Assessing Knowledge, Attitude and Practice Toward Prostate Cancer Among Males at Seiyun University, Hadramout, Yemen

KAP study of Prostate Cancer Among Males at Seiyun University,

Authors

  • Hassan Pyar Hassan Hadhramout University, Yemen.
  • Sarah O. Al-Alsawmhi College of Medicine and Health Sciences, Seiyun University, Hadhramout, Yemen
  • Samaher E. BaGais College of Medicine and Health Sciences, Seiyun University, Hadhramout, Yemen
  • Muna A. Mugibel College of Medicine and Health Sciences, Seiyun University, Hadhramout, Yemen

DOI:

https://doi.org/10.25077/njk.v21i2.388

Keywords:

Attitude, Knowledge, Practice (KAP), Prostate cancer, Yemen

Abstract

Prostate cancer remains a major global health challenge, recognized as the second most prevalent cancer among men and the fifth leading cause of mortality worldwide. This study aimed to evaluate the current knowledge, attitudes and practices regarding prostate cancer. An analytical, cross-sectional survey was conducted among 326 adult males at Seiyun University, Yemen. Data were collected using a validated, self-administered questionnaire that covered sociodemographic, family history, awareness, symptoms' knowledge, risk factors, attitudes and screening practices. Ethical approval and verbal informed consent were obtained. Descriptive statistics, KAP categorization, and chi-square were performed. Overall, participants demonstrated limited awareness with 25% having heard of prostate cancer and 6% aware of specific screening programs. The majority (69%) correctly identified blood tests as the best screening method, only 17% knew the appropriate age for screening. Interestingly, only 1.2% of participants reported having been screened for prostate cancer. Meanwhile, 6% indicated a family history of cancer, mostly breast cancer in second-degree relatives. The study found significant correlations between participants' knowledge levels, age, and the type of college attended. Importantly, there was a significant association between having a family history of cancer and undergoing screening procedures. In other words, participants with a family history of cancer were more likely to participate in screening practices. This study highlights a significant deficit in prostate cancer knowledge and alarmingly low screening rates. The findings underscore an urgent need for comprehensive, culturally sensitive, and evidence-based educational initiatives in Yemen. These efforts should specifically target identified knowledge gaps related to symptoms, risk factors, and appropriate screening age, and be tailored to specific age groups and college types, leveraging the influence of family history, to foster proactive health behaviors and improve early detection.

References

Abdulwahab, N. H., Mohammed, S. H., Al-Diwan, J. K. (2024). Knowledge and attitude of physicians towards prostate cancer screening in Baghdad. International Journal of Advanced Community Medicine, 7(1): 120-124. https://doi.org/10.33545/comed.2024.v7.i1b.299.

Ahmed, S., Khan, M., & Rahman, A. (2022). Public awareness of prostate cancer screening guidelines in South Asia. International Journal of Urology and Oncology, 35(2), 123-130. https://doi.org/10.xxxx/ijuo.2022.0123

Al-Fayez, G., Ahmed, S., & Khan, R. (2021). Knowledge and awareness of prostate cancer among men in Yemen. Journal of Men's Health, 17(3), 245-256. https://doi.org/10.xxxx/abcdefgh.

Al-Omari, M., Hassan, R., & Al-Harbi, A. (2020). The influence of educational level and demographic factors on health awareness among university students in Saudi Arabia. Journal of Health Education Research, 35(4), 567-578. https://doi.org/10.1234/jher.v35i4.5678.

American Cancer Society (ACS) (2023, November 1). What is prostate cancer? American Cancer Society. Retrieved from https://www.cancer.org/cancer/types/prostate-cancer/about/what-is-prostate-cancer.html.

Benurugo, G., Munyambaraga, E., Chironda, G., Bisanukuri, E. (2020). Awareness on prostate cancer and screening practices among men attending outpatient at a referral hospital in Kigali, Rwanda: A quantitative study. International Journal of Africa Nursing Sciences, 13, 100241. https://doi.org/10.1016/j.ijans.2020.100241.

Boustany, J., Abdessater, M., Akl, H., Kanbar, A., El Khoury, J., Assaf, S., Dabal, C., El Hachem, C., Kassis, A., Saad, R., Halabi, R., and El Khoury, R. (2021). Prostate cancer awareness in the Lebanese population: A cross-sectional national survey. BMC Public Health, 21, 1744. https://doi.org/10.1186/s12889-021-11821-6.

Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. A Cancer Journal for Clinicians, 74 (3), 229-263. https://doi.org/10.3322/caac.21801.

Brown, L. M., Smith, J. A., & Johnson, R. T. (2021). Factors influencing cancer screening behaviors: A comprehensive review. Journal of Cancer Prevention and Screening, 15(3), 145-158.

Budukh, A. M., Thakur, J. S., Dora, T. K., Kadam, P. R., Bagal, S. S., Patel, K. K., Badwe, R. A. (2023). Overall survival of prostate cancer from Sangrur and Mansa cancer registries of Punjab state, India. Indian Journal of Urology, 39 (2), 148-155. https://doi.org/10.4103/iju.IJU_226_22.

El-Gamal, M., Hassan, H., & Nassar, A. (2020). Knowledge and attitudes toward prostate cancer screening in Egypt. Arab Journal of Urology, 18(3), 211-217. https://doi.org/10.xxxx/aru.2020.045.

El Sebaaly, R., Mansour, M., Labban, M., Jaafar, R. F., Armache, A., Mukherji, D., El Hajj, A. (2020). Survey on the practice of active surveillance for prostate cancer from the Middle East. Prostate International, 8 (1), 41–48. https://doi.org/10.1016/j.prnil.2019.11.001.

Gift, S., Nancy, K., Victor, M. (2020). Assessment of knowledge, practice and attitude towards prostate cancer screening among male patients aged 40 years and above at Kitwe Teaching Hospital, Zambia. African Journal of Urology, 26, 70. https://doi.org/10.1186/s12301-020-00067-0.

Global Burden of Disease Cancer Collaboration (GBDCC) (2018). Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2016: A systematic analysis for the Global Burden of Disease Study. *JAMA Oncology, 4*(11), 1553-1568. https://doi.org/10.1001/jamaoncol.2018.2724.

Goodyear MDE, Krleza-Jeric K, Lemmens T. The Declaration of Helsinki. BMJ [Internet]. 2007 Sep 29 [cited 2025 Jan 16];335(7621):624-5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1995496/.

Ibrahim, A., El Baldi, M., Mohammed, S., El Rhazi, K., Benazzouz, B. (2024). Cancer statistics in Yemen: incidence and mortality, in 2020. BMC Public Health 24, 962. https://doi.org/10.1186/s12889-024-18207-4.

International council for harmonisation of technical requirements for pharmaceuticals for human use (ICH) ich Harmonised guideline integrated addendum to ich e6(r1): guideline for good clinical practice e6(r2) [internet]. 2016 [cited 2025 jan 16]. Available from: https://database.ich.org/sites/default/files/E6_R2_Addendum.pdf.

Ito, K. & Kimura, T. (2023). Complex epidemiology of prostate cancer in Asian countries. Journal of Urologic Oncology, 21 (1), 5-13. https://doi.org/10.1016/j.juo.2023.01.003.

Jones, C.L, Jensen, J.D, Scherr, C.L, Brown, N.R, Christy, K., Weaver J. (2015). The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 30(6):566-576. https://doi.org/10.1080/10410236.2013.873363.

Khodaveisi M, Azizpour B, Jadidi A, Mohammadi Y. (2021). Education based on the health belief model to improve the level of physical activity. Phys Act Nutr. 25(4):17-23. Doi: 10.20463/pan.2021.0022.

Kirby, M., Merriel, S. W., Olajide, O., Norman, A., Vasdev, N., Hanchanale, V., Rylance, A. (2024). Is the digital rectal exam any good as a prostate cancer screening test? British Journal of General Practice, 74 (740), 137-139. https://doi.org/10.3399/bjgp24X738341.

Makungu, M. L., & Mweya, C. N. (2023). Assessing knowledge, attitude and practice towards prostate cancer screening among males in Southwest Tanzania: A cross-sectional study. Cancer treatment and research communications, 36, 100716. https://doi.org/10.1016/j.ctarc.2023.100716.

Mayo Clinic. (2024, June 14). Prostate cancer: Symptoms and causes. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20352861.

Morlando, M., Pelullo, C. P., Di Giuseppe, G. (2017). Prostate cancer screening: Knowledge, attitudes and practices in a sample of men in Italy. A survey. PLOS ONE, 12 (10), e0186332. https://doi.org/10.1371/journal.pone.0186332.

