Colorectal cancer awareness and its predictors among adults aged 50–74 years attending primary healthcare in the State of Qatar: a cross-sectional study

Al-Dahshan, Ayman; Bala, Mohamed; Omer, Mieaad; AlMohamed, Omayma; Al-Kubaisi, Noora; Selim, Nagah

doi:10.1136/bmjopen-2019-035651

Cited by 19 publications

(31 citation statements)

References 12 publications

(11 reference statements)

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“…In concordance with this study, previous studies reported low levels of CRC awareness in other Arab countries including Lebanon (33% displayed good awareness), Jordan (34.5%), Qatar (40.2%), and United Arab Emirates (< 50.0%) [ 43 – 46 ]. Conversely, studies in non-Arab countries showed better CRC awareness: the United States of America (91.0% showed good awareness), the United Kingdom (88.0%) Malaysia (70.9%), Turkey (69.0%), and Norway (60.0%) [ 47 – 51 ].…”

Section: Discussionsupporting

confidence: 91%

Awareness of colorectal cancer signs and symptoms: a national cross-sectional study from Palestine

et al. 2022

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Background In low-resource settings, the awareness level of colorectal cancer (CRC) signs and symptoms plays a crucial role in early detection and treatment. This study examined the public awareness level of CRC signs and symptoms in Palestine and investigated the factors associated with good awareness. Methods This was a national cross-sectional study conducted at hospitals, primary healthcare centers, and public spaces in 11 governorates across Palestine between July 2019 and March 2020. A translated-into-Arabic version of the validated bowel cancer awareness measure (BoCAM) was utilized to assess the awareness level of CRC signs and symptoms. For each correctly identified CRC sign/symptom, one point was given. The total score (ranging from 0 to 12) was calculated and categorized into three categories based on the number of symptoms recognized: poor (0 to 4), fair (5 to 8), and good awareness (9 to 12). Results Of 5254 approached, 4877 participants completed the questionnaire (response rate = 92.3%). A total of 4623 questionnaires were included in the analysis; 1923 were from the Gaza Strip and 2700 from the West Bank and Jerusalem (WBJ). Participants from the Gaza Strip were younger, gained lower monthly income, and had less chronic diseases than participants in the WBJ. The most frequently identified CRC sign/symptom was ‘lump in the abdomen’ while the least was ‘pain in the back passage’. Only 1849 participants (40.0%, 95% CI: 39.0%-41.0%) had a good awareness level of CRC signs/symptoms. Participants living in the WBJ were more likely to have good awareness than participants living in the Gaza Strip (42.2% vs. 37.0%; p = 0.002). Knowing someone with cancer (OR = 1.37, 95% CI: 1.21–1.55; p < 0.001) and visiting hospitals (OR = 1.46, 95% CI: 1.25–1.70; p < 0.001) were both associated with higher likelihood of having good awareness. However, male gender (OR = 0.80, 95% CI: 0.68–0.94; p = 0.006) and following a vegetarian diet (OR = 0.59, 95% CI: 0.48–0.73; p < 0.001) were both associated with lower likelihood of having good awareness. Conclusion Less than half of the study participants had a good awareness level of CRC signs and symptoms. Future education interventions are needed to improve public awareness of CRC in Palestine.

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Section: Discussionsupporting

confidence: 91%

Awareness of colorectal cancer signs and symptoms: a national cross-sectional study from Palestine

et al. 2022

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“…43 Despite several diabetes campaigns in Palestine, 44 having diabetes was the least recognized nonmodifiable risk factor, as also in Qatar, Ethiopia, and the United Kingdom. 12,[45][46][47] Therefore, awareness campaigns should focus more on the long-term consequences of diabetes including the potential to develop CRC.…”

Section: Discussionmentioning

confidence: 99%

“…The higher level of awareness among women in this study is consistent with previous studies. 10,45,48 This might be attributed to the fact that women use health care services more often (eg, for maternity care) than men and, thus, come in contact with health care providers more frequently. Therefore, women might have more opportunities to gain information from health care providers on health-related topics, including CRC, which might motivate them to adopt more protective behaviors than men.…”

Section: Discussionmentioning

confidence: 99%

Awareness of Colorectal Cancer Risk Factors in Palestine: Where Do We Stand?

Elshami

Dwikat

Al‐Slaibi³

et al. 2022

JCO Global Oncology

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PURPOSE To assess the public awareness level of colorectal cancer (CRC) risk factors in Palestine and identify factors associated with the good awareness level. MATERIALS AND METHODS Adult Palestinians were recruited using convenience sampling from hospitals, primary health care centers, and public locations in 11 governorates. The recognition of 11 CRC risk factors was evaluated using a translated-into-Arabic version of the validated bowel cancer awareness measure. Participants were given one point for each correctly recognized risk factor. The awareness level was determined by the number of CRC risk factors recognized: poor (0-3), fair (4-7), and good awareness (8-11). RESULTS A total of 4,877 participants, of 5,254 approached, completed the questionnaire (response rate = 92.3%). The final analysis included 4,623 questionnaires, 2,700 from the West Bank and Jerusalem (WBJ) and 1,923 from the Gaza Strip. Participants from the WBJ were older, gained higher monthly income, and had more chronic diseases than participants from the Gaza Strip. The most recognized modifiable CRC risk factor was not doing 30 minutes of moderate physical activity five times a week (n = 3,846, 83.2%), whereas the least recognized was having a diet low in fiber (n = 1,985, 42.9%). The most recognized nonmodifiable CRC risk factor was having a bowel disease (n = 3,320, 71.8%), whereas the least recognized was having diabetes (n = 1,581, 34.2%). Only 1,840 participants (39.8%) demonstrated good awareness of CRC risk factors. Participants from the Gaza Strip were more likely than participants from the WBJ to have good awareness (46.5.0% v 35.0%). Female sex, knowing someone with cancer, and completing postsecondary education were all associated with good awareness. CONCLUSION Awareness of CRC risk factors was found to be low in Palestine. There is a substantial need to raise awareness of CRC risk factors through educational campaigns and programs.

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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%

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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Colorectal cancer awareness and its predictors among adults aged 50–74 years attending primary healthcare in the State of Qatar: a cross-sectional study

Cited by 19 publications

References 12 publications

Awareness of colorectal cancer signs and symptoms: a national cross-sectional study from Palestine

Awareness of colorectal cancer signs and symptoms: a national cross-sectional study from Palestine

Awareness of Colorectal Cancer Risk Factors in Palestine: Where Do We Stand?

Colorectal Cancer in the Arab World

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