The University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad, Trinidad and Tobago.
J Cancer Educ. 2020 Jun;35(3):571-578. doi: 10.1007/s13187-019-01499-1.
The burden of colorectal cancer (CRC) has been on the rise globally over the last decade. Several studies point to the fact that there is a lack of knowledge and awareness for CRC which may be attributed to the increase in the burden over time. Therefore, we aimed to assess the level and predictors for knowledge of CRC and its risk factors.
This study was a cross-sectional study conducted on the student population of the University of the West Indies, St. Augustine Campus, Trinidad. We assessed CRC knowledge using scales examining their level of knowledge for CRC and its risk factors. Lifestyle behaviors (smoking, physical activity, dietary behaviors, and alcohol consumption) and perceived risk for developing CRC were also collected using a standard survey. Predictors for CRC knowledge were assessed using forward stepwise linear and logistic regression models.
The overall CRC knowledge was 54.740% ± 19.721%. Poor knowledge levels were seen among 36.23% while satisfactory/good knowledge was seen among 63.77%. Predictors of poor CRC knowledge were males (OR = 1.559; p = 0.003), frequent/excessive alcoholic drinkers (OR = 1.924; p = 0.029), and low physical activity (OR = 1.331; p = 0.042). Predictors of satisfactory/good CRC knowledge were those with higher scores for the prudent dietary pattern (OR = 0.893; p = 0.016), and compared with those who reported no risk, participants reporting low risk had an increased likelihood of obtaining good CRC knowledge scores (OR = 0.526; p = < 0.001) and high risk (0.310; p = < 0.001).
The level of awareness/knowledge on CRC and its risk factors is low. Improvement of CRC awareness and healthy lifestyle campaigns among young adults is needed for the Caribbean region.
在过去的十年中，全球结直肠癌（CRC）的负担一直在增加。有几项研究指出，人们对 CRC 的了解和认识不足，这可能是由于随着时间的推移负担的增加。因此，我们旨在评估 CRC 及其危险因素的知识水平和预测因素。
这是一项在特立尼达和多巴哥圣奥古斯丁校区西印度群岛大学的学生人群中进行的横断面研究。我们使用检查 CRC 及其危险因素知识水平的量表来评估 CRC 知识。还使用标准调查收集生活方式行为（吸烟、身体活动、饮食行为和饮酒）和对发展 CRC 的感知风险。使用逐步向前线性和逻辑回归模型评估 CRC 知识的预测因素。
CRC 总体知识水平为 54.740%±19.721%。36.23%的人知识水平较差，63.77%的人知识水平满意/良好。CRC 知识水平差的预测因素是男性（OR=1.559；p=0.003）、经常/过量饮酒者（OR=1.924；p=0.029）和低体力活动（OR=1.331；p=0.042）。获得满意/良好 CRC 知识的预测因素是具有更高谨慎饮食模式得分的人（OR=0.893；p=0.016），与报告无风险的人相比，报告低风险的参与者获得良好 CRC 知识得分的可能性更高（OR=0.526；p<0.001）和高风险（0.310；p<0.001）。
CRC 及其危险因素的认识/知识水平较低。加勒比地区需要针对年轻成年人开展 CRC 意识和健康生活方式运动。
