肯尼亚前列腺癌症筛查率:人口统计学和健康调查分析

IF 2 Q3 HEALTH POLICY & SERVICES Journal of Cancer Policy Pub Date : 2023-09-01 DOI:10.1016/j.jcpo.2023.100427
Joshua Okyere , Castro Ayebeng , Bernard Afriyie Owusu , Bright Ankomahene , Kwamena Sekyi Dickson
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引用次数: 0

摘要

背景癌症前列腺癌筛查是促进早期发现和治疗的一种具有成本效益的策略。了解PCa筛查的决定因素将有助于决策者识别高危人群,并确保健康促进干预措施的成本效益。本研究旨在估计肯尼亚男性前列腺癌筛查的患病率,并评估其相关因素。方法该研究依据2014年肯尼亚人口与健康调查的数据。进行了描述性和推理性分析。使用STATA中的“firthlogit”命令进行第一次逻辑回归。给出了调整后的比值比和95%置信区间。结果总体而言,前列腺癌筛查的患病率为4.4%。50-54岁男性前列腺癌筛查患病率较高[aOR=2.08;CI=1.23,3.52],有健康保险的男性前列腺癌检查患病率较高[aOR=1.69;CI=1.28,223],每周至少阅读一次的男性前列腺瘤筛查患病率高[aOR=1.52;CI=1.10210],以及那些每周至少看一次电视的人[aOR=1.73;CI=1.18,2.52]。居住在东部[aOR=2.23;CI=1.39,3.60]、尼安扎[aOR=2.13;CI=1.29,3.53]和内罗毕[aOR=1.97;CI=1.01,3.86]的男性接受前列腺癌筛查的可能性更高。结论肯尼亚对前列腺癌筛查的接受率较低。为了确保旨在提高肯尼亚前列腺癌筛查率的健康促进干预措施的成本效益,应将没有医疗保险的男性作为目标并优先考虑。提高识字率、通过电视进行宣传以及提高该国的保险覆盖率将大大有助于提高PCa筛查的普及率。政策摘要为了提高前列腺癌筛查的普及率,有必要开展一场全国性的宣传运动,让肯尼亚男性意识到需要接受前列腺癌筛查。这场旨在提高肯尼亚前列腺癌筛查普及率的全国宣传运动必须利用大众媒体平台。
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Prostate cancer screening uptake in Kenya: An analysis of the demographic and health survey

Background

Prostate cancer (PCa) screening is a cost-effective strategy to promote early detection and treatment. Understanding the determinants of PCa screening uptake would help policy makers to identify high-risk populations and ensure the cost-effectiveness of health promotion interventions. This study aims to estimate the prevalence of PCa screening uptake and assess its associated factors among Kenyan men.

Methods

The study relied on data from the 2014 Kenya Demographic and Health Survey. Both descriptive and inferential analyses were performed. Firth logistic regression was employed using the “firthlogit” command in STATA. The adjusted odds ratio and 95% confidence interval were presented.

Results

Overall, the prevalence of PCa screening uptake was 4.4%. The odds of PCa screening uptake were high among men aged 50–54 [aOR= 2.08; CI= 1.23, 3.52], those who had health insurance coverage [aOR= 1.69; CI= 1.28, 2.23], those who read at least once in a week [aOR= 1.52; CI= 1.10, 2.10], and among those who watched TV at least once in a week [aOR= 1.73; CI= 1.18, 2.52]. Men who resided in the Eastern [aOR= 2.23; CI= 1.39, 3.60], Nyanza [aOR= 2.13; CI= 1.29, 3.53], and Nairobi [aOR= 1.97; CI= 1.01, 3.86] had a higher likelihood of getting screened for PCa.

Conclusion

In conclusion, the uptake of PCa screening in Kenya is low. To ensure the cost-effectiveness of health-promoting interventions that aim to improve PCa screening uptake in Kenya, men without health insurance coverage should be targeted and prioritized. Increasing literacy rate, sensitization via television, and increasing the insurance coverage in the country would significantly contribute to a higher uptake of PCa screening.

Policy summary

To improve the uptake of PCa screening, there would be a need to implement a national advocacy campaign that will sensitize Kenyan men about the need to undergo PCa screening. This national advocacy campaign to increase the uptake of PCa screening in Kenya must leverage mass media platforms.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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