Taha Hana, Al Jaghbeer Madi, Al-Sabbagh Mohammed Qussay, Al Omari Lujain, Berggren Vanja
Department of Family and Community Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Faculty of Medicine, Lund University, Lund, Sweden. Email:
Asian Pac J Cancer Prev. 2019 Mar 26;20(3):831-838. doi: 10.31557/APJCP.2019.20.3.831.
Background: Globally, colorectal cancer (CRC) is ranked the third most common cancer among men and the second in women. The American Cancer Society recommends that starting from the age 50 years, both men and women should be screened for polyps and for early detection of CRC. In Jordan, CRC is the most common cancer among males and the second most common cancer among females. This study aims to assess the knowledge and practices of CRC early detection tests and the barriers and motivators of screening in Jordan. Methods: A semi-structured questionnaire and face-to-face interviews were conducted with 300 males and 300 females recruited using stratified clustered random sampling technique from four governorates in Jordan. The participants were aged 30 to 65 years, without a previous history of CRC. Descriptive and multivariate analyses were used to assess knowledge and practices of CRC early detection tests. Results: Overall, there were poor knowledge and practices of CRC early detection tests. Better knowledge and practices were significantly associated with previously consulting a doctor due to symptoms and worries from CRC, receiving a recommendation from a doctor to perform CRC testing, or having more knowledge about CRC signs and symptoms (p≤ 0.05). Conclusions: This study indicates that there is a need for raising awareness about CRC early detection tests in Jordan, especially among those aged 50 years and above, and those who have a family history of CRC. Additionally, it is important to educate and encourage physicians to recommend CRC screening to patients that are at higher risk of the disease.
在全球范围内，结直肠癌（CRC）在男性中是第三大常见癌症，在女性中是第二大常见癌症。美国癌症协会建议，从50岁起，男性和女性都应接受息肉筛查以及结直肠癌的早期检测。在约旦，结直肠癌是男性中最常见的癌症，在女性中是第二常见的癌症。本研究旨在评估约旦结直肠癌早期检测测试的知识和实践情况，以及筛查的障碍和动机。方法：采用分层整群随机抽样技术，从约旦四个省份招募了300名男性和300名女性，进行了半结构化问卷调查和面对面访谈。参与者年龄在30至65岁之间，无结直肠癌病史。采用描述性和多变量分析来评估结直肠癌早期检测测试的知识和实践情况。结果：总体而言，结直肠癌早期检测测试的知识和实践情况较差。更好的知识和实践与因结直肠癌症状和担忧而此前咨询过医生、收到医生进行结直肠癌检测的建议或对结直肠癌体征和症状有更多了解显著相关（p≤0.05）。结论：本研究表明，约旦需要提高对结直肠癌早期检测测试的认识，特别是在50岁及以上人群以及有结直肠癌家族史的人群中。此外，教育和鼓励医生向患该病风险较高的患者推荐结直肠癌筛查也很重要。
