{"id":300135,"date":"2024-02-21T04:01:09","date_gmt":"2024-02-21T02:01:09","guid":{"rendered":"https:\/\/novanews.co.za\/bloemnewsexpress\/black-men-at-risk-of-cancer-20240220\/"},"modified":"2024-02-21T04:01:09","modified_gmt":"2024-02-21T02:01:09","slug":"black-men-at-risk-of-cancer-20240220","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/bloemnewsexpress\/black-men-at-risk-of-cancer-20240220\/","title":{"rendered":"Black men at risk of cancer"},"content":{"rendered":"\n<p>Research on prostate cancer and mortality rates associated with the disease has revealed black men are at high risk. <\/p>\n\n\n\n<p>This research was conducted by Dr Matthew Benedict, senior lecturer in the Faculty of Health Sciences at the University of the Free State (UFS) and specialist in clinical family medicine. <\/p>\n\n\n\n<p>He said the rising incidence of prostate cancer and an increased mortality rate was noted regardless of the existing national guidelines for prostate-specific antigen (PSA) screening. <\/p>\n\n\n\n<p>Alarmingly, Benedict\u2019s research highlights deficiencies in the screening of black men in the province. <\/p>\n\n\n\n<p>\u201cIn the Free State, which has the lowest life expectancy compared to the national average, the black population faces disproportionate challenges related to lower socioeconomic status and poorer health outcomes. Prioritising equitable access to essential primary healthcare services, including screening, is crucial in this context,\u201d he said. <\/p>\n\n\n\n<p>According to Benedict, prostate cancer cases increased from 29 per 100 000 men in 2007, to 68 per 100 000 men in 2018. <\/p>\n\n\n\n<p>He said PSA screening remained a practical method for early detection and improved outcomes, \u201cdespite the risks of overdiagnosis and overtreatment\u201d. <\/p>\n\n\n\n<p>Benedict explained that his research revealed that aggressive prostate cancer was prevalent among black men with poor knowledge and awareness of the disease, with a low screening uptake being observed. <\/p>\n\n\n\n<p>\u201cFactors such as dietary habits, lifestyle and presentation time were associated with aggressive disease at diagnosis, and cultural beliefs influenced screening uptake.<\/p>\n\n\n\n<p>\u201cFactors associated with a higher intention to screen included reduced fear, perceived benefits, situational barriers, and perceived risk of developing prostate cancer. <\/p>\n\n\n\n<p>\u201cThe majority of the primary healthcare providers demonstrated poor knowledge (64,8%), neutral attitudes (58,6%), and poor practice (40,0%) related to prostate cancer screening. Female providers, lower cadre nurses, and community health workers had lower knowledge scores,\u201d said Benedict. <\/p>\n\n\n\n<p>He said through his study he also found a lack of continuing prostate cancer-related education was significantly associated with poor knowledge, negative attitudes and poor practice among healthcare providers. <\/p>\n\n\n\n<p>\u201cThe study proposed strategies to address the identified gaps among black men and primary healthcare providers.\u201d <\/p>\n\n\n\n<p>He has emphasised the importance of community-oriented approaches involving the active participation of both healthcare providers and community members to tackle the scourge of prostate cancer. <\/p>\n\n\n\n<p>\u201cThese strategies focused on the discussion of prostate cancer health education topics in public spaces \u2013 employing diverse, comprehensive, user-friendly and culturally sensitive methods,\u201d he said.<\/p>\n\n\n\n<p>Benedict said he anticipated receiving support to facilitate the implementation of the recommended strategies stemming from this research. <\/p>\n\n\n\n<p>\u201cImplementing the proposed, targeted strategies designed for black men and their primary healthcare providers has the potential to elevate awareness and knowledge, and ultimately enhance screening practices among black men,\u201d said Benedict.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research on prostate cancer and mortality rates associated with the disease has revealed black men are at high 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