Barriers to Colorectal Cancer Screening in Pakistan (original) (raw)
Related papers
Journal of Oncology Pharmacy Practice, 2020
Introduction Colorectal cancer is the third most common type of cancer in the world and in Pakistan it ranks at fifth position. The present study was conducted to evaluate the knowledge, attitude, preventive practices and perceived barriers to screening about colorectal cancer among university students. Method A cross-sectional study was conducted after developing a self-administered questionnaire among the university students of newly merged districts of Kpk, Pakistan Result A total of 302 students (232 male and 70 female) participated in the study. The knowledge score of the participants regarding the risk factors and warning signs of colorectal cancer was 59.9% and 40%. More than 90% of the participants were of the view that colorectal cancer diagnosis at initial stages can improve treatment and around 80% were in favor of undergoing regular physical examination to avoid colorectal cancer. Only 37.7% of the participants had intentionally collected information about colorectal can...
Background: Colorectal cancer is the second most common cancer in Saudi Arabia. Early screening for this disease increases the chances of successful treatment and survival. So, this study aimed to assess the level of the public awareness of risk factors and screening for colorectal cancer among Saudi Arabia population 2016, Saudi Arabia. Methods: Across-sectional study was conducted through Saudi population from all regions, including (4977) participants, of both genders and various ages. The questionnaire was answered electronically. The questionnaire consists of five main parts of questions. The first part includes demographic questions. The second part includes questions related to the awareness about the symptoms and risk factor of colorectal cancer. The third part includes questions related to the awareness of early screening for colorectal cancer. The fourth part includes questions related to Knowledge and attitude of colorectal cancer early screening. While include questions related to barrier of colorectal cancer early screening. Results: From (4977) participants (2366) males and (2611) females, 75.8% heard about colorectal cancer before. The most symptom reported by respondents " blood with stool " by 29% only. The most risk factor reported by respondents "inflammatory and ulceration of the colon," by 32%. 67% have never heard about early screening for colorectal cancer only 5.2% do early screening for colorectal cancer. The most common known way to detect the disease " Colonoscopy ". 47% do not have any reasons preventing them from having the early screening for colorectal cancer. There was a relationship between having early colorectal cancer screening and gender, age, educational level, and monthly income (P-value < 0.05). But there was a relationship between having early colorectal cancer screening and region or living place (P-value > 0.05). Conclusion:There was a low level of awareness about the symptoms and risk factor of colorectal cancer. Also, there was poor public awareness, knowledge and attitude towards colorectal cancer early screening.
Public Awareness of Risk Factors, Screening and Prevention of Colorectal Cancer
Background/Aims: Cancer screening is a national health priority, especially for colorectal cancer. Colorectal cancer (CRC) is the second most common malignancy in the Saudi population, with an increasing incidence over the past 20 years [1] .The aim of this study was Assess public awareness of risk factors, screening and prevention of colorectal cancer among general population in Makkah city in order to identify group of people that need more education and screen program. Setting and Design:The research will be a part of a cross-sectional study conducted a survey by using a questionnaire. Patients and Methods:Random, healthy individuals from Makkahcity Saudi Arabia, were approached to participate in questions multiple choice survey about CRC. Data were analyzed by demographic criteria, including age, gender, marital status, level of education, and occupation to determine if members of these groups displayed differential knowledge. Statistical Analysis:Differences in responses by demographic data were analyzed using descriptive statistics relationship between two variable using crosstab. Results:In total, 371 participants completed the survey. Most respondents no hear about early screening of Colorectal (52%),and 86% not have done screened of colorectalcancer. 60% no know where the place of colorectal cancer is screening. They assess subjectively their Level of knowledge about colorectal cancer 53% poor, 37% good and 10% excellent. Highest percentage for education level about Public awareness for colorectal cancer universal by 45% and lowest unlettered by 4% which varied significantly according to level of education. About 6 from 11 diagnosed with Colorectal Cancer and have a family history of Colorectal Cancer. Conclusions:Most of people consider their information poor about screening of colorectal cancer althoughthose with higher education tended to answer questions correctly more often, there were some misconceptions regarding universally accepted screening protocols, symptoms, and general understanding of CRC in Saudi Arabia. A national education/screening program in Saudi Arabia is recommended to improve CRC knowledge.
Awareness of Colorectal Cancer and Attitudes Towards Its Screening Guidelines in Lebanon
Annals of Global Health, 2019
Background: Screening for colorectal cancer (CRC) provides an effective strategy for early detection and prevention of the disease; however, global screening rates are still low. Purpose: This study aims at assessing the awareness of CRC risk factors, warning signs, and attitudes towards CRC guidelines and screening modalities, in order to identify the barriers to and correlates of CRC screening in the Lebanese population. Methods: A self-administered questionnaire was distributed to 371 participants in the largest health care medical center in Lebanon. A validated 12-and 9-item Cancer Awareness Measurement questionnaire was used to assess participants' awareness of CRC risk factors and warning signs. Results: 83% and 67% of participants were not aware of CRC risk factors and warning signs, respectively, 15% have previously undergone CRC screening, 56% were aware of the necessity for screening, and 43% were willing to undergo screening. Factors affecting awareness of the necessity for CRC screening, past screening and willingness to screen included awareness of risk factors and warning signs, undergoing regular physician checkups , having a family physician as a primary source of knowledge of CRC, and knowing a family member or friend diagnosed with CRC. Barriers to screening were related to participants' evaluation of the screening technique and misconceptions about this disease. Conclusion: Serious active measures should be taken by health care sectors, authoritative groups, primary care physicians, and awareness campaigns to fill the gap in awareness of this disease and to alleviate the barriers and misconceptions around it.
