Awareness, Perception and Practice Towards Prostate Cancer Screening Among Adult Male Residents in Ilorin East Local Government Area, Kwara State, Nigeria
Muhammed Mubashir Babatunde Uthman,
Olawale Ojo-Rowland,
Sarah Oreoluwa Olukorode,
Oluwatobiloba Elizabeth Adejumo,
Olayinka Ibukunoluwa Olatunbosun,
Khadijah Kikelomo Adebiyi
Background: Prostate cancer is a major cause of cancer-related morbidity and mortality among men
globally and is the most commonly diagnosed cancer among men in Nigeria and despite the availability
of effective screening methods such as prostate-specific antigen (PSA) testing and digital rectal
examination (DRE), uptake of screening remains low leading to late presentation which contributes
substantially to mortality
Objectives: This study assessed the awareness, perception, and practice of prostate cancer screening
among adult male residents of Ilorin East Local Government Area (LGA), Kwara State, Nigeria.
Methods: A descriptive cross-sectional study was conducted among adult males aged 40 years and
above in Ilorin East LGA. Participants were selected using a multistage sampling technique. Data
were collected using a semi-structured interviewer-administered questionnaire assessing awareness,
perception, and screening practices related to prostate cancer. Data analysis was performed using SPSS
version 25. Descriptive statistics were used to summarize data, and statistical significance was set at p
< 0.05.
Results: A total of 232 respondents were analyzed from 245 distributed questionnaires, giving a
response rate of 94.7%. Although 75.4% of respondents had previously heard about prostate cancer,
disease-specific knowledge was inadequate: only 48.7% were aware of available screening services,
and just 25.4% had ever discussed prostate cancer with a healthcare provider. While 86.6% expressed
willingness to undergo screening, only 3.88% had ever been screened. Major barriers included absence
of symptoms (76.3%), low perceived susceptibility (19.0%), and fear of diagnosis (14.7%). Occupation
and ethnicity were significantly associated with awareness and perception, while age, marital status,
and occupation were significantly associated with screening uptake (p < 0.05).
Conclusion: Prostate cancer screening uptake remains very low despite relatively high general
awareness and willingness to screen. Strengthened health education, improved healthcare-provider
counselling, addressing misconceptions, and enhanced access to affordable screening services are
needed to promote early detection and reduce the burden of prostate cancer in the study population.