Cluster analysis of cancer knowledge, attitudes and behaviors in the Moroccan population.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
01 Jun 2024
Historique:
received: 02 12 2023
accepted: 03 04 2024
medline: 2 6 2024
pubmed: 2 6 2024
entrez: 2 6 2024
Statut: epublish

Résumé

Cancer has become a major health concern due to the increasing morbidity and mortality rates, and its negative social, economic consequences and the heavy financial burden incurred by cancer patients. About 40% of cancers are preventable. The aim of this study was to assess the knowledge, attitudes, and practices regarding cancer prevention, and associated characteristics to inform the development of targeted cancer prevention campaigns and policies. We conducted a cross-sectional survey of adult patients at Mohamed Sekkat and Sidi Othmane Hospitals in Casablanca, Morocco. Data collection was conducted by two trained interviewers who administered the questionnaire in-person in the local language. An unsupervised clustering approach included 17 candidate variables for the cluster analysis. The variables covered a wide range of characteristics, including demographics, health perceptions and attitudes. Survey answers were calculated to compose qualitative ordinal categories, including a cancer attitude score and knowledge score. The cluster-based analysis showed that participants in cluster 1 had the highest mean attitude score (13.9 ± 2.15) and percentage of individuals with a high level of knowledge (50.8%) whereas the lowest mean attitude score (9.48 ± 2.02) and knowledge level (7.5%.) were found in cluster 3. The participants with the lowest cancer attitude scores and knowledge levels were aged 34 to 47 years old (middle age group), predominantly females, living in rural settings, and were least likely to report health professionals as a source of health information. The findings showed that female individuals living in rural settings, belonging to an older age group, who were least likely to use health professionals as an information source had the lowest levels of knowledge and attitudes. These groups are amenable to targeted and tailored interventions aiming to modify their understanding of cancer in order to enhance the outcomes of Morocco's on-going efforts in cancer prevention and control strategies.

Sections du résumé

BACKGROUND BACKGROUND
Cancer has become a major health concern due to the increasing morbidity and mortality rates, and its negative social, economic consequences and the heavy financial burden incurred by cancer patients. About 40% of cancers are preventable. The aim of this study was to assess the knowledge, attitudes, and practices regarding cancer prevention, and associated characteristics to inform the development of targeted cancer prevention campaigns and policies.
METHODS METHODS
We conducted a cross-sectional survey of adult patients at Mohamed Sekkat and Sidi Othmane Hospitals in Casablanca, Morocco. Data collection was conducted by two trained interviewers who administered the questionnaire in-person in the local language. An unsupervised clustering approach included 17 candidate variables for the cluster analysis. The variables covered a wide range of characteristics, including demographics, health perceptions and attitudes. Survey answers were calculated to compose qualitative ordinal categories, including a cancer attitude score and knowledge score.
RESULTS RESULTS
The cluster-based analysis showed that participants in cluster 1 had the highest mean attitude score (13.9 ± 2.15) and percentage of individuals with a high level of knowledge (50.8%) whereas the lowest mean attitude score (9.48 ± 2.02) and knowledge level (7.5%.) were found in cluster 3. The participants with the lowest cancer attitude scores and knowledge levels were aged 34 to 47 years old (middle age group), predominantly females, living in rural settings, and were least likely to report health professionals as a source of health information.
CONCLUSIONS CONCLUSIONS
The findings showed that female individuals living in rural settings, belonging to an older age group, who were least likely to use health professionals as an information source had the lowest levels of knowledge and attitudes. These groups are amenable to targeted and tailored interventions aiming to modify their understanding of cancer in order to enhance the outcomes of Morocco's on-going efforts in cancer prevention and control strategies.

Identifiants

pubmed: 38824496
doi: 10.1186/s12885-024-12226-5
pii: 10.1186/s12885-024-12226-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

669

Informations de copyright

© 2024. The Author(s).

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Auteurs

Mohamed Khalis (M)

Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco. mkhalis@um6ss.ma.
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco. mkhalis@um6ss.ma.
Higher Institute of Nursing Professions and Health Techniques, Rabat, Morocco. mkhalis@um6ss.ma.
Laboratory of Biostatistics, Clinical, and Epidemiological Research, & Laboratory of Community Health (Public Health, Preventive Medicine and Hygiene), Department of Public Health, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco. mkhalis@um6ss.ma.

Imad Elbadisy (I)

Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco.
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.

Oumnia Bouaddi (O)

Department of Public Health, Mohammed VI Center for Research and Innovation, Rabat, Morocco.
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.

Amy Luo (A)

Department of Population, Family and Reproductive Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.

Amina Bendriouich (A)

Mohammed VI Faculty of Medicine, Mohammed VI University of Sciences and Health, Casablanca, Morocco.

Badr Addahri (B)

Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco.

Hafida Charaka (H)

Higher Institute of Nursing Professions and Health Techniques, Rabat, Morocco.

Mohamed Chahboune (M)

Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Hassan First University of Settat, Settat, Morocco.

Jérôme Foucaud (J)

Institut National du Cancer, Boulogne Billancourt, France.
Laboratory of Education and Health Practice, Sorbonne Paris Nord University, Paris, France.

Abdallah Badou (A)

Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Lahcen Belyamani (L)

Mohammed VI Faculty of Medicine, Mohammed VI University of Sciences and Health, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco.

Inge Huybrechts (I)

Nutrition and Metabolism Branch, International Agency for Research On Cancer, Lyon, France.

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