Insights into prostate cancer awareness and perceptions among men in Tshwane
DOI:
https://doi.org/10.7196/SAMJ.2024.v114i16b.1307Keywords:
Prostate Cancer, Knowledge, PerceptionsAbstract
Background. Globally, prostate cancer (PCa) accounts for 6.6% of deaths, while in South Africa (SA), PCa accounts for 13% of deaths in males, with over 4 000 SA men diagnosed with PCa annually. This may be attributed to the inadequate availability of screening, early detection and possibly other socioeconomic and lifestyle factors.
Objectives. To determine the factors associated with knowledge and perceptions of PCa among men in the Tshwane district.
Methods. A descriptive cross-sectional survey was conducted between August 2022 and June 2023 in a study population of men, ≥18 years, residing in Tshwane district located in Gauteng, South Africa.
Results. In this study, 91.7% of the subjects responded that they had heard about PCa, while 11% thought they might be at risk for having PCa. While 93.7% of the respondents reported that they had never tested for PCa, 98.3% said that if they were offered the opportunity to test voluntarily, they would agree to test for PCa. There was a significant association between age and knowledge of PCa (p≤0.001). There was also a significant association between perception of PCa and smoking (p=0.034), age (p=0.035) and level of education (p=0.04).
Conclusion. This study shows significant associations between age and level of education with knowledge, perception and awareness of PCa. Educational campaigns targeting diverse age and education groups are recommended, along with smoking cessation programmes, improved PCa screening access, tailored messaging, healthcare collaborations, and cultural sensitivity to enhance awareness and early detection.
References
Wasim S, Lee S-Y, Kim J. Complexities of prostate cancer. Int J Molecular Sci 2022;23(22):14257.
https://doi.org/10.3390/ijms232214257
Hayes VM, Bornman MSR. Prostate cancer in southern Africa: Does Africa hold untapped potential to add value to the current understanding of a common disease? J Glob Oncol 2017;4:1-7. https://doi. org/10.1200/JGO.2016.008862
Tindall EA, Monare LR, Petersen DC, et al. Clinical presentation of prostate cancer in black South Africans. Prostate 2014;74(8):880-891. https://doi.org/10.1002/pros.22806
Tindall EA, Bornman MS, van Zyl S, et al. Addressing the contribution of previously described genetic and epidemiological risk factors associated with increased prostate cancer risk and aggressive disease within men from South Africa. BMC Urol 2013;13:74. https://doi.org/10.1186/1471-2490-13-74
Sung H, Ferlay J, Siegel RL, 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):209-249. https:// doi.org/10.3322/caac.21660
Kinyao M, Kishoyian G. Attitude, perceived risk and intention to screen for prostate cancer by adult men in Kasikeu Sub Location, Makueni County, Kenya. Ann Med Health Sci Res 2018;8(3):125-132. 7. Mofolo N, Betshu O, Kenna O, et al. Knowledge of prostate cancer among males attending a urology
clinic: A South African study. SpringerPlus 2015;4:67. https://doi.org/10.1186/s40064-015-0824-y
Ramaliba TM, Sithole N, Ncinitwa A, Somdyala NIM. Prostate cancer patterns and trends in the Eastern Cape Province of South Africa: 1998-2017. Front Public Health 2022;10:882586. https://doi.
org/10.3389/fpubh.2022.882586
Le Roux A, le Mans G, Huyssteen E, van Niekerk W. Profiling the vulnerabilities and risks of South African settlements. In: Mambo J, Faccer K, eds. Understanding the Social and Environmental Implications of Global Change. Stellenbosch: African Sun Media, 2019:26-35.
Cassim N, Ahmad A, Wadee R, Rebbeck T, Glencross D, George J. Prostate cancer age-standardised incidence increase between 2006 and 2016 in Gauteng Province, South Africa: A laboratory data-based analysis. S Afr Med J 2021;111(1):26-32. https://doi.org/10.7196/SAMJ.2020.v111i1.14850.
Babb C, Urban M, Kielkowski D, Kellett P. Prostate cancer in South Africa: Pathology based national cancer registry data (1986-2006) and mortality rates (1997-2009). Prostate Cancer 2014:419801. https://doi.org/10.1155/2014/419801
Jaratlerdsiri W, Jiang J, Gong T, et al. African-specific molecular taxonomy of prostate cancer. Nature 2022;609(7927):552-559. https://doi.org/10.1038/s41586-022-05154-6
Statistics South Africa. Mid-year population estimates, 2022. Pretoria: Stats SA, 2022.
Hayes VM, Bornman MSR. Prostate cancer in southern Africa: Does Africa hold untapped potential to add value to the current understanding of a common disease? J Glob Oncol 2018;4:1-7. https://doi.
org/10.1200/jgo.2016.008862
Benedict MOA, Steinberg WJ, Claassen FM, Mofolo N, van Rooyen C. Knowledge, beliefs and intentions of African men in the Free State about prostate cancer screening. Health SA Gesondheid (Online) 2022;27:1-10.
