow older. Prostate cancer is amenable to early detection by screening which can prevent and reduce cancer deaths. Unfortunately, it is often detected late in the Ghanaian population due to lack of voluntary screening. This study assessed the knowledge and practices of prostate cancer screening uptake among men in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana. The study employed a cross-sectional design that used quantitative methods (structured questionnaire) to collect data from 363 respondents using a multistage sampling technique. Chi-square test statistics were used to estimate the association between the knowledge, practices and perception (dependent variables) and socio-demographic characteristics (independent variable) of respondents. Multiple binary logistic regression model was used to measure the strength of association between the variables at a 95% Confidence Interval. The majority (79.3%) of respondents were of the Ga-Adangme ethnic group, were in the 40-49 years age bracket (44.4%) and married (70.8%). Except for age group, marital status, ethnicity and number of biological children, all socio-demographic characteristics were significantly associated with prostate cancer screening uptake (p<0.05) but there was no significant association between socio-demographic characteristics and knowledge level on prostate cancer (p>0.05). Only religious affiliation and family history of prostate cancer were significantly associated with perceptions on prostate cancer. The study showed that most men in the Lower Manya Krobo Municipality were aware of prostate cancer. This, however, did not translate into practice. Public health interventions should have Ministry of Health liaise with the National Health Insurance Scheme to roll out a free prostate cancer screening and prevention program in the District hospitals to ensure early screening.
Prostate Cancer, Screening, Lower Manya Krobo Municipality, Ghana
To cite this article
Victoria Nartey Laweh, Stephen Manortey, Assessment of Knowledge and Practices of Prostate Cancer Screening Among Men in the Lower Manya Krobo Municipality in the Eastern Region of Ghana, Cancer Research Journal. Vol. 9, No. 1, 2021, pp. 41-52. doi: 10.11648/j.crj.20210901.16
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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, & Jemal A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin; 68(6):394-424. https://doi.org/10.3322/caac.21492
Panigrahi, G. K., Praharaj, P. P., Kittaka, H., Mridha, A. R., Black, O. M., Singh, R., Mercer, R Deep, G. (2019). Exosome proteomic analyses identify inflammatory phenotype and novel biomarkers in African American prostate cancer patients. Cancer Med 8(3):1110-1123. https://doi.org/10.1002/cam4.1885
Ferlay, J., Lam, F., Colombet, M., Mery, L., Pineros, M., Znaor, A., Soerjomataram, I. et al., Global Cancer observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. Retrieved on 02/02/2019 from: https://geo.iarc.fr/today
Akemi, T., Ogo, C. N. & Olutunde, A. O. (2011). Review of prostate cancer research in Nigeria: Infectious agent cancer. Biomed Central. 6 (2): S8 https://doi.org/10.1186/1750-9378-6-s2-s8
Odedina F. T, Ogunbiyi J. O & Ukoli F. A. M (2006). Roots of prostate cancer in African-American men. J Natl Med Assoc, 98, 539–43. https://pubmed.ncbi.nlm.nih.gov/16623066/
American Cancer Society (ACS) (2016). Cancer facts and figures 2016, pp 1–9. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2016.html
Nakandi H, Kirabo M. & Semugabo C. (2013). Knowledge, attitudes and practices of Ugandan men regarding prostate cancer. Afr J Urol, 19, 165–70. https://doi.org/10.1016/j.afju.2013.08.001
Ministry of Health & Ghana Health Service (MOH/GHS), (2014). National strategy for cancer control in Ghana, 2014-2017, Accra, Ghana: Adwinsa. https://www.iccp-portal.org/system/files/plans/Cancer%20Plan%20Ghana%20Ministry%20of%20Health.pdf
Yamoah, K., Beechman, K., Hegarty, S. & Hyslop, T. (2013). Early results of prostate cancer radiation therapy: An analysis with emphasis on research strategies to improve treatment delivery and outcomes.  BMC Cancer 13(1):23 https://doi.org/10.1186/1471-2407-13-23
Oladimeji O, Bidemi Y. O, Olufisayo, J. A. Y & Sola A. O. (2010). Prostate cancer awareness, knowledge, and screening practices among older men in Oyo State, Nigeria. Int Q Community Health Educ, 30, 271–86. https://doi.org/10.2190%2FIQ.30.3.g
Tasian, G. E., Cooperberg, M. R., Cowan, J. E., Keyashian, K., Greene, K. L., Daniels, N. A., Chan, J. M. (2012). Prostate-specific antigen screening for prostate cancer: knowledge of, attitudes towards, and utilization among primary care physicians. Urologic Oncology, 30(2), 155–60. https://doi.org/10.1016/j.urolonc.2009.12.019
Ghana Statistical Service: National Population and Census Report (2010). https://www2.statsghana.gov.gh/docfiles/2010_District_Report/Eastern/LOWER%20MANYA%20KROBO.pdf
Cochran, W. C. (1977) 'Snedecor G W & Cochran W G. Statistical methods applied to experiments in agriculture and biology. 5th ed. Ames, Iowa: Iowa State University Press, 1956.', Citation Classics, 19(19), p. 1.
