ASSESSMENT OF KNOWLEDGE AND PERCEIVED BARRIERS ABOUT COLORECTAL CANCER SCREENING AMONG MINISTRY OF HEALTH PRIMARY HEALTH CARE PHYSICIANS IN MAKKAH AL-MOKARRAMAH CITY, 2016 (original) (raw)
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Background: Colorectal cancer (CRC) screening is an important tool for early diagnosis and prevention; however, global screening rates remain low. Several CRC screening standards have recently been revised. Methodology: This was a cross-sectional study conducted in a period started on February 1, 2019. A Self-administered Questionnaire was distributed to PCPs in Taif city, Saudi Arabia, to assess the knowledge, attitude, and practice towards CRC cancer screening. Results: 216 PCPs were included in the study; 65.1% were males and with a mean age (30±4). Age (P=0.000), marital status (P=0.001), years of experience (P=0.000), job title (P=0.000), and monthly income (P=0.000) were significantly associated with knowledge scores. Age (P=0.003), years of experience (P=0.006), job title (P=0.002), and the monthly income (P=0.018) were significantly associated with the attitude scores. Conclusion: We demonstrated high knowledge levels and positive attitudes towards CRC screening among PCPs in Taif city, Saudi Arabia. However, knowledge about the stopping age of screening and FOBT home knit was relatively low. Besides, attitudes towards the effectiveness of double-contrast barium enema were also low. The current findings established a significant association between age, years of experience, job title, and monthly income with higher scores of knowledge and attitudes.
Cureus
Background: Colorectal cancer is the third common cancer, and the second common cause of cancer death in the world. According to the 2014 Cancer Incidence Report of the Kingdom of Saudi Arabia, colorectal cancer account for 11.5% from all cancers reported among Saudi nationals. By the year 2030, the incidence of colorectal cancer could increase fourfold among both genders. Aim: The study aimed to conduct to understand the knowledge, attitude, and practice of primary healthcare physicians regarding colorectal cancer screening in Riyadh Second Health Cluster in the city of Riyadh, Saudi Arabia. Materials and methods: A cross-sectional study design, probability proportional to size sampling at the cluster zones level and convenient sampling for the physicians, were used among physicians working in the primary healthcare centers in the city of Riyadh between October 2022 and November 2022. Result: Of the 213 respondents, the mean age of the physician was 35, the majority were males (59%), Saudi Arabian nationality (60%), Resident Physicians (54%) and ≤ five years' work experience (45%). Sixty-four percent of the study participants believe that the majority of asymptomatic average-risk patients have to start the screening at the age of 45 years old. Ninety-seven percent believe that colorectal cancer screening for asymptomatic average-risk patients aged 45 years and older is effective. Ninety-two percent of the physicians perform colorectal cancer screening for asymptomatic average-risk patients aged 45 years. The mean knowledge score is 4.65 (SD=2.33) with a range of 0 to 10. The mean attitude score is 4.19 (SD=1.28) with a range of 0 to 6. Conclusion: The study found that the physicians had higher attitude and practice towards colorectal cancer screening and adequate knowledge towards colorectal cancer screening. The knowledge and attitude scores are associated with practicing colorectal cancer screening.
International Journal of Family Medicine, 2014
Objectives. The objective of this study is to explore the current knowledge, attitude, and practice of family physicians working in family medicine clinics in National Guard Health Affairs (NGHA), Riyadh, toward colorectal cancer (CRC) screening and to identify the barriers of the screening. Methods. Data were collected using a validated self-administered questionnaire adopted from the National Cancer Institute in USA, customized by adding and eliminating questions to be in line with the institution (NGHA) characteristics. Results. Of the 130 physicians, 56.2% of the physicians were not practicing CRC screening although 94.6% considered CRC screening effective. Board certified physicians had higher knowledge score and were practicing CRC screening more when compared to other physicians. Physicians who reported practicing CRC screening scored more on the knowledge score than those not practicing. Male physicians scored better on attitude score than female physicians. The study found ...
