Despite the global increase in awareness of prostatic diseases resulting from widespread availability of screening tools, there is no evidence that the knowledge, attitudes and screening practices of Nigerian men have improved regarding prostatic diseases.
A descriptive cross-sectional study amongst 305 community-dwelling men. Respondents were selected using multi-staged sampling techniques. Knowledge, attitudes and screening practices were determined based on responses to a semi-structured KAP questionnaire. Data were analyzed using SPSS version 18. Pearson's chi-square and Fisher's exact test (two-tail) with level of significance set at 0.05 were used to determine the level of statistical significance. Pearson's correlation coefficient was used to establish correlation between variables.
Mean age of respondents was 63.4±11.8 years. Slightly less than half, 145(47.5%) were aware of prostate cancer (PCa) while only 99(32.5%) and 91(29.8%) were aware of BPH and prostatitis respectively. About a quarter (25.1%) had heard of PSA. The main sources of information were radio and television. Overall, 143(46.9%) respondents had good knowledge while 162(53.1%) had poor knowledge. Sexually transmitted disease was the commonest misconception as the cause of prostatic diseases. Overall, 44.3% had good attitudes. Only 31(10.2%) respondents had ever carried out screening for PCa. Only educational and occupational status had significant associations with level of knowledge and attitudes of participants. The only factor that influenced screening practices was educational status.
There is a poor level of knowledge, attitudes and screening practices regarding prostatic diseases in Nigeria. We recommend a widespread public health education to improve knowledge, attitudes and screening practices for prostatic diseases.
The Pan African medical journal. 2017 Jun 30*** epublish ***
Rufus Wale Ojewola, Ezekiel Sofela Oridota, Olanrewaju Samuel Balogun, Ezra Olatunde Ogundare, Taiwo Opeyemi Alabi, Oluseyi Omotola Banjo, Adeyinka Laoye, Babatunde Adetunmbi, Bamidele Oludele Adebayo, Rotimi Oluyombo
Department of Surgery, College of Medicine of University of Lagos/Lagos University Teaching Hospital, PMB 12003, Idi-Araba, Surulere, Lagos, Nigeria., Department of Community Health and Primary Care, College of Medicine of University of Lagos/Lagos University Teaching Hospital, PMB 12003, Idi-Araba, Surulere, Lagos, Nigeria., Department of Paediatrics, Ekiti State University Teaching Hospital/Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria., Department of Surgery, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria., Department of Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.