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Kisisiwe, Y., Masalu, J., Nyamsogoro, R., Kwesi, E., Nswilla, A., Mkopi, A. & Sukums, F.
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Controlling Prostate Cancer (PCa) is a public health priority. The Ministry of Health and Social Welfare guidelines recommend PCa screening for men aged 45 – 50 years and above to allow for early detection & better treatment outcome. Studies in other countries indicate inadequate compliance to PCa screening.
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To what extent Tanzanian men comply with the screening recommendations is not clear. This report covers baseline phase of intervention study aimed to improve uptake of PCa screening. We plan to design, and examine the effects of behavioral strategies including educational, reminders & implementation intention; and document what works better in the targeted populations
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To establish the levels of knowledge, attitude and practice in PCa screening To examine factors influencing decisions of whether or not to participate in PCa screening To explore Sources of information for PCa screening
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Behavioral Intention (BI) is a proxy of Behavior (B) BI is a function of: Attitude (A), Subjective Norms (SN) & Perceived B Control (PBC) Perceived Risk (PR) and Past B (PB) add to BI Assumptions PR PB B BI A PBC SN Extended TPB (Ajzen, 1991)
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DesignPopulationInstruments Cross- sectional design Mix qualitative and quantitative approach 164 Male workers from Dar es Salaam markets Age 45 – 71 years Interview schedule for beliefs elicitation True and False statements for knowledge 5-point scales for the TPB In Kiswahili
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MOBILE PHONE AND OTHER Use% Mobile phone90.7 Smart phone36.6 DVD player18.2 Social networks26.2 Health provider34.4 Ever screened for PCa: 1.2% Reported to have PCa: 2.6% Have insurance: 7% Regular checkup: 19.4% Correct response to Pca screening statements: 10.8 – 23.7 Misconceptions Radio and TV provided the main source
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Relative importance of individual factors Β=.234 TPB based PCa screening model TPB based PCa screening model A PR PB B BI PBC SN Variance explained: 51.6%
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TPB is Efficient, significant factors are PBC and SN Inadequate knowledge, misconception Mass media provide the main source, wide use of mobile phones Design theory- based intervention Work on barriers, consider intervention for insurance schemes Strengthen social pressure, consider use of role model, testimonies Further examine important beliefs Improve knowledge of PCa essential information & PCa screening Clear misconceptions Improve risk perception Ct Use radio & TV. Also mobile phones, DVDs, social networks Consider informed intervention to strengthen service providers’ role
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Asanteni sana
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