Almadi Majid A, Alghamdi Faisal
Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia; Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, Montreal, Canada.
Department of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Saudi J Gastroenterol. 2019 Jan-Feb;25(1):27-39. doi: 10.4103/sjg.SJG_455_18.
BACKGROUND/AIMS: Colorectal cancer (CRC) is a public health issue, and before the initiation of a national cancer screening program, there is a need to examine the acceptance of the public to undergo CRC screening and explore potential barriers.
A nationwide survey was conducted using an electronic platform to collect demographic variables and using the Health Belief Model to assess attitudes and behavior of participants as well as the knowledge about and intent to undergo CRC screening. At the end of the survey, participants from Riyadh were invited to get screened for CRC.
Responses from 5720 individuals covering all the 13 jurisdictions of Saudi Arabia were collected. Males represented 71.53% of the respondents; the mean age was 43.28 years and 15.24% had already undergone CRC screening using various methods, mostly colonoscopy (72.73%). The mean knowledge score was 11.05 (standard deviation 4.4, range 1-23), with no difference between genders, jurisdictions of the Kingdom, between those who expressed interest in screening and those who did not, and between those who accepted the invitation to undergo CRC screening and those who did not. Participants displayed positive attitudes toward both CRC screening and colonoscopy as a screening tool, and 73% expressed willingness to undergo screening. On multivariate analysis, male gender was the only factor associated with a higher probability of accepting screening, whereas neither knowledge nor willingness to undergo screening predicted accepting the invitation to screening.
Although the majority of participants were willing to undergo screening, no significant correlation between knowledge and willingness to undergo screening were predictors of screening uptake. Other areas that could be targeted in the promotion of CRC screening uptake to bridge the gap between "knowing" and "doing" should be explored.
背景/目的：结直肠癌（CRC）是一个公共卫生问题，在启动全国癌症筛查计划之前，有必要调查公众对接受CRC筛查的接受程度，并探索潜在障碍。
使用电子平台进行了一项全国性调查，以收集人口统计学变量，并使用健康信念模型评估参与者的态度和行为以及对CRC筛查的了解和接受筛查的意愿。在调查结束时，邀请利雅得的参与者进行CRC筛查。
收集了来自沙特阿拉伯所有13个司法管辖区的5720人的回复。男性占受访者的71.53%；平均年龄为43.28岁，15.24%的人已经使用各种方法进行了CRC筛查，主要是结肠镜检查（72.73%）。平均知识得分为11.05（标准差4.4，范围1-23），性别、沙特王国各司法管辖区、表示有兴趣筛查的人和没有兴趣的人、接受CRC筛查邀请的人和没有接受邀请的人之间没有差异。参与者对CRC筛查和作为筛查工具的结肠镜检查都表现出积极态度，73%的人表示愿意接受筛查。多变量分析显示，男性是与接受筛查概率较高相关的唯一因素，而知识水平和接受筛查的意愿都不能预测是否接受筛查邀请。
尽管大多数参与者愿意接受筛查，但知识水平与接受筛查的意愿之间没有显著相关性，也不是接受筛查的预测因素。应探索在促进CRC筛查接受度方面可以针对的其他领域以弥合“知道”和“行动”之间的差距。
