Perceived Barriers to Colorectal Cancer Screening among Eligible Adults in Qatar and Its Predictors: A Cross-Sectional Study

Al-Dahshan, Ayman; Abushaikha, Shaikha Sami; Bala, Mohamed; Kehyayan, Vahe; Omer, Mieaad; AlMohamed, Omayma; Al-Kubaisi, Noora; Selim, Nagah

doi:10.31557/apjcp.2021.22.1.45

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Results from our literature review echoed our qualitative findings regarding attitudes and behaviors; however, some studies identified in the literature review were completed in other Middle Eastern countries, rather than Egypt (Al-Dahshan et al, 2021;Qumseya et al, 2014;Tfaily et al, 2019). Other studies reported that physicians in Egypt tend to not order tests or follow recommended screening schedules, similar to other countries in the region (Mosli et al, 2017;Muliira et al, 2016).…”

Section: Resultssupporting

confidence: 70%

Using Intervention Mapping to Develop a Theory-Based Intervention to Promote Colorectal Cancer Screening in Egypt

Nawwar

Bateman

Khamess

et al. 2022

Asian Pac J Cancer Prev

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Background: Colorectal cancer (CRC) incidence and mortality rates are increasing in Egypt. Because no national screening guidelines exist, developing an effective evidence-based screening intervention could lower rates by early detection of pre-cancerous and cancerous lesions and polyps. This paper describes the development of a CRC screening intervention in Alexandria, Egypt using Intervention Mapping (IM). Materials and Methods: Between September 2019 and March 2020, the successive steps of the IM process were completed. Beginning with the needs assessment, we conducted a literature review, held focus groups with residents of Alexandria, and conducted interviews with local gastroenterologists and oncologists. Program objectives and target audience were determined before designing the program components and implementation plan. Using the PRECEDE-PROCEED theoretical model, predisposing, reinforcing, and enabling screening barriers were assessed. Finally, we developed a Standard Operating Procedures manual detailing aspects of the intervention and evaluation to serve as a model for an expanded screening program. Results: The needs assessment, e.g., literature review, seven focus groups (N=61 participants) and interviews (N=17 participants), indicated that barriers among residents included CRC knowledge deficits, fear/anxiety regarding testing, high cost, and lack of accessibility. Physicians believed CRC testing should only be performed for high risk individuals. Findings from each step of the process informed successive steps. Our final intervention consisted of training components for medical students (Health Champions) who would deliver the intervention to patients in primary care waiting rooms, providing short descriptions of CRC risks and screening, educational brochures, and distributing vouchers for no-cost guaiac fecal occult blood test kits. Health Champions would then follow up with the patients, providing results and referrals for no-cost colonoscopy testing for those with abnormal results. Conclusion: Utilizing the IM steps successfully led to development of a theory-based CRC screening intervention for Egypt. Next steps include the implementation of a feasibility pilot intervention.

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Section: Resultssupporting

confidence: 70%

Using Intervention Mapping to Develop a Theory-Based Intervention to Promote Colorectal Cancer Screening in Egypt

Nawwar

Bateman

Khamess

et al. 2022

Asian Pac J Cancer Prev

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“…The Emotion domain was well-defined among the public at the individual level. Fear, as it relates to test results, undergoing screening, endoscopic procedures, and potential pain from screening are all factors that were commonly identified at this level ( 15 , 17 , 18 , 20 , 21 , 23 , 25 , 31 , 34 , 36 , 39 , 40 , 42 , 46 ). Additionally, anxiety, shyness, embarrassment/shame, weariness of screening being conducted by a provider of the opposite sex, and a ‘bad feeling’ were also described in the literature ( 15 , 17 , 18 , 21 , 23 , 25 , 31 , 46 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Barriers to colorectal cancer screening in the Eastern Mediterranean Region: a scoping review using the theoretical domains framework

Hartley,

Chhachhi,

Khader

et al. 2023

J Gastrointest Oncol

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Background Colorectal cancer screening plays a key role in mitigating morbidity and mortality associated with the disease. Regions such as the Eastern Mediterranean Region experience a particularly large burden of colorectal cancer. While trends have been described at the country level within the region, it is important to understand what barriers exist to colorectal cancer screening, so that more effective interventions can be conceptualized and implemented. Methods A scoping review was conducted by applying the Theoretical Domains Framework. The search strategy was conceptualized and implemented by searching two online databases (Scopus and PubMed) that identified papers published between 2000 and 2021 that were available in English and related to colorectal cancer screening in the Eastern Mediterranean Region. Duplicates were removed both automatically by EndNote and manually for those that remained by two members of the research team. Two data collection matrices, constructed according to the Theoretical Domains Framework, were used to extract data on multi-level barriers to screening as perceived by the at-risk population and providers. Results Barriers related to colorectal cancer screening were evident at the individual, public, provider, and health system levels. The most noted barriers among both matrices pertained to the domains of knowledge, emotion, environmental context and resources, and beliefs about consequences. At the individual level, knowledge was the most-cited barrier. At the provider and health system levels, knowledge and environmental context and resources were the most-cited barriers, respectively. Conclusions In understanding barriers at the individual, provider, and health system levels, more effective interventions can be developed to promote screening and early detection for colorectal cancer.

