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 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 (). 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 (), access to prostate cancer information (), and distance to health facilities () were significantly associated with the uptake of prostate cancer screening. Marital status (; 95% CI: 1.85-33.99; ), positive health worker attitudes (; 95% CI: 0.000-0.023, ), and perceived affordability (; 95% CI: 0.000-0.011, ) 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.

中文翻译：

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乌干达卡佐区卡佐镇议会 40 岁及以上男性接受前列腺癌筛查的影响因素：一项横断面研究

前列腺癌占撒哈拉以南非洲男性所有癌症的 20.3%。在乌干达，高危人群的早期筛查面临挑战，大多数地区（包括新建立的地区）的前列腺癌筛查情况数据有限。本研究的目的是确定影响男性接受前列腺癌筛查的因素位于新设区加须区加须町议会。我们采用了描述性横断面研究设计，采用定量和定性数据收集方法。参与者是在 2020 年 11 月至 2021 年 1 月期间通过简单随机抽样招募的。定量数据采用结构化问卷（）。使用推论和卡方检验进行统计分析以确定关联性，然后进行逻辑回归。我们对 10 位关键信息提供者进行了深入访谈并进行了主题分析，以探讨与前列腺癌筛查相关的一系列看法。只有 10 名（3.33%；95% CI：0.018-0.60）受访者曾经做过前列腺癌筛查。缺乏隐私 （），获取前列腺癌信息（），以及距医疗机构的距离（）与前列腺癌筛查的接受率显着相关。婚姻状况 （; 95% CI：1.85-33.99；）、卫生工作者积极的态度（; 95%置信区间：0.000-0.023，）和感知的承受能力（; 95%置信区间：0.000-0.011，）与前列腺癌筛查的接受程度独立相关。主要障碍包括缺乏信息、无法进入筛查中心以及对筛查的恐惧。加须地区 40 岁及以上男性的前列腺癌筛查率相当低。新创建的地区需要采取有针对性的社区干预措施，以改善前列腺癌信息的获取、筛查、宣传和解决感知到的和实际的障碍，以促进前列腺癌筛查的普及。这对于优先研究评估地区资源分配以支持初级卫生保健中心优化和综合的循证服务提供具有重要意义，特别是对于新创建地区的专业服务。