Socioeconomic inequalities in prostate cancer screening in low- and middle-income countries: An analysis of the demographic and health surveys between 2010 and 2019

Abila, Derrick Bary; Wasukira, Sulaiman Bugosera; Ainembabazi, Provia; Kisuza, Ruth Ketty; Nakiyingi, Elizabeth Kiyingi; Mustafa, Asia; Kangoma, Grace; Adebisi, Yusuff Adebayo; Lucero‐Prisno, Don Eliseo; Wabinga, Henry; Niyonzima, Nixon

doi:10.1016/j.jcpo.2022.100360

Cited by 7 publications

(1 citation statement)

References 28 publications

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“…Documented barriers and enablers to early screening are multifactorial and encompass sociodemographic, healthcare system, and policy-related factors [13,14]. Low uptake, for example, has been linked to low levels of education [15,16]; attitudes, fatalistic beliefs, lowrisk perception, stigma, and socioeconomic status [16][17][18][19]; marital status [20,21]; and low levels of knowledge [18,20].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Uptake of Prostate Cancer Screening among Men Aged 40 Years and Above in Kazo Town Council, Kazo District, Uganda: A Cross‐Sectional Study

Mwebembezi,

Alege,

Nakaggwa

et al. 2023

BioMed Research International

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Prostate cancer accounts for 20.3% of all cancers in men in sub-Saharan Africa. Early screening among at-risk groups is challenging in Uganda, with limited data on prostate cancer screening uptake in most districts, including newly established ones. The purpose of this study was to determine factors influencing the uptake of prostate cancer screening among men aged≥40 in Kazo Town Council, Kazo District, a newly created district. We used a descriptive cross-sectional study design that employed both quantitative and qualitative data collection methods. Participants were recruited through simple random sampling between November 2020 and January 2021. Structured questionnaires were used for quantitative data (n=300). Statistical analyses to determine associations were carried out using inferential and chi-square tests followed by logistic regression. In-depth interviews were conducted with 10 key informants and analyzed thematically to explore a range of perceptions related to prostate cancer screening. Only 10 (3.33%; 95% CI: 0.018-0.60) respondents had ever screened for prostate cancer. Lack of privacy (p<0.033), access to prostate cancer information (p<0.014), and distance to health facilities (p<0.001) were significantly associated with the uptake of prostate cancer screening. Marital status (OR=7.93; 95% CI: 1.85-33.99; p=0.005), positive health worker attitudes (OR=0.002; 95% CI: 0.000-0.023, p<0.001), and perceived affordability (OR=0.001; 95% CI: 0.000-0.011, p<0.001) were independently associated with uptake of prostate cancer screening. Key barriers included lack of information, access to screening centres, and fear of screening. The level of uptake of prostate cancer screening was considerably low among men aged 40 and above in the Kazo District. Targeted community interventions to improve access to prostate cancer information, screening, sensitization, and addressing perceived and actual barriers are needed in newly created districts to bolster the uptake of prostate cancer screening. This has implications for prioritizing research evaluating district resource allocation to support optimized and integrated evidence-based service delivery in primary healthcare centres, especially for specialized services in newly created districts.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing Uptake of Prostate Cancer Screening among Men Aged 40 Years and Above in Kazo Town Council, Kazo District, Uganda: A Cross‐Sectional Study

Mwebembezi,

Alege,

Nakaggwa

et al. 2023

BioMed Research International

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Translational Research: Bridging the Gap Between Bench and Bedside

Marima,

Sambo,

Basera

et al. 2024

Transforming Prostate Cancer Care

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Impact of long-term care insurance on health inequality in older adults in China based on the concentration index approach

Tian

Fan

Zhou

et al. 2023

International Health

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Background Several studies have shown that social security would reduce health inequalities. However, little was known about the relationship between long-term care insurance and health inequality. We aimed to evaluate the impact of long-term care insurance on health status and health inequality in older adults using a nationally representative cohort. Methods Based on four waves of data from the China Health and Retirement Longitudinal Study (CHARLS 2011, 2013, 2015 and 2018), we used the staggered difference in difference (DID) design with the order probit regression models and the concentration index approach as well as decomposition analysis to assess the contribution of long-term care insurance towards residents’ health status and health inequality in older adults aged ≥65 y. We further used the semi-parametric DID model for robustness testing. Results Long-term care insurance demonstrated its role, improving self-assessed health in the study population (βcoefficient: 0.090, 95% CI 0.087 to 0.092, p<0.001). The estimation results of the semi-parametric DID were consistent with those of the staggered DID. The income-related health concentration index was 0.0005, having a contribution rate of 1.639% to health inequality in older adults. Decomposition analysis revealed that different policies and residential areas were more influential on the observed health inequalities. Conclusions The findings implied that long-term care insurance has widened the health inequality while improving health status in older adults. Additional investment in more comprehensive insurance coverage and increased accessibility to enhance implementation of long-term care insurance is warranted to close the gap.

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Socioeconomic inequalities in prostate cancer screening in low- and middle-income countries: An analysis of the demographic and health surveys between 2010 and 2019

Cited by 7 publications

References 28 publications

Factors Influencing Uptake of Prostate Cancer Screening among Men Aged 40 Years and Above in Kazo Town Council, Kazo District, Uganda: A Cross‐Sectional Study

Factors Influencing Uptake of Prostate Cancer Screening among Men Aged 40 Years and Above in Kazo Town Council, Kazo District, Uganda: A Cross‐Sectional Study

Translational Research: Bridging the Gap Between Bench and Bedside

Impact of long-term care insurance on health inequality in older adults in China based on the concentration index approach

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