Qatar Medical Journal, 2014
Background: Screening for colon cancer aims at early detection and prompt treatment of the disease. Prior knowledge of the disease will contribute to increased participation. However, barriers to performing screening are not known. Methods: A survey using a questionnaire was presented to patients attending the Outpatient Department of a tertiary hospital in the Western Region of Saudi Arabia, to evaluate the background knowledge of colon cancer screening, the diagnostic methods used for that purpose, and the barriers that may resist the implementation of screening. Results: Six hundred and nineteen questionnaires were distributed. Completed questionnaires that were included in the final analysis numbered 321 (51.9%). Age and gender had no statistically significant association with increased awareness of screening options (p = 0.526 and p = 0.2). However, education played a significant role (p = 0.045). Among the group that agreed to undergo screening, there were 55.3% who were willi...
Barriers to colorectal cancer screening in the developing world: The view from Pakistan
World journal of gastrointestinal pharmacology and therapeutics, 2013
Colorectal cancer screening has become a defining concern of current gastroenterological practice in many Western nations. This same focus does not exist in many developing countries, including Pakistan. There is a need to develop a model for the developing world. Here are several areas that need to be pursued: (1) epidemiological research; (2) physician and public education; (3) training of gastroenterologists, especially female ones; (4) less expensive and more culturally acceptable screening options (fecal occult blood testing); and (5) cost-effectiveness analyses. Gastroenterologists in developing countries need to step up to educate people and promote, where possible and in keeping with local conditions, the prevention and early diagnosis of colorectal cancer.
Predictors of Colorectal Cancer Screening among Average and High-Risk Saudis Population
Journal of Personalized Medicine
Colorectal cancer (CRC) screening intention is one of the most important elements influencing the longstanding effectiveness of community-based CRC screening programs. The primary purpose of this study is to generate and validate a predictive screening model that investigates the influence of Saudis’ demographics, CRC knowledge, and beliefs on intention to undergo CRC screening via fecal occult blood test (FOBT). Convenience sampling was used to recruit 600 average and high-risk participants from multiple primary health care centers in three major Saudi provinces. A valid and reliable self-administered online survey was used to collect data from March 2021 to October 2021. The final modified screening prediction model explained 57.35% of the variance in screening intention. Intention to screen was significantly influenced by seven factors in which the perceived barriers factor (β = −0.55, p < 0.001) was the strongest predictor. Those who had lower perceived barriers and greater l...
KNOWLEDGE AND ATTITUDE TOWARDS SCREENING OF COLORECTAL CANCER
Background: Colorectal cancer is neoplastic proliferation of cells in the colon, rectum, and anus. It is the world's second leading cause of mortality by cancer with 935,173 associated deaths in 2020. Despite extensive attempts to raise colorectal cancer screening rates, at least 40% of adult patients struggle to meet screening recommendations. More than half of the participants from Saudi Arabia has poor attitude. Objective: To assess the level of knowledge, awareness about colorectal cancer in Al Qassim region of Saudi Arabia. Methods: This cross-sectional study was conducted in Al-Qassim region of Kingdom of Saudi Arabia. Data were collected using a validated self-administered questionnaire in Arabic language. Results: A total of 442 respondents with a mean age of 33.4 ± 11.46 SD years participated. More than half of our respondents (64.5%) had no previous knowledge about early screening for colorectal cancer. Average knowledge score was found to be 5.1 ± 3.53 (range from 1 to 17) and average attitude score was found to be 25.2 ± 4.11 (range from 7 to 35). About 50.5% of the respondents stated that both men and women are capable of developing colon cancer. Most of the respondents, 62%, agreed with blood in stool as a symptom of colon cancer. Age, occupation, and marital status significantly affected respondent's knowledge about screening of colon cancer with p-values 0.001, <0.001, and 0.006, respectively. Socio-demographic factors did not affect respondent's attitude toward screening of colon cancer. Conclusion: There is a low level of awareness and knowledge about colorectal cancer and its screening. Positive attitude towards screening was observed in only one third of respondents.
Asian Pacific Journal of Cancer Prevention : APJCP, 2021
Background: In Qatar, colorectal cancer (CRC) is the second most common cancer and is projected to be more than triple by 2035. Therefore, CRC periodic screening is vitally important because early detection will improve the success of treatment. In 2016, Qatar established a population-based screening program for CRC targetting average-risk adults. This study aimed to determine the perceived barriers to undergo CRC screening in eligible adults in Qatar and the associated factors. Methods: This was a cross-sectional study of individuals aged 50-74 years who have been never screened, across six primary health centers between September 2018 and January 2019. A non-probability sampling method was used to recruit participants. Participants were interviewed using a structured questionnaire. Descriptive and analytic statistics were applied. Results: A total of 188 individuals participated in the study. The mean age of the participants was 58.3 (SD ±6.4) years. Most participants were females...