Centre of Population Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ministry of Health Malaysia, Putrajaya, Malaysia.
Asia Pac J Public Health. 2023 Jan;35(1):27-33. doi: 10.1177/10105395221145786. Epub 2023 Jan 1.
According to the Malaysian National Cancer Registry (MNCR), more than 70% of colorectal cancer (CRC) cases in Malaysia are presented in the advanced stages of the disease, leading to poor survival rates while taxing the health care system. This study aims to explore the barriers to and facilitators of CRC screening uptake in the perspectives of the general population, health care providers, and policymakers. In-depth, semi-structured interviews were conducted with 25 purposively sampled respondents comprising general population above the age of 40, health care providers, and policymakers. Commonly reported barriers to CRC screening included psychological, poor knowledge and awareness, lack of physicians' recommendation, and inadequate implementation of CRC-related campaigns at systemic level. Facilitating factors for CRC screening included family support and family history of CRC. A comprehensive understanding of barriers and facilitators is relevant for designing an effective intervention and policy to increase CRC screening rates in Malaysia.
根据马来西亚国家癌症登记处（MNCR）的数据，马来西亚超过 70%的结直肠癌（CRC）病例在疾病的晚期呈现，导致生存率较差，同时给医疗保健系统带来负担。本研究旨在从普通人群、医疗保健提供者和政策制定者的角度探讨结直肠癌筛查的障碍和促进因素。采用深度半结构化访谈的方法，对 25 名经刻意抽样的受访者进行了访谈，其中包括 40 岁以上的普通人群、医疗保健提供者和政策制定者。报告的结直肠癌筛查障碍包括心理障碍、知识和意识不足、缺乏医生建议以及系统层面上结直肠癌相关活动的实施不足。促进结直肠癌筛查的因素包括家庭支持和结直肠癌家族史。全面了解障碍和促进因素对于设计有效的干预措施和政策以提高马来西亚结直肠癌筛查率具有重要意义。
