Adults in a High-Risk Area Are Unaware of the Importance of Colorectal Cancer

Wong, N. Y.; Nenny, Suzanah; Guy, Richard; Seow‐Choen, Francis

doi:10.1007/s10350-004-6334-6

Cited by 29 publications

(21 citation statements)

References 8 publications

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“…Whitecollar men might have higher awareness of colorectal cancer and its screening and less of a financial issue than blue-collar men. Our results indicated that poor knowledge of colorectal cancer screening was a major barrier to improving the screening rate, which is supported by reports that poor knowledge of colorectal cancer screening is a prognostic factor of screening rates in Chinese communities in Singapore [16,17] . Public education about colorectal cancer, risk factors, and potential benefits from colorectal cancer screening should be performed.…”

Section: Discussionsupporting

confidence: 88%

“…Thus, 415 people refused the free colonoscopy [15] . Though poor knowledge about colorectal cancer, social factors and the test provider might have influenced compliance of colorectal cancer screening [16][17][18][19][20][21] , it is not clear why people are unwilling to attend the colorectal cancer screening program in China. To better understand why people are unwilling to attend the colorectal cancer screening program in China, we conducted this study to explore the barriers to conducting a colorectal cancer screening.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to colorectal cancer screening: A case-control study

Cai¹,

Zhang²,

Zhu³

et al. 2009

WJG

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AIM:To investigate barriers to colorectal cancer (CRC) screening in a community population. METHODS:We conducted a community-based case-control study in an urban Chinese population by questionnaire. Cases were selected from those completing both a fecal occult blood test (FOBT) case and colonoscopy in a CRC screening program in 2004. Control groups were matched by gender, age group and community. Control 1 included those having a positive FOBT but refusing a colonoscopy. Control 2 included those who refused both an FOBT and colonoscopy. RESULTS:The impact of occupation on willingness to attend a colorectal screening program differed by gender. P for heterogeneity was 0.009 for case vs control group 1, 0.01 for case versus control group 2, and 0.80 for control group 1 vs 2. Poor awareness of CRC and its screening program, characteristics of screening tests, and lack of time affected the screening rate. Financial support, fear of pain and bowel preparation were barriers to a colonoscopy as a screening test. Eighty-two percent of control group 1 and 87.1% of control group 2 were willing attend if the colonoscopy was free, but only 56.3% and 53.1%, respectively, if it was self-paid. Multivariate odds ratios for case vs control group 1 were 0.10 among those unwilling to attend a free colonoscopy and 0.50 among those unwilling to attend a self-paid colonoscopy. CONCLUSION:Raising the public awareness of CRC and its screening, integrating CRC screening into the health care system, and using a painless colonoscopy would increase its screening rate.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Barriers to colorectal cancer screening: A case-control study

Cai¹,

Zhang²,

Zhu³

et al. 2009

WJG

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“…Unfortunately, awareness of colorectal cancer and screening is low. [35][36][37][38] Our results suggest that much attention should be paid to the information given; it must appeal to men, people who are unmarried or divorced, and people with low socioeconomic status. It appeared that personal invitations by telephone did not importantly modify the effect of gender and variables reflecting the socially and economically deprived status suggesting that an increased social pressure on unmotivated invitees from the inviting center may not be more than moderately helpful.…”

Section: Discussionmentioning

confidence: 89%

Toward understanding nonparticipation in sigmoidoscopy screening for colorectal cancer