Petersen DC, Jaratlerdsiri W, van Wyk A, et al. African KhoeSan ancestry linked to high-risk prostate cancer. BMC Med Genomics 2019;12(1):82. https://doi.org/10.1186/s12920-019-0537-0
Lewis DD, Cropp CD. The impact of African ancestry on prostate cancer disparities in the era of precision medicine. Genes (Basel) 2020;11(12). https://doi.org/10.3390/genes11121471
Kerschbaum E, Nüssler V. Cancer prevention with nutrition and lifestyle. Visc Med 2019;35(4):204- 209. https://doi.org/10.1159/000501776
James LJ, Wong G, Craig JC, et al. Men’s perspectives of prostate cancer screening: A systematic review of qualitative studies. PLoS ONE 2017;12(11):e0188258. https://doi.org/10.1371/journal.pone.0188258 20. 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;87:894. https://doi.
org/10.1186/s12889-017-4897-0
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). https://doi.org/10.3390/ijerph20065220
Assefa A, Germossa GN, Ayenew M, Bedada GB. Awareness of prostate cancer and its associated factors among men 40 years of age and older in Mizan Aman town, Bench Sheko zone, Southern Nations, Nationalities, and Peoples’ Region, South West Ethiopia, 2019. Front Oncol 2022;12:976810. https://doi.org/10.3389/fonc.2022.976810
Alothman AM, Altamimi AF, Alhenaki AW, Almansour NM, Alhusaini AK, Alateeq F. The knowledge and attitude towards prostate cancer and screening practices among males in Saudi Arabia. J Family Med Prim Care 2022;11(6):2637-2642. https://doi.org/10.4103/jfmpc.jfmpc_1802_21
Musalli ZF, Alobaid MM, Aljahani AM, Alqahtani MA, Alshehri SS, Altulaihi BA. Knowledge, attitude, and practice toward prostate cancer and its screening methods among primary care patients in King Abdulaziz Medical City, Riyadh, Saudi Arabia. Cureus 2021;13(4):e14689. https:// doi.org/10.7759/cureus.14689
Makado E, Makado RK, Rusere MT. An assessment of knowledge of and attitudes towards prostate cancer screening among men aged 40 to 60 years at Chitungwiza Central Hospital in Zimbabwe. Int J Humanit Soc Sci 2015;3(4):45-55.
AwosanKJ,YunusaEU,AgwuNP,TaofiqS.Knowledgeofprostatecancerandscreeningpracticesamong men in Sokoto, Nigeria. Asian J Med Sci 2018;9(6):51-56. https://doi.org/10.3126/ajms.v9i6.20751
Benedict MO, Steinberg WJ, Claassen FM, Mofolo N. Enhancing public awareness and practice of prostate cancer screening among African men: A scoping review. 2023;65(1):a5621. https://doi. org/10.4102/safp.v65i1.5621
Coughlin SS. A review of social determinants of prostate cancer risk, stage, and survival. Prostate Int 2019;8(2):49-52. https://doi.org/10.1016/j.prnil.2019.08.001
Aamoah G, Acheampong D, Kofi G-S, et al. Knowledge, attitude and perception of prostate cancer among male adults in the Kumasi Metropolis: A descriptive cross-sectional study. J Urology Res 2018;5:1099. 30. Reifegerste D, Rosset M, Czerwinski F, et al. Understanding the pathway of cancer information seeking:
Cancer information services as a supplement to information from other sources. J Cancer Educ
;38(1):175-184. https://doi.org/10.1007/s13187-021-02095-y
Ross L, Dark T, Orom H, et al. Patterns of information behavior and prostate cancer knowledge among
African-American men. J Cancer Educ 2011;26(4):708-716. https://doi.org/10.1007/s13187-011-0241-z
Downloads
Published
Issue
Section
License
Copyright (c) 2024 L Nzombe, J Shirinde, S Patrick

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Licensing Information
The SAMJ is published under an Attribution-Non Commercial International Creative Commons Attribution (CC-BY-NC 4.0) License. Under this license, authors agree to make articles available to users, without permission or fees, for any lawful, non-commercial purpose. Users may read, copy, or re-use published content as long as the author and original place of publication are properly cited.
Exceptions to this license model is allowed for UKRI and research funded by organisations requiring that research be published open-access without embargo, under a CC-BY licence. As per the journals archiving policy, authors are permitted to self-archive the author-accepted manuscript (AAM) in a repository.
Publishing Rights
Authors grant the Publisher the exclusive right to publish, display, reproduce and/or distribute the Work in print and electronic format and in any medium known or hereafter developed, including for commercial use. The Author also agrees that the Publisher may retain in print or electronic format more than one copy of the Work for the purpose of preservation, security and back-up.