Global Journal of Health Science, 2016
INTRODUCTION: Cancer is a major public health problem. Worldwide, colorectal cancer (CRC) is a leading cause of deaths due to cancer in both men and women. Among, Saudi men, CRC is the most common malignancy while it is the third most common among Saudi women. Over, two decades the incidence and deaths due to CRC have been steadily increasing in Saudi Arabia. Regular and timely screening has the potential in reducing the incidence and deaths due to colorectal cancer. The present study is conducted to evaluate the knowledge and awareness about colorectal cancer and its screening among the doctors.OBJECTIVES: To measure the frequency of knowledge and awareness about colorectal cancer and its screening guidelines among doctors in Al-Ahssa.METHODS: A questionnaire based survey of the doctors (Specialists & residents), working in different hospitals and primary health centers under the Ministry of Health in Al Ahssa region, Eastern province, KSA. Knowledge and awareness about colorectal...
Awareness of colorectal cancer screening in primary care physicians
Journal of the Medical Association of Thailand Chotmaihet Thangphaet, 2012
Objective: Colorectal cancer is one of the leading causes of cancer related death worldwide. Primary care physicians play an important role in colorectal cancer screening. However the awareness and knowledge on the methods for colorectal cancer screening are still lacking. The authors aimed to assess Thai primary care physicians' knowledge and practice regarding colorectal cancer screening. Material and method: Between October and December 2010, questionnaires were distributed to 447 Thai physicians. The questionnaires included demographic data, self-responded knowledge, and practice. Their responses were analyzed. Results: Three hundred eighty seven physicians completed the questionnaires (86.5% response rate). Of these, 44.7% were internists, 27.4% general practitioners (GPs), 11.9% surgeons, and 16.0% other specialists. Two hundred forty of physicians (62%) routinely recommended colorectal cancer screening to asymptomatic, average-risk patients. Only 43% gave the correct recommendation for the correct starting age. Colonoscopy (47.5%) and fecal occult blood test (40.0%) were preferred by the majority of physicians, whereas flexible sigmoidoscopy, double contrast barium enema, and CT colonoscopy were chosen by 5.7%, 4.4%, and 1.8% of physicians respectively. Surgeons had more knowledge of test efficacy and frequency. They also were more aware of colorectal cancer screening than internists. Patient ignorance (66.1%), unavailability of the test (64.6%), unawareness of physicians (57.9%), and financial problems (41.1%) were determinedas barriers for colorectal cancer screening. Conclusion: Although the majority of physicians are aware of colorectal cancer screening, the correct knowledge is lacking. Colonoscopy and FOBT are their most preferred tests. Patient ignorance, unavailability of the test, unawareness of physician, and financial problems are the main barriers for colorectal cancer screening. Improvement in academic support services and standard clinical practice guideline are needed to improve overall morbidity and mortality of colorectal cancer.
Colorectal Cancer Screening in Ghana: Physicians’ Practices and Perceived Barriers
World Journal of Surgery
Introduction Ghana has seen a rise in the incidence of colorectal cancer (CRC) over the past decade. In 2011, the Ghana National Cancer Steering Committee created a guideline recommending fecal occult blood testing (FOBT) for CRC screening in individuals over the age of 50. There is limited data available on current Ghanaian CRC screening trends and adherence to the established guidelines. Methods We conducted a survey of 39 physicians working at the Komfo Anokye Teaching Hospital in Kumasi, Ghana. The survey evaluates physician knowledge, practice patterns, and perceived personal-, patient-and systemlevel barriers pertaining to CRC screening. Results Almost 10% of physicians would not recommend colorectal cancer screening for asymptomatic, average risk patients who met the age inclusion criteria set forth in the national guidelines. Only 1 physician would recommend FOBT as an initial screening test for CRC. The top reasons for not recommending CRC screening with FOBT were the lack of equipment/facilities for the test (28.1%) and lack of training (18.8%). The two most commonly identified barriers to screening identified by[85% of physicians, were lack of awareness of screening/not perceiving colorectal cancer as a serious health threat (patient-level) and high screening costs/lack of insurance coverage (system-level). Conclusion Despite creation of national guidelines for CRC screening, there has been low uptake and implementation. This is due to several barriers at the physician-, patient-and system-levels including lack of resources and physician training to follow-up on positive screening results, limited monetary support and substantial gaps in knowledge at the patient level.
