Saeed Raed Saeed, Bakir Yousif Yacoub, Alkhalifah Khalid Hussain, Ali Layla Mohammed
Department of Radiological Sciences, Faculty of Allied Health Sciences, Kuwait University, Kuwait. Email:
Asian Pac J Cancer Prev. 2018 Sep 26;19(9):2455-2460. doi: 10.22034/APJCP.2018.19.9.2455.
Colorectal cancer (CRC) is the third most common type of cancer and also the fourth most common cause of cancer related death in both men and women worldwide. The CRC is considered to be the second killer in Kuwait after breast cancer. Aim: to assess and identify the level of knowledge and awareness of colorectal cancer with regards to risk factors, symptoms and screening/imaging procedures among general public in the State of Kuwait. Method: A total of 1000 questionnaires were distributed and 675 questionnaires were completed, thus giving a response rate of 67.5%. The questionnaire was split into 4 categories representing demographic variables, risk factors, symptoms of CRC and awareness of diagnostic procedures. Statistical analysis was carried out using non-parametric test K-W. Results: It showed that 75% of the participants had heard about CRC. The most frequent risk factor that was chosen was the genetic factors and family history (73.5%) with P ˂ 0.05; however, the minimal risk factor was diabetes (31%). Most of the symptoms found to be related to colon rectal cancer were bloody stool, lower abdominal pain, obstructed intestine, and change in the nature of the exit but the least common symptom was due to anemia (33%). MRI was identified to be the most frequent diagnostic procedure (36%) followed by CT scan (31%). On the other hand, there were 187 (27.7%) of the participants who had limited knowledge about these different diagnostic procedures. Conclusion: The need for public awareness about diabetes as an important risk factor of CRC is necessary. Public seminars, school visits and social media will have important role in educating the public with regards to symptoms and diagnostic procedures of CRC.
结直肠癌(CRC)是全球第三大常见癌症类型,也是男性和女性癌症相关死亡的第四大常见原因。在科威特,结直肠癌被认为是仅次于乳腺癌的第二大致命杀手。目的:评估和确定科威特公众对结直肠癌在风险因素、症状以及筛查/成像程序方面的知识和认知水平。方法:共发放1000份问卷,回收675份,回应率为67.5%。问卷分为4类,分别代表人口统计学变量、风险因素、结直肠癌症状以及对诊断程序的认知。使用非参数检验K-W进行统计分析。结果:结果显示,75%的参与者听说过结直肠癌。最常被选择的风险因素是遗传因素和家族病史(73.5%),P<0.05;然而,最小的风险因素是糖尿病(31%)。发现与结直肠癌相关的大多数症状是便血、下腹痛、肠梗阻以及排便性质改变,但最不常见的症状是贫血(33%)。MRI被确定为最常用的诊断程序(36%),其次是CT扫描(31%)。另一方面,有187名(27.7%)参与者对这些不同的诊断程序了解有限。结论:有必要提高公众对糖尿病作为结直肠癌重要风险因素的认识。公众研讨会、学校访问和社交媒体在教育公众了解结直肠癌的症状和诊断程序方面将发挥重要作用。