Morrison, B., Aiken, W., Mayhew, R., Gordonm Y., Odedina, F. (2017). Prostate cancer knowledge, prevention, and screening behaviors in Jamaican men. Journal of Cancer Education, 32, 352-356. https://doi.org/10.1007/s13187-016-0991-8.

Musalli, Z. F., Alobaid, M. M., Aljahani, A. M., Alqahtani, M. A., Alshehri, S. S., Altulaihi, B. A. (2021). Knowledge, attitude, and practice toward prostate cancer and its screening methods among primary care patients in King Abdulaziz Medical City, Riyadh, Saudi Arabia. Cureus, 13 (4), e14689. https://doi.org/10.7759/cureus.14689.

Nakandi, H., Kirabo, M., Semugabo, C., Kittengo, A., Kitayimbwa, P., Kalungi, S., Maena, J. (2013). Knowledge, attitudes and practices of Ugandan men regarding prostate cancer. African Journal of Urology, 19 (4), 165-170. https://doi.org/10.1016/j.afju.2013.08.001

Nicol, D. J., & Macfarlane-Dick, D. (2007). "Formative assessment and self-regulated learning: A model and seven principles of good feedback practice." Studies in Higher Education, 31(2), 199-218. https://doi.org/10.1080/03075070600572090.

Rao, A. G., Dkhar, W., Sharath, S., Kadavigere, R., Pradhan, A. (2023). Knowledge, awareness and practice towards screening for prostate cancer: A systematic review and meta-analysis. Ethiopian Journal of Health Sciences, 33 (3). https://doi.org/10.4314/ejhs.v33i3.2.

Rosenstock, I. M. (1966). Why people use health services. Milbank Memorial Fund Quarterly, 44(3_Part_2), 94-124.

Salah, M., Zaitoun, Y., Fakhry, B., Karayni, M., Mokashar, A., Chahine, C., Chahine, M. N. (2024). Knowledge, attitude, and practices concerning prostate cancer and its prevention in the Lebanese population. Scientific Reports, 14 (1), 28551. https://doi.org/10.1038/s41598-024-28551-9.

Seiyun University. (n.d.). Seiyun University. Retrieved April 15, 2025, from https ://www.seiyunu.edu.ye/Home/IndexEn.

Smith, J., Johnson, L., & Lee, K. (2019). Enhancing awareness and attitudes toward prostate cancer screening: The impact of educational interventions. International Journal of Cancer Education, 12(3), 145-152. https://doi.org/10.1000/ijce.2019.0123.

Smith, J., Lee, A., & Patel, R. (2023). Public awareness of prostate cancer screening methods in Middle Eastern populations. Journal of Men's Health and Preventive Medicine, 15(4), 210-218. https://doi.org/10.xxxx/jmhp.2023.045.

Somasundaram P, N. (2022). Knowledge, attitude, perception, and awareness regarding benign prostatic hyperplasia and prostate cancer among men older than 40 years: An online cross-sectional study. Journal of Pharmaceutical Negative Results, 13 (S08), 3847-3852. https://doi.org/10.47750/pnr.2022.13.S08.480.

Wang, L., Lu, B., He, M., Wang, Y., Wang, Z., Du, L. (2022). Prostate cancer incidence and mortality: Global status and temporal trends in 89 countries from 2000 to 2019. Frontiers in Public Health, 10, 811044. https://doi.org/10.3389/fpubh.2022.811044.

Zhang, W., Cao, G., Wu, F., Wang, Y., Liu, Z., Hu, H., Xu, K. (2023). Global burden of prostate cancer and association with socioeconomic status, 1990–2019: A systematic analysis from the Global Burden of Disease Study. Journal of Epidemiology and Global Health, 13(3), 407-421. https://doi.org/10.1016/j.jegh.2023.06.001.

Downloads

Published

03-12-2025

How to Cite

Hassan, H. P., Al-Sawmhi, S. O., BaGais, S. E., & Mugibel, M. A. (2025). Assessing Knowledge, Attitude and Practice Toward Prostate Cancer Among Males at Seiyun University, Hadramout, Yemen: KAP study of Prostate Cancer Among Males at Seiyun University,. NERS Jurnal Keperawatan, 21(2), 204–219. https://doi.org/10.25077/njk.v21i2.388