Awareness of Colorectal Cancer and Attitudes Towards Its Screening Guidelines in Lebanon.


Journal

Annals of global health
ISSN: 2214-9996
Titre abrégé: Ann Glob Health
Pays: United States
ID NLM: 101620864

Informations de publication

Date de publication:
28 05 2019
Historique:
entrez: 1 6 2019
pubmed: 31 5 2019
medline: 15 5 2020
Statut: epublish

Résumé

Screening for colorectal cancer (CRC) provides an effective strategy for early detection and prevention of the disease; however, global screening rates are still low. This study aims at assessing the awareness of CRC risk factors, warning signs, and attitudes towards CRC guidelines and screening modalities, in order to identify the barriers to and correlates of CRC screening in the Lebanese population. A self-administered questionnaire was distributed to 371 participants in the largest health care medical center in Lebanon. A validated 12- and 9-item Cancer Awareness Measurement questionnaire was used to assess participants' awareness of CRC risk factors and warning signs. 83% and 67% of participants were not aware of CRC risk factors and warning signs, respectively, 15% have previously undergone CRC screening, 56% were aware of the necessity for screening, and 43% were willing to undergo screening. Factors affecting awareness of the necessity for CRC screening, past screening and willingness to screen included awareness of risk factors and warning signs, undergoing regular physician check-ups, having a family physician as a primary source of knowledge of CRC, and knowing a family member or friend diagnosed with CRC. Barriers to screening were related to participants' evaluation of the screening technique and misconceptions about this disease. Serious active measures should be taken by health care sectors, authoritative groups, primary care physicians, and awareness campaigns to fill the gap in awareness of this disease and to alleviate the barriers and misconceptions around it.

Sections du résumé

BACKGROUND
Screening for colorectal cancer (CRC) provides an effective strategy for early detection and prevention of the disease; however, global screening rates are still low.
PURPOSE
This study aims at assessing the awareness of CRC risk factors, warning signs, and attitudes towards CRC guidelines and screening modalities, in order to identify the barriers to and correlates of CRC screening in the Lebanese population.
METHODS
A self-administered questionnaire was distributed to 371 participants in the largest health care medical center in Lebanon. A validated 12- and 9-item Cancer Awareness Measurement questionnaire was used to assess participants' awareness of CRC risk factors and warning signs.
RESULTS
83% and 67% of participants were not aware of CRC risk factors and warning signs, respectively, 15% have previously undergone CRC screening, 56% were aware of the necessity for screening, and 43% were willing to undergo screening. Factors affecting awareness of the necessity for CRC screening, past screening and willingness to screen included awareness of risk factors and warning signs, undergoing regular physician check-ups, having a family physician as a primary source of knowledge of CRC, and knowing a family member or friend diagnosed with CRC. Barriers to screening were related to participants' evaluation of the screening technique and misconceptions about this disease.
CONCLUSION
Serious active measures should be taken by health care sectors, authoritative groups, primary care physicians, and awareness campaigns to fill the gap in awareness of this disease and to alleviate the barriers and misconceptions around it.

Identifiants

pubmed: 31148437
doi: 10.5334/aogh.2437
pmc: PMC6634322
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

Déclaration de conflit d'intérêts

The authors have no competing interests to declare.

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Auteurs

Mohamad Ali Tfaily (MA)

Faculty of Medicine, American University of Beirut, Beirut, LB.

Dana Naamani (D)

Faculty of Medicine, American University of Beirut, Beirut, LB.

Alaa Kassir (A)

Faculty of Medicine, American University of Beirut, Beirut, LB.

Sara Sleiman (S)

Faculty of Medicine, American University of Beirut, Beirut, LB.

Mamadou Ouattara (M)

Department of Research Training and Communication, Nouna Health Research Center (CRSN), Nouna, BF.

Munir Paul Moacdieh (MP)

Faculty of Medicine, American University of Beirut, Beirut, LB.

Miran A Jaffa (MA)

Epidemiology and Population Health Department, Faculty of Health Sciences, American University of Beirut, Beirut, LB.

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Classifications MeSH