Assessing Knowledge, Physician Interactions and Patient-Reported Barriers to Colorectal Cancer Screening Among Arab Americans in Dearborn, Michigan

Saad, Fatima; Ayyash, Mariam; Ayyash, Marwa; Elhage, Nadine; Ali, Iman; Makki, Mona; Hamade, Hiam; Blackwood, R. Alexander

doi:10.1007/s10900-020-00807-x

Cited by 10 publications

(9 citation statements)

References 13 publications

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“…Cost of colonoscopy, medications, insurance coverage and travel costs are regarded as the most common barriers reported in many previous studies [ 11 , 18 , 19 ]. These problems are common, even in the developed societies as the USA and European countries [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the recommendations and guidelines provided by organisations and committees for screening and early detection of CRC, mass screening has not yet taken place at the population level in many countries [8]. Even in the developed countries like the United States, only about 61% of age-eligible people were currently screened, and there are still many barriers to the comprehensive implementation of CRC screening and people are much less likely to be screened than expected [8][9][10][11]. There are limited organised screening programmes in Iran by focusing on risk assessment and risk reduction guidelines.…”

Section: Introductionmentioning

confidence: 99%

“…(1) Personal and/or procedural related factors or the so-called Patient Related Factors: They are related to a lack of public awareness about the goals and benefits of CRC screening programme. Fear and discomfort related to colonoscopy, pain during the procedure, cancer, bowel preparation difficulties, complications ranked as the most important and common causes reported in a large number of studies [ 11 , 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Identifying the main barriers for participation in a population-based colorectal cancer screening programme in East Azerbaijan, Iran

Dolatkhah¹,

Somi²,

Dastgiri³

et al. 2022

ecancer

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Background: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of death worldwide. However, CRC is considered as one of the most preventable cancers by which the mortality rates reduce about 60% through implementing the screening programmes. The present study aimed to evaluate the main barriers of CRC screening in a defined population. Method:Healthy individuals from all regions of the state were invited to participate in different healthcare centres. They were assessed by a provided online risk assessment tool, which was completed for all recruited subjects, and has been developed to assess the CRC risk based on personal and family history of adenoma, CRC, and other high-risk diseases. Research team staff assessed all individuals by this tool and then eligible people according to their lifetime risk of CRC were included in the study. There was not any age restriction in this study. Colonoscopy and three stool-based tests including faecal occult blood test, faecal immunochemical test and stool DNA tests were performed.Results: Overall, 725 cases including 425 (58.6%) males and 300 (41.4%) females participated in the study. Lack of knowledge and attitude about screening programmes was the most common barrier, especially among women (68% for women versus 58% for men) and those from rural areas (88% in rural versus 55% in urban areas). Fear of colonoscopy and procedure complications and pain (48%), discomfort and anxiety from inserting a tube into the bowel (65% among females versus 43% among males) were reported commonly. Embarrassment and dignity were other complaints, especially in women (62% in females versus 35% in males).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identifying the main barriers for participation in a population-based colorectal cancer screening programme in East Azerbaijan, Iran

Dolatkhah¹,

Somi²,

Dastgiri³

et al. 2022

ecancer

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“…The system based barriers include lack of resources, disintegrated medical systems and lack of test recommendation to patient by the treating physicians. Patients based barriers include unawareness of symptoms and risk factors of CRC, lack of knowledge of screening tests and their significance, embarrassment from doing the test and stigma about being diagnosed with cancer [4,[24][25][26][27][28][29][30]. A study from UAE reported that almost 95% of participants were not advised to do the CRC screening by their physicians [31].…”

Section: Status Of Crc Screening In the Arab Region And Barriers To I...mentioning

confidence: 99%

“…Poor communication with the healthcare providers was highlighted as a major factor either due to language and culture barriers or distrust of the western recommendation. Other significant factors are costs and inaccurate understanding of risk factors [29,32]. Such sociocultural barriers necessitate innovative awareness campaigns for Arabs to correct misconceptions and stress on the costeffectiveness of screening programs.…”

Section: Status Of Crc Screening In the Arab Region And Barriers To I...mentioning

confidence: 99%

Colorectal Cancer in the Arab World

AlZaabi

2022

Cancer in the Arab World

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The recent rapid modernization of life in the Arab region has led to major changes in the lifestyle and attitude of Arab people. This has subsequently resulted in an obvious change in the disease burden profile where the Non-Communicable Diseases (NCDs) exert a huge burden in the region. The main factors that have been attributed to this increase in NCDs are the increased incidence of obesity, physical inactivity, stressful busy life, smoking, and dietary habits. Cancer is among the top NCDs that has increased at an alarming pace in the past ten years in the region. It is projected that there will be a 1.8-fold increase in cancer incidence by 2030 among Arabs. Colorectal Cancer (CRC) is among one of the most common cancers that showed a dramatic increase in annual incidence rate among Arabs. Despite the fact that the figures reported for colorectal cancer among Arabs is lower than that for western countries, the incidence is increasing in this region. Across the cancer continuum, CRC care in the region is up to date as it follows international guidelines from board-certified healthcare providers. The CRC screening system is not well developed and not well accepted by the society due to several religious, cultural, unfamiliarity, and distrust issues. This explains the advanced stage of CRC diagnosis in the region that subsequently leads to unfavorable outcomes. This chapter highlights the incidence of CRC and its clinicopathological parameters with molecular profile and preventive measures in the region.

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