Alexander Egote, P P S Ossei, W G Ayibor. (2018): Patterns and presentation of prostate cancer at a referral hospital in the Brong Ahafo region of Ghana: A 10-year retrospective study. Healthy Aging Research. 9 (5) https://www.longdom.org/articles/patterns-and-presentation-of-prostate-cancer-at-a-referral-hospital-in-the-brong-ahafo-region-of-ghana-a-10year-retrospe.pdf
America Cancer Society (ACS), (2014). Prostate Cancer: What is cancer? Accessed on 12/05/2019 from http://www.cancer.org/acs/groups/cid/documents/webcontent/003134-pdf.pdf
Pedersen, V. H., Armes, J., & Ream, E. (2012). Perceptions of prostate cancer in Black African and Black Caribbean men: A systematic review of the literature. Psycho-Oncology, 468(September 2011), 457–468. https://doi.org/10.1002/pon.2043
Fitzpatrick, J. M., Kirby, R. S., Brough, C. L., & Saggerson, A. L. (2009). Awareness of PC among patients and the general public: Results of an international survey. PC and Prostatic Diseases, 12(4), 347–54 https://dx.doi.org/10.1038%2Fpcan.2009.30
Etawo, U. S., Ekeke, N. O., & Mbiaba, A. B. (2012). Prospective study of sex hormone levels among prostate cancer patients attending the University of Port Harcourt Teaching Hospital clinic. The Nigerian Health Journal, 12(2), 39-42. https://www.ajol.info/index.php/nhj/article/view/81256
Leitzmann, M. F. & Rohrmann, S. (2012). Risk factors for the onset of prostatic cancer: age, location, and behavioral correlates. Clinical Epidemiology, 4 1–11 https://dx.doi.org/10.2147%2FCLEP.S16747
Sanderson, R., Wijesinha, S. S., & Jones, K. M. (2013). What men know about the symptoms and treatment of PC: A study comparing ADF and civilian men? Journal of Military and Veterans' Health, 21(3), 4–13.
