Barriers and sources of information in prostate cancer screening at a South African hospital

Abstract

Background: Prostate cancer is a worldwide problem affecting men globally, particularly in low- and middle-income countries. However, research pertaining to barriers to screening uptake and sources of information regarding prostate cancer is limited in South Africa.

Aim: The objective of the study was to explore barriers to screening and sources of information among men attending urologic clinic at a specific tertiary hospital in Gauteng.

Setting: Urology clinic at a specific tertiary hospital in Gauteng.

Methods: A qualitative, exploratory study was conducted with 19 conveniently selected men attending the specific clinic. Data were analysed using thematic analysis.

Results: Three themes emerged which were (1) barriers to screening, (2) sources of information regarding prostate cancer and (3) symptoms experienced during screening.

Conclusion: The study provided evidence regarding the lack of privacy, pain control, fear of the procedure and embarrassment as being barriers towards screening. Failure of healthcare practitioners to recommend screening when in contact with patients eligible for screening also contributed as a barrier. Media and pamphlets played a role as sources of information regarding awareness pertaining to the disease.

Contribution: The study findings have a potential to help healthcare practitioners to be proactive and recommend screening for men who are eligible or might be at risk. The findings will also help healthcare practitioners to be sensitive and exercise caution in maintaining privacy during screening, and that men are informed regarding what screening procedures entail to gain their cooperation.