Prostate Cancer Screening Among Married Male Employees in A South-West University, Nigeria

Abstract

Background: Prostate cancer accounts for about 28% of all cancer diagnoses among men in Nigeria, yet awareness of screening methods for early detection and knowledge of the disease remain limited. This study evaluated prostate cancer screening uptake and its associated factors among married working men in a University in South-west, Nigeria. Method: A descriptive cross-sectional design was used, with a self-administered questionnaire with a reliability index of 0.884 distributed to 321 respondents selected through simple random sampling. Data were analyzed using SPSS, descriptive statistics (frequencies and percentages), and inferential Statistics ( Chi-square) to analyze the data at a significance level of 0.05. Results: The study revealed that the mean age of the respondents was 27.12 years. Most respondents, 279 (87%), had poor knowledge about prostate cancer screening, and 282(87.9%) had poor attitudes towards prostate cancer screening, with poor uptake (91%). Significant influences on screening uptake were doctors’ recommendations (70.1%), knowledge of benefits (72.6%), fear of cancer (58.6%), and personal health views (71.0%). Significant relationships were found between uptake and educational level (p=0.001), employment status (p=0.000), attitude (x2=3.878, p=0.049), awareness (x2=4.434, p=0.035), cost (p=0.020), health views (p=0.032), and social advice (p=0.027), but not with age (p=0.149), religion (p=0.055), ethnicity (p=0.444), or knowledge level (p=0.541). Conclusion: Despite high education and employment levels, the respondents have poor knowledge and uptake of prostate cancer screening. Targeted interventions by healthcare providers and educational campaigns are essential to increase aware-ness and improve screening rates.