Kolahdooz, F., Jang, S. L., Corriveau, A., Gotay, C., Johnston, N., & Sharma, S. (2014). Knowledge, attitudes, and behaviours towards cancer screening in indigenous populations: A systematic review. The Lancet: Oncology, 15(11), e504–e516. https://doi.org/10.1016/s1470-2045(14)70508-x
Holt. A., Cheryl, L., Theresa. A., Wynn, & Jasmine, D. (2009). Religious involvement and Prostate Cancer Screening behaviours among South-eastern African American Men. American Journal of Men's Health. 3(3): 3214-223. https://doi.org/10.1177/1557988308318686
Rebbeck, T. R., Devesa, S. S., Chang, B.-L., Bunker, C. H., Cheng, I., Cooney, K., Zeigler-Johnson, C. M. (2013). Global patterns of prostate cancer incidence, aggressiveness, and mortality in men of African descent. Hindawi, 560857. https://doi.org/10.1155/2013/560857
Akigbe, A. & Akigbe, K. (2012). Effects of health belief and cancer fatalism on the practice of breast cancer screening among Nigerian women: INTECH open science/open mind. Accessed on 23/01/2020 from: http://www.intechopen.com/books/mammography-recent-advantages/effects-of-health-belief-and-cancer-fatalism-on-the-practice-of-breast-cancer-screening-among-nigeria
Agbugui J. O., Obarisiagbon E. O., Nwajei C. O, (2013). Awareness and knowledge of prostate cancer among men in Benin City, Nigeria. Journal of Medicine and Biomedical Research, 12(2), 42–47. https://www.ajol.info/index.php/jmbr/article/view/104621
Oranusi, C. K., Mbieri, U. T., Oranusi, I. O., & Nwofor, A. M. E. (2012). Prostate cancer awareness and screening among male public servants in Anambra State, Nigeria. African Journal of Urology, 18(2), 72–74. https://doi.org/10.1016/j.afju.2012.04.016
Hevey, D., Pertl, M., Thomas, K., Maher, L., Chuinneagáin, S. N., & Craig, A. (2009). The relationship between prostate cancer knowledge and beliefs and intentions to attend PSA screening among at-risk men. Patient Education and Counselling, 74(2), 244–9. https://doi.org/10.1016/j.pec.2008.08.013
International Network for Cancer Treatment and Research. (2013). Building capacity for cancer prevention, treatment and research: cancer control. 10 (11): 167-176. Retrieved on Accessed on 26/01/2020 from http://cancercontrol.info/wp-content/uploads/2014/08/cc2013_167-176-INCTR-section_2012.pdf
Elamurugan, S., Rajendran, P. & Thangamani S. (2016). Prostate cancer screening: Awareness, attitude, and practice of Indian women. Trop J Med Res; 19:42-6
Liu, Y., Liu, Y., Yuan, B., Yuan, B., Yin, L., Peng, Y., Yu, X., Zhou, W., Gong, Z., Liu, J., He, L. & Li, X. (2017). FOXM1 promotes the progression of prostate cancer by regulating PSA gene transcription. Oncotarget.; 8(10):17027‐17037. https://doi:10.18632/oncotarget.15224
Sothy, T. & Oh J. K. (2018). Knowledge, attitudes, and practices toward prostate cancer prevention among men in Kampong Speu Province, Cambodia. BMC Cancer; 18(1):294 https://doi.org/10.1186/s12885-018-4198-8
Chan, E. C. Y., McFall, S. L., Byrd, T. L., Mullen, P. D., Volk, R. J., Ureda, J., Kay Bartholomew, L. (2011). A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: a cluster RCT. Patient Education and Counselling, 84(2), 44–51. https://doi.org/10.1016/j.pec.2010.07.033
Allen, J. D., Kennedy, M., Wilson-Glover, A. & Gilligan, T. D. (2007). African-American men's perceptions about prostate cancer: implications for designing educational interventions. Social Science & Medicine, 64(11), 2189–2200. https://doi.org/10.1016/j.socscimed.2007.01.007
Watson, E., Hewitson, P., Brett, J., Bukach, C., Evans, R., Edwards, A., Elwyn, G., Cargill, G. & Austoker, J. (2006). Informed decision making and prostate-specific antigen (PSA) testing for prostate cancer: A randomized controlled trial exploring the impact of a brief patient decision aid on men's knowledge, attitudes and intention to be tested. Patient Education and Counseling, 63 367–379. https://doi.org/10.1016/j.pec.2006.05.005
Cancer Association of South Africa [CANSA], (2013). https://cansa.org.za/south-african-cancer-statistics/
Matthew, A. G., Paradiso, C., Currie, K. L., Finelli, A., Hartman, M., Trachtenberg, L., Ritvo, P. (2011). Patient education and counseling examining risk perception among men with a family history of PC. Patient Education and Counseling, 85(2), 251–257.
Rebbeck T. R, Zeigler-Johnson C. M., Heyns C. F., Gueye S. M (2011): Prostate Cancer Screening, Detection and Treatment Practices, Among Sub-Saharan African Urologists. African Journal of Urology 17(3). 85-91 https://doi.org/10.1007/s12301-011-0016-0
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