Health-seeking practices and prostate cancer screening decisions among black men in the United States, Nigeria, and Cameroon
Journal Title: Journal of Public Health and Development - Year 2024, Vol 22, Issue 3
Abstract
Health-seeking practices are important for prostate cancer (CaP) screening and control. There is evidence of differences in the health practices of Black men (BM) worldwide; however, the comparison between BM’s health-seeking practices in the United States and those in Africa has not been fully elucidated. This study evaluates health-seeking practices and willingness to screen for CaP among BM in Nigeria, Cameroon, and their relatives in the United States. Transatlantic Consortium (CaPTC) familial cohort study phase 1 data of 500 community-dwelling black men in Nigeria, Cameroon, and the United States aged 35 and 70 years were used. A validated CaPTC familial cohort study questionnaire was used to collect data on the respondents’ health-seeking practices, screening decisions, and healthcare insurance coverage. The associations between health-seeking practices and the willingness to screen for CaP were evaluated. The majority (83.8%) reported not having a medical consultation in the last 12 months, and the country of residence did not improve physician visits (p= 0.378). Healthcare insurance coverage was more available to the United States participants (68.4%), compared to 42.9% in Nigeria, and 16.7% in Cameroon. Overall willingness to undertake digital rectal examination and prostate-specific antigen screening was significantly associated with the country of residence with p-values of 0.02, <0.01, and <0.01, respectively. United States participants showed more willingness to undergo screening. Healthcare coverage was also associated with overall willingness to undergo screening (p=0.033). The study showed that country of residence was not associated with physician consultation but was significantly associated with willingness for CaP screening and healthcare insurance coverage. This study highlights the need to expand health insurance coverage, particularly in developing countries such as Nigeria and Cameroon, to enhance the willingness and decision to screen for CaP. This, in turn, will help reduce the late presentation of CaP cases, a critical measure for alleviating the overall burden of the disease.
Authors and Affiliations
Opeyemi Bolajoko, Gbenga Oladosu, Catherine Oladoyinbo, Folakemi Odedina
Keywords
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- EP ID EP744900
- DOI 10.55131/jphd/2024/220314
- Views 50
- Downloads 0
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