Predictors of Colorectal Cancer Screening among Average and High-Risk Saudis Population (original) (raw)
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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.
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...
Asian Pacific Journal of Cancer Prevention : APJCP, 2018
The annual fecal occult blood test is a very important method for colorectal cancer early detection through screening. Our aim was to assess psychometrics of instrument measuring beliefs related to fecal occult blood test uptake among Iranian middle-aged and elderly, based on the theory of planned behavior. This cross-sectional study was performed on 150 middle-aged and elderly who were randomly selected to participate voluntarily in Kermanshah, in the west of Iran. The studied constructs included attitude, subjective norms, perceived behavior control, and behavior intention. Data were analyzed with SPSS software (ver. 21.0). The mean age of the respondents was 59.1 years [SD: 6.73], in the range from 50 to 73. All of the loads of the exploratory factorial analysis were larger than 0.4. KMO was calculated as 0.756. Overall, four factors under investigation accounted for 82% of the variance in the hypothesized model. Cronbach’s alpha for the measured constructs of attitude, subjectiv...
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.
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.
Colorectal cancer screening barriers and facilitators among Jordanians: A cross-sectional study
Preventive Medicine Reports
The factors affecting the adherence of Jordanians to colorectal cancer (CRC) screening remain underexplored. We examined the inhibitory and facilitating factors that influence the uptake of CRC screening among Jordanians. We conducted questionnaire interviews between April 2020 and June 2021 with 861 Jordanians aged 50-75. We analyzed the differences between proportions using the chi-square test. Binary logistic regression was conducted to determine factors associated with awareness of CRC and its screening. Of all participants, 41.7 % were aware of the necessity of screening for CRC, and 27.2 % were aware of at least one of the tests for CRC screening. However, only 17.2 % of participants underwent screening. In the multivariate analysis, participants with higher income (p-value < 0.001, odds ratio[OR] = 1.9, 95 % confidence interval [CI]: 1.4-2.7), higher level of education (p-value < 0.001, OR = 2.6, 95 % CI: 1.8-3.7), family history of colon cancer (p-value < 0.001, OR = 2.8, 95 % CI = 1.7-4.5), and those who had been screened for other cancers (p-value = 0.003, OR = 1.7, 95 % CI: 1.2-2.5) were more aware of the necessity of screening. Concerning barriers to screening, 'feeling well,' lack of physician endorsement, and difficult access to health care were the most commonly reported inhibitory factors (53.9 %, 52.3 %, and 31.9 %, respectively). The most commonly stated incentivizing factor was physician endorsement (82.3 %). Screening rates for CRC in eligible Jordanians remain low, albeit more than one-third of participants are aware of the necessity of screening. Enhanced awareness of barriers and incentivizing factors should help to prioritize national strategies to improve screening rates.
Asian Pacific Journal of Cancer Prevention, 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 (54.5%) and non-Qatari Arabs (54.3%). The top five reported barriers to CRC screening were: not at risk due to absence of symptoms (60.6%), not at risk due to absence of family history (55.1%), not at risk due to adopting a healthy lifestyle (52.7%), lack of time (41%), and lack of reminders by healthcare workers (39.4%). Bivariate analyses identified statistically significant associations between certain barriers and female gender, nationality, and educational level (primary school and below). Conclusion: The present study identified several barriers to undergoing CRC screening among eligible adults in Qatar. Such results provide a basis for tailoring of future educational campaigns that are relevant, specific, and appealing to such a cohort.
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.
Research Square (Research Square), 2022
Background This study aimed to "determine the predictors of colorectal cancer screening intention based on the integrated theory of planned behavior among average-risk individuals in Urmia". Identifying these predictors will help design and implement various interventions, including educational interventions, according to the needs of this group, thereby taking a step towards improving the colorectal cancer screening index. Methods The present cross-sectional study was performed on 410 individuals at average risk of colorectal cancer referring to the comprehensive health services centers of Urmia in Iran. The data collection tool was a researcher-made questionnaire consisting of two parts. The rst part captured the demographic information and medical history of the participants. The second part involved questions designed based on constructs of motivational phase of health action process approach, and theory of planned behavior, as well as behavioral intent to perform colorectal cancer screening. Data analysis was performed using SPSS software. Results Outcome expectancies, risk perception, action self-e cacy, and normative beliefs, respectively had the largest impact and were signi cant and positive predictors of colorectal cancer screening intention. The study's conceptual framework explained about 36% of the variance of behavioral intention among the average-risk individuals in Urmia. Conclusions Constructs of motivational phase of health action process approach, and theory of planned behavior are valuable and appropriate to identify the factors affecting the intention to perform colorectal cancer screening as well as to design and implement educational interventions in this eld. The four constructs of outcome expectancies, risk perception, action self-e cacy, and normative beliefs are suggested to be integrated into all educational interventions designed and implemented to improve the colorectal cancer screening index.