Repeated Cross-Sectional Survey of Knowledge and Attitudes to Colorectal Cancer Screening in Lebanon
Journal of Biosciences and Medicines, 2020
The continuous awareness campaigns about Colorectal Cancer (CRC) directed towards the Lebanese population in order to foster preventive medicine are on the rise. The impact has been positive and reported in previous research, although the number of victims is still high. This paper aims to perform a recent cross-sectional study of Lebanese residents' CRC awareness by comparing the findings of two studies carried out in the years 2016 and 2018. The samples of the current study include 1140 (2016) and 993 (2018) participants who completed a simple structured questionnaire directed to assess their knowledge of colon cancer and the behavioral intentions of obtaining CRC screening. Upon comparing results, the percentage of those who know about CRC has increased significantly from 40.4% in 2016 to 78.7% in 2018, the proportion of respondents who believed that family history is the major risk factor for CRC did increase significantly from 47.7% in 2016 to 90.8% in 2018. Likewise, the proportions of respondents who believed that overweight, age, and stress are among the major risk factors for CRC increased from 26.9%, 26.7% and 11.3% in 2016 to 86.2%, 52.1% and 21.51% in 2018, respectively. On the other hand, the proportions for the risk factors related to alcohol and smoking have dropped from 37.7% and 37.3% to 27.4% and 24.2%, respectively. Moreover, the most important source of information for CRC was friends (18.4% in 2016 versus 73.8% in 2018), followed by family (18.7% in 2016 versus 56.7% in 2018), and then physicians (18.9% in 2016 and 40.2% in 2018). In fact, the efforts of the non-governmental organization (NGO) SAID (118 different major activities in the span of 3 years) did make a signif
Please cite as: Mirzaei-Alavijeh M, Karami Matin B, Mahboubi M, Jalilian F. Knowledge and socio-demographic factors about colorectal cancer screening: cross sectional analysis the west of Iran. Arvand J Health Med Sci 2016;1(2):95-101. ABSTRACT Cancer is the second leading cause of death in developed countries and the third one in developing countries. The aim of this study was to determine the knowledge on colorectal cancer and the related background factors in the urban population aged over 50 years in the western of Iran. This study was of descriptive cross-sectional type which was conducted among 500 individuals aged over 50 years in city Ravansar were randomly selected to participate voluntarily in the study. Data collected by questioner and were analyzed by SPSS version 21 using independent t-test, ANOVA and correlation statistical tests at 95% significant level. The mean age of respondents was 58.32 years [95% CI: 57.7, 58.9], ranged from 50 to 73 years. Only 4.7 percent of the participants knew what colorectal cancer was and what its screening methods were. The mean score of knowledge construct about colorectal cancer among the participants was 5.72 with standard deviation of ±2.57. Furthermore, knowledge of cervical cancer was significant association with sex, educational level and positive family history of colorectal cancer. In addition, knowledge about colorectal cancer was significantly related to the age (r=-0. 095 & P=0.040). Based on our result, it seems that designing and implementation of educational programs to improve knowledge about colorectal cancer among population is necessary.
Acta Scientific Medical Sciences
Background: Screening of chronic diseases is challenging everywhere in the world and all over the time. Hence, there should be strict early screening and diagnosis programs by primary health care physicians (PHPs) and local health authorities. Colorectal cancer (CRC) is the most commonly diagnosed cancer worldwide. It is the 3rd leading cause of death internationally, and in Saudi Arabia, it accounts for 11.5% of the reported cancers. CRC screening was found to be effective in reducing 70% of CRC mortality. However, the screening rate for CRC remains poor. Aim: To measure the participation and acceptance of the new screening program established in PHC's in first health cluster at the ministry of health (MOH) and the impact of this program. Methods: We conducted a cross-sectional design in the period of October 2022 and November 2022 to assess the acceptance of colon cancer screening program in 1 st health cluster primary health care at ministry of health in Riyadh. Result: Data from 329 patients who completed the questionnaire through PHC's colorectal cancer screening recommendations were evaluated (with a response rate of 100%). The responses and beliefs of patients regarding CRC screening were examined using descriptive statistics. In our study, sample weights were used to provide a national estimate. Conclusion: The patients' age, and demographic characteristics were associated to CRC screening practice. The findings may reflect the low influence of CRC screening activity, physicians receiving their medical education when CRC burden in Riyadh city was of low concern, and the lack of CRC screening capacity in some regions of Saudi Arabia.