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Awareness of Stomach and Colorectal Cancer Risk Factors, Symptoms and Time Taken to Seek Medical Help Among Public Attending Primary Care Setting in Muscat Governorate, Oman.

作者信息

Al-Azri Mohammed, Al-Kindi Jamila, Al-Harthi Thuraiya, Al-Dahri Manal, Panchatcharam Sathiya Murthi, Al-Maniri Abdullah

机构信息

Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.

Oman Medical Specialty Board, Al Dakhilya Region Ministry of health, Muscat, Oman.

出版信息

J Cancer Educ. 2019 Jun;34(3):423-434. doi: 10.1007/s13187-017-1266-8.


DOI:10.1007/s13187-017-1266-8
PMID:28782080
Abstract

Colorectal and stomach cancers are the top ranking cancers in Oman. Most of the patients are diagnosed at advanced disease stages. The aim of this study is to explore the knowledge of risk factors, symptoms and the time needed to seek medical care for stomach cancer and colorectal cancer (CRC) among Omani participants attending 28 local health centres (LHCs) in the governorate of Muscat, the capital city of Oman. The Bowel Cancer/CRC Awareness Measure (CAM) questionnaire (translated into Arabic) was used to collect data from Omani adult participants (aged 18 years and above) who attended the LHCs during the study period. There was a total of 405 participants in the study out of the 500 who were invited (response rate = 81%). The most recognised risk factors were excessive drinking of alcohol (73.1%) and smoking (70.6%); the least recognised were doing less exercise (37.3%), eating food which was high in salt (26.8%) and a diagnosis of diabetes mellitus (24.9%). Multinomial logistic regression showed that young participants recognised more risk factors than older participants; highly educated participants recognised more risk factors than the less-educated and married participants recognised more risk factors than single participants. Participants with a high level of education were more likely to identify signs and symptoms of stomach cancer and CRC than less-educated participants. Multinomial logistic regression showed women were more likely than men to report barriers to seeking medical help (fear, difficulty in arranging transport, worried what the doctor might find). Also, participants with less education were more likely to report barriers than the highly educated (worried about wasting the doctor's time, difficulty in arranging transport, did not feel confident talking about symptoms, embarrassed, scared, worried what doctor might find). The majority of participants (93.6%) were not aware of any CRC screening programme or had undergone any screening (98.3) for CRC. Only 52.6% of participants would have a colonoscopy if the doctors advised; the main reasons for refusal were embarrassment (40.0%), lack of trust in the doctors (33.3%) and religious or culture beliefs (21.3%). Around 39% of participants would prefer to have their colonoscopy examination abroad. There is an urgent need to increase the public's awareness of stomach cancer and CRC in Oman, particularly with evidence emerging of an increase in the incidence. School curriculums could include sessions on cancer education and the information be reiterated to students periodically. A strategy to establish a CRC screening programme in Oman might be paramount as the incidence of CRC increased.

摘要

相似文献

[1]
Awareness of Stomach and Colorectal Cancer Risk Factors, Symptoms and Time Taken to Seek Medical Help Among Public Attending Primary Care Setting in Muscat Governorate, Oman.

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[4]
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[5]
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[6]
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[8]
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[9]
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本文引用的文献

[1]
Awareness of Cancer Symptoms and Barriers to Seeking Medical Help Among Adult People Attending Primary Care Settings in Oman.

Health Serv Res Manag Epidemiol. 2016-11-3

[2]
Public appreciation of lifestyle risk factors for colorectal cancer and awareness of bowel cancer screening: A cross-sectional study.

Int J Surg. 2016-11-3

[3]
Epidemiology of colorectal cancer.

Int J Mol Epidemiol Genet. 2016-9-30

[4]
Delay in Cancer Diagnosis: Causes and Possible Solutions.

Oman Med J. 2016-9

[5]
Is cancer survival associated with cancer symptom awareness and barriers to seeking medical help in England? An ecological study.

Br J Cancer. 2016-9-27

[6]
Predictors of Delayed Healthcare Seeking Among American Muslim Women.

J Womens Health (Larchmt). 2016-6

[7]
Colorectal Cancer Patient Characteristics, Treatment and Survival in Oman--a Single Center Study.

Asian Pac J Cancer Prev. 2015

[8]
Public awareness of warning signs and symptoms of cancer in oman: a community-based survey of adults.

Asian Pac J Cancer Prev. 2015

[9]
Psychosocial impact of breast cancer diagnosis among omani women.

Oman Med J. 2014-11

[10]
Men's help-seeking behavior with regards to lower bowel symptoms.

Am J Health Behav. 2015-3

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