Blom

Yin

Lidén

et al. 2008

Intl Journal of Cancer

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Understanding the reasons for nonparticipation in cancer screening may give clues about how to improve compliance. However, limited cooperation has hampered research on nonparticipant profiles. We took advantage of Sweden's comprehensive demographic and health care registers to investigate characteristics of all participants and nonparticipants in a pilot program for colorectal cancer screening with sigmoidoscopy. A population-based sample of 1986 Swedish residents 59-61 years old was invited. Registers provided information on each individual's gender, country of birth, marital status, education, income, hospital contacts, place of residence, distance to screening center and cancer within the family. Odds ratios (ORs) with 95% confidence intervals (CIs), modeled with multivariable logistic regression, estimated the independent associations between each background factor and the propensity for nonparticipation after control for the effects of other factors. All statistical tests were 2-sided. Being male (OR 5 1.27, 95% CI 5 1.03-1.57, relative to female), unmarried or divorced (OR 5 1.69, 95% CI 5 1.23-2.30 and OR 5 1.49, 95% CI 5 1.14-1.95, respectively, relative to married) and having an income in the lowest tertile (OR 5 1.68, 95% CI 5 1.27-2.23, relative to highest tertile) was associated with increased nonparticipation. Living in the countryside or in small communities and having a documented family history of colorectal cancer was associated with better participation. Distance to the screening center did not significantly affect participation, nor did recent hospital care consumption or immigrant status. To increase compliance, invitations must appeal to men, unmarried or divorced people and people with low socioeconomic status. ' 2007 Wiley-Liss, Inc.Key words: mass screening; colorectal neoplasms; sigmoidoscopy; patient participation; registers To be effective on a population level, screening programs have to be widely accepted. To minimize nonparticipation, it is important to understand the reasons for nonattendance and to identify groups that would benefit from extra recruitment efforts. Further, understanding of selection forces is necessary for valid interpretation of the effects of screening.Investigators of nonparticipation, whether in screening, public health campaigns or scientific investigations typically have to resort to interviews or questionnaires. As the motivation among nonparticipants generally is low, such studies are characterized by low response rates and questionable data quality. For example, in a recently published Norwegian study concerning a colorectal cancer screening program, only 11% of the nonparticipants responded to a follow-up questionnaire. 1 To our knowledge, no comprehensive model explaining nonparticipation in cancer screening has yet gained widespread acceptance. The scarcity of unbiased background information among nonparticipants may have contributed to this lack of a firm conceptual basis for the understanding of underlying mechanisms.We took advantage of 8 national ...

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“…In that study of Harmy et al (2011), 62.3% of the study participants did not know about Faecal Occult Blood Tests (FOBT) and 63.3% knew nothing about colonoscopy. Another study from Singapore showed a higher percentage of a lack of knowledge about colorectal cancer screening in which about 70% of the Chinese respondents had not heard of or knew anything about colonoscopy (Wong et al, 2002). A study from Hong Kong showed that colonoscopy was the most mentioned colorectal screening test (33%), followed by sigmoidoscopy (6.3%) and FOBT (5.9%) (Wong et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Colorectal Cancer Screening among Young Malaysians

Al-Naggar¹,

Bobryshev²

2013

Asian Pacific Journal of Cancer Prevention

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The objective of this study was to determine the knowledge and associated factors regarding colorectal cancer screening among university students in Malaysia. The questionnaire consisted of three parts: socio-demographic characteristics, lifestyle practice and knowledge of colorectal screening. A cross-sectional study was conducted among 300 students (21.3±1.4 years old). The majority of the participants were Malay with a monthly family income of less than 5,000 Ringgit Malaysia (equal to 1,700 USD) (67.0% and 76.0%, respectively). Regarding their lifestyle practices, the majority were non-smokers and had never consumed alcohol (83.7%, and 88.0%, respectively). The majority of the participants had no knowledge of digital rectal examination, colonoscopy, barium enema and fecal occult blood screening (63.3%, 60.7%, 74.0% and 62.3%, respectively). Univariate and multivariate analysis revealed that their age and the discipline which the students were studying significantly influenced their level of knowledge about colorectal screening. The present study results indicate that education campaigns about colorectal cancer should be promoted.

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Adults in a High-Risk Area Are Unaware of the Importance of Colorectal Cancer

Abstract: Knowledge of colorectal cancer among the surveyed population was poor despite a relatively high incidence of the disease in Singapore. Public education regarding colorectal cancer is best done via newspapers and magazines.

Cited by 29 publications

References 8 publications

Barriers to colorectal cancer screening: A case-control study

Barriers to colorectal cancer screening: A case-control study

Toward understanding nonparticipation in sigmoidoscopy screening for colorectal cancer

Knowledge of Colorectal Cancer Screening among Young Malaysians

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