Community Medicine, Medical Education Department, Hamad Medical Corporation, Doha, Qatar
Community Medicine, Medical Education Department, Hamad Medical Corporation, Doha, Qatar.
BMJ Open. 2020 Jul 7;10(7):e035651. doi: 10.1136/bmjopen-2019-035651.
The current study aimed to assess the awareness of colorectal cancer (CRC) symptoms and risk factors among the at-risk population visiting the primary healthcare (PHC) centres in Qatar. The secondary objective was to assess the differences in awareness among population subgroups.
A cross-sectional study design was employed.
The study was conducted across six PHC centres in Qatar.
Patients, or their accompanying people, aged 50-74 years and Arabic or English speakers, were recruited from the main waiting areas of the selected PHC centres.
Participants were interviewed using the validated Bowel/Colorectal Cancer Awareness Measure questionnaire. A non-probability convenient sampling technique was applied to recruit participants. Descriptive and analytic statistics were used when appropriate. A multivariate linear regression model was constructed to identify the independent predictors of CRC awareness.
The study includes 448 participants (response rate=87%). The mean age of the participants was 58.48 years (SD ±6.37). The mean awareness score among the participants was 3.63/9 (SD ±2.7) for CRC symptoms and 5.43/11 (SD ±3.3) for CRC risk factors. The overall mean awareness score was 9.03/20 (SD ±5.5). Multivariate linear regression identified the female gender (2.52 (95% CI 1.15 to 3.88)), non-Qatari Arab (2.91 (95% CI 1.64 to 4.18)) or non-Arab nationalities (1.76 (95% CI 0.28 to 3.24)), and tertiary education (4.10 (95% CI 2.55 to 5.66)) as independent predictors of higher CRC awareness.
In general, the awareness of CRC symptoms and risk factors was low among the at-risk population in Qatar. Specifically, the regression analysis showed men, Qataris, and those with no formal education had low awareness of CRC symptoms and risk factors. Such results emphasise the importance of tailoring future educational campaigns that are relevant, specific and appealing to such cohort.
本研究旨在评估在卡塔尔初级保健 (PHC) 中心就诊的高危人群对结直肠癌 (CRC) 症状和危险因素的认知。次要目的是评估人群亚组之间认知的差异。
采用横断面研究设计。
研究在卡塔尔的 6 个 PHC 中心进行。
从选定的 PHC 中心的主要等候区招募年龄在 50-74 岁之间、讲阿拉伯语或英语的患者或其陪同人员。
使用经过验证的 Bowel/Colorectal Cancer Awareness Measure 问卷对参与者进行访谈。采用非概率便利抽样技术招募参与者。适当使用描述性和分析性统计。构建多元线性回归模型以确定 CRC 认知的独立预测因素。
该研究共纳入 448 名参与者（应答率=87%）。参与者的平均年龄为 58.48 岁（标准差 ±6.37）。参与者的平均认知评分中，CRC 症状为 3.63/9（标准差 ±2.7），CRC 危险因素为 5.43/11（标准差 ±3.3）。总体平均认知评分为 9.03/20（标准差 ±5.5）。多元线性回归确定女性（2.52（95%CI 1.15 至 3.88））、非卡塔尔阿拉伯人（2.91（95%CI 1.64 至 4.18））或非阿拉伯国籍（1.76（95%CI 0.28 至 3.24））以及高等教育（4.10（95%CI 2.55 至 5.66））为 CRC 认知度较高的独立预测因素。
总体而言，卡塔尔高危人群对 CRC 症状和危险因素的认知度较低。具体来说，回归分析显示男性、卡塔尔人和没有正规教育的人对 CRC 症状和危险因素的认知度较低。这些结果强调了制定针对该人群的相关、具体和有吸引力的未来教育活动的重要性。
