Introduction: Although testicular cancer (TC) is a rare tumor accounting for 1% of malignancies in men, it is the most common cancer found in adolescents and young men between 15 to 35 years old. Routine screening for TC is not recommended. Therefore, testicular self-examination (TSE) is an important tool for the early detection of TC. If detected early, TC has a high survival rate. Increasing awareness of TC and TSE is crucial for early detection, diagnosis, and treatment. We aimed to assess the level of awareness of TC and TSE among men in Bahrain. Materials and methods: A descriptive cross-sectional design was used to recruit a convenience sample of 243 men from public places using a questionnaire. Descriptive statistics and Chi-square test were conducted.Results: The results showed that 43% were Bahraini, 53% were aware that men can get TC, 82% perceived themselves as having a low risk for developing TC, 15% knew signs of TC, 20% heard about TSE, and 5.8% reported performing TSE. A significant association between knowledge of early signs and symptoms of TC and nationality (p = .006), perception of the importance of performing TSE regularly and nationality (p = .003), and between age (p = .013), level of education (p = .015) and the willingness to perform TSE if the participant was educated about TSE.Conclusion: Awareness about TC and TSE is poor among men in Bahrain. Policymakers in the Ministry of Education and Ministry of Health may consider integrating TC and TSE education in the curriculum and the healthcare provided to adolescents and young men across the kingdom.
IntroductionCoronavirus disease 2019 (COVID-19) is a public health problem that threatens the world since December of 2019. Several studies demonstrated that enacting waived cost-sharing policies positively impacts the utilization rates of preventative services, but its impact on COVID-19 deaths and tests is largely unknown. MethodsWe hypothesize that applying a waived cost-sharing policy for COVID-19 testing and treatment leads to an increase in the number of COVID-19 tests and a reduction in daily COVID-19 deaths in the State of Michigan. Total test results increase, and total deaths increased were compared pre and post-policy enactment in the State of Michigan and compared to that of the State of Illinois where no such policy existed. Data were obtained from the Coronavirus resources center page at the John Hopkins University of Medicine. A difference in differences approach was employed and linear regression was used to assess data pre and post the policy enactment. Statistical significance was assessed at the 0.05 level. ResultsThe state of Michigan had fewer daily COVID-19-related deaths with fewer daily COVID-19 tests than the State of Illinois by 50.19 cases and 28,879 tests respectively. The post-policy period had more daily COVID-19 tests than the pre-policy period by 51,350 tests. ConclusionA waived cost-sharing policy for COVID-19 testing and treatment had a positive effect on increasing COVID-19 testing and reducing COVID-19-related deaths at the state level as evident from the experience of two mid-western states.
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