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“…Despite the significant investments in healthcare, sufficient attention has not been paid to predictive diagnosis and targeted prevention. Despite the availability of sufficient finances, Qatar has low awareness regarding CRC prevention and treatment among residents, and reluctance towards screening and a lack of reminders from healthcare providers are some other screening barriers[ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Colorectal cancer’s burden attributable to a diet high in processed meat in the Belt and Road Initiative countries

Liu,

Li,

Xie

et al. 2024

World J Gastrointest Oncol

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BACKGROUND Colorectal cancer (CRC) plays a significant role in morbidity, mortality, and economic cost in the Belt and Road Initiative (“B and R”) countries. In addition, these countries have a substantial consumption of processed meat. However, the burden and trend of CRC in relation to the consumption of a diet high in processed meat (DHPM-CRC) in these “B and R” countries remain unknown. AIM To analyze the burden and trend of DHPM-CRC in the “B and R” countries from 1990 to 2019. METHODS We used the 2019 Global Burden of Disease Study to collate information regarding the burden of DHPM-CRC. Numbers and age-standardized rates (ASRs) of deaths along with the disability-adjusted life years (DALYs) were determined among the “B and R” countries in 1990 and 2019. Using joinpoint regression analysis, the average annual percent change (AAPC) was used to analyze the temporal trends of age-standardized DALYs rate (ASDALR) from 1990 to 2019 and in the final decade (2010–2019). RESULTS We found geographical differences in the burden of DHPM-CRC among “B and R” countries, with the three highest-ranking countries being the Russian Federation, China, and Ukraine in 1990, and China, the Russian Federation, and Poland in 2019. The burden of DHPM-CRC generally increased in most member countries from 1990 to 2019 (all P < 0.05). The absolute number of deaths and DALYs in DHPM-CRC were 3151.15 [95% uncertainty interval (UI) 665.74-5696.64] and 83249.31 (95%UI 15628.64-151956.31) in China in 2019. However, the number of deaths (2627.57-2528.51) and DALYs (65867.39-55378.65) for DHPM-CRC in the Russian Federation has declined. The fastest increase in ASDALR for DHPM-CRC was observed in Vietnam, Southeast Asia, with an AAPC value of 3.90% [95% confidence interval (CI): 3.63%-4.16%], whereas the fastest decline was observed in Kyrgyzstan, Central Asia, with an AAPC value of -2.05% (95% CI: -2.37% to -1.73%). A substantial upward trend in ASR of mortality, years lived with disability, years of life lost, and DALYs from DHPM-CRC changes in 1990-2019 and the final decade (2010-2019) for most Maritime Silk Route members in East Asia, South Asia, Southeast Asia, North Africa, and the Middle East, as well as Central Europe, while those of the most Land Silk Route members in Central Asia and Eastern Europe have decreased markedly (all P < 0.05). The ASDALR for DHPM-CRC increased more in males than in females (all P < 0.05). For those aged 50-74 years, the ASDALR for DHPM-CRC in 40 members exhibited an increasing trend, except for 20 members, including 7 members in Central Asia, Maldives, and 12 high or high-middle social development index (SDI) members in other regions (all P < 0.05). CONCLUSION The burden of DHPM-CRC varies substantially across “B and R” countries and threatens public health. Relevant evidence-based policies and interventions tailored to the different trends of countries in SDIs or Silk Routes should be adopted to reduce the future burden of CRC in “B and R” countries via extensive collaboration.

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Perceived Barriers to Colorectal Cancer Screening among Eligible Adults in Qatar and Its Predictors: A Cross-Sectional Study

Cited by 5 publications

References 19 publications

Using Intervention Mapping to Develop a Theory-Based Intervention to Promote Colorectal Cancer Screening in Egypt

Using Intervention Mapping to Develop a Theory-Based Intervention to Promote Colorectal Cancer Screening in Egypt

Barriers to colorectal cancer screening in the Eastern Mediterranean Region: a scoping review using the theoretical domains framework

Colorectal cancer’s burden attributable to a diet high in processed meat in the Belt and Road Initiative countries

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