The Intention and Uptake of Colorectal Cancer Screening after a Brief Health Education Program in a Malaysian Primary Care Setting: A Population-Based Study (original) (raw)
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Colorectal Cancer Knowledge is not Associated with Screening Compliance or Intention
Journal of Cancer Education, 2009
Objective-Increasing patient knowledge about the value of colorectal cancer (CRC) screening is a goal of most public health education efforts. We hypothesized that a cohort of women at average risk for CRC, but non-compliant with standard screening recommendations, would demonstrate low levels of CRC related knowledge and underestimate their personal risk for developing CRC.
Asian Pacific Journal of Cancer Prevention
Background: One of the obstacles to participating in CRC screening is the lack of knowledge about the importance of CRC, its risk factors and the benefits that can be obtained through screening. The aim of this study was to evaluate the awareness and to identify the barriers to colorectal cancer screening among the population of the Republic of Kazakhstan. Methods: This is a cross-sectional study based on questionnaire, which was conducted in different regions of Kazakhstan from 2020 to 2021. This study involved 486 respondents. The survey was conducted both personally and using a web questionnaire. The questionnaire was developed independently, taking into account international results and experience, and was validated. Results: 486 participants were included in this study. Out of 486 who participated: 245 (50.04%) did not know whether CRC can occur without symptoms, 259 (53.3%) did not know that the disease is widespread, 232 (47.7%) believed that the disease is curable, 276 (56.8%) believed that CRC is a fatal disease. 357 (73.5%) participants responded that screening can provide timely and effective treatment of CRC. 57.4% of respondents did not agree that the CRC screening procedure is ineffective. However, they had obstacles to screening, such as: fear of getting CRC in the future 298 people (61.3%); and receiving unfavorable results during the examination of 291 people (59.9%). 317 people (65.2%) indicated that their ignorance of CRC was also an obstacle to screening. Conclusion: The results of the study indicate a lack of knowledge about the perception of CRC, participants' perception of risk factors, signs and symptoms of CRC and screening methods. And the main obstacles to screening are: fear of getting unfavorable results during screening; fear of getting sick in the future; and lack of knowledge about CRC.
Public awareness of colorectal cancer and screening in a Spanish population
Public Health, 2011
Objectives: To investigate screening intentions and previous uptake of colorectal cancer (CRC) screening tests in a general population in Spain; and to determine knowledge about CRC, risk perceptions, major barriers to screening and perceived benefits of screening. Study design: Cross-sectional study. Methods: Six hundred consecutive Spanish individuals over 50 years of age completed a questionnaire to determine their screening intentions, previous CRC diagnostic procedures, and knowledge about screening procedures, risk factors for CRC, 5-year prognosis, warning signs and symptoms, incidence, age-related risk and perceived barriers to screening. Results: Although 78.8% of subjects reported that they were willing to participate in CRC screening, only 12% had ever undergone a screening test, and none with screening intention. Awareness of a breast cancer screening test [odds ratio (OR) 1.67, 95% confidence interval (CI) 1.04e2.70; P ¼ 0.035], visiting a general practitioner in the preceding year (OR 3.08, 95% CI 1.86e5.08; P < 0.0001), awareness of risk factors (OR 2.32, 95% CI 1.49e3.61; P < 0.001), awareness of CRC signs or symptoms (OR 1.65, 95% CI 1.03e2.64; P ¼ 0.04) and belief in the efficacy of CRC screening (OR 8.85, 95% CI 1.53e51.3; P ¼ 0.01) were independent predictors for intention to participate in CRC screening. The most common reasons given for refusing screening were 'CRC tests might be dangerous' (28.2%), 'CRC tests might be painful' (17.9%) and 'feeling healthy' (16.2%). Conclusion: Although reported willingness to undergo CRC screening was high, CRC knowledge and actual uptake of CRC screening were low. An educational intervention to reduce barriers and increase awareness could improve uptake of CRC screening.
Willingness to take a screening test for colorectal cancer
European Journal of Cancer Prevention, 2014
The aims of the study were (i) to determine the knowledge and perceptions of colorectal cancer (CRC), (ii) to explore the willingness of the study population to take a screening test for CRC, and (iii) to identify factors affecting the willingness to take a screening test for CRC. A crosssectional survey was carried out in a semiurban town in Malaysia using a pretested structured questionnaire. Descriptive statistics were determined for all important variables. A binary logistic regression model was introduced to identify independent predictors of the willingness to take a screening test. Factors influencing willingness were explored according to the constructs of the health belief model. Of the 256 respondents who had heard about CRC, the majority were aware of altered bowel habits (67.3%) or the presence of blood in stool or rectal bleeding (63.4%) as the warning symptoms. Although 38% of the respondents knew of colonoscopy as the screening test, 22% were not aware of any screening test for CRC. A majority (77.4%) showed willingness to take a screening test for CRC. In the multivariate analysis, 'having family or friends with history of CRC' and 'self-perceived risk' were the two significant variables for predicting the acceptance of CRC screening among the study population. Findings suggested that the respondents' knowledge of the CRC screening test was inadequate, albeit a high proportion expressed their intention to take screening tests. Health education on the CRC addressing available screening tests and the benefits of early screening for CRC should be scaled up.
Knowledge and Attitude on Colorectal Cancer Screening Among Sub-Urban Community in Sepang, Selangor
International Journal of Public Health and Clinical Sciences, 2017
Background: Over the past decade, occurrence of colorectal cancer had escalated markedly in the Asian countries (Sung et al., 2008). World Health Organization (WHO) had reported that incidence of colorectal cancer is of rapid upsurge in many Asian countries, such as China, Japan, Korea and Singapore. Besides the fact that early detection of abnormalities in gut lining recuperates prognostic prospect apart from convalescence and preservation of good quality of life, uptake rate is prominent determinant of disease prevention. This research is piloted with an aim to study the knowledge on risk factors and symptoms of colorectal cancer and its association with attitude towards partaking in colorectal cancer screening. While knowledge enables us to gauge the efficiency of mass edification with regards to colorectal cancer and its detrimental impact on health, we too could assess the community member’s general stance towards patronizing in screening programmes, which is crucial for health...
Attitudes towards colorectal cancer (CRC) and CRC screening tests among elderly Malay patients
Asian Pacific journal of cancer prevention : APJCP, 2015
Colorectal cancer (CRC) is the third most common malignancy in Malaysia, where data are limited regarding knowledge and barriers in regard to CRC and screening tests. The aim of the study was to assess these parameters among Malaysians. The questionnaires were distributed in the Umra Private Hospital in Selangor. The questionnaire had four parts and covered social-demographic questions, respondent knowledge about CRC and colorectal tests, attitude towards CRC and respondentaction regarding CRC. More than half of Malay participants (total n=187) were female (57.2%) and 36.9% of them were working as professionals. The majority of the participants (93.6%) never had a CRC screening test. The study found that only 10.2% of the study participants did not consider that their chances of getting CRC were high. A high percentage of the participants (43.3%) believed that they would have good chance of survival if the cancer would be found early. About one third of the respondents did not want ...