College of Medicine, Gulf Medical University, Ajman, UAE.
BMC Public Health. 2023 Oct 16;23(1):2015. doi: 10.1186/s12889-023-16951-7.
Colorectal cancer is a significant public health concern globally, with high incidence and mortality rates. Despite the implementation of CRC screening guidelines, the uptake of screening among adults in the UAE remains low. This study aimed to assess the practice, factors associated, barriers, and knowledge gaps among adults in the UAE.
2100 residents of the UAE, aged > = 40 years, participated in the study. A validated questionnaire was used to collect data. Data was collected through online platforms and face-to-face interviews in healthcare settings. Chi-Square test and binary logistic regression were used for data analysis.
The study revealed a low CRC screening rate of 9.1%. Factors analyzed included age groups, health insurance coverage, regular physician checkups, family history of CRC, awareness of CRC, and knowledge levels about CRC and its signs and symptoms. Participants in the 50-59 age group showed a slightly higher likelihood of CRC screening, but the difference was not statistically significant. However, individuals in the 60-69 and > = 70 age groups were more likely to undergo screening. Regular physician checkups, family history of CRC, prior knowledge of CRC, and knowledge about the disease and its signs and symptoms were associated with a higher likelihood of screening, with statistically significant OR.
A low CRC screening rate of 9.1% among adults. Barriers to screening included not being offered a test by physicians, fear of positive results, discomfort with the screening process, perception of pain, and lack of knowledge. Identifying particulate barriers and developing targeted measures requires larger-scale research.
结直肠癌是全球范围内一个重大的公共卫生问题，具有较高的发病率和死亡率。尽管实施了结直肠癌筛查指南，但阿联酋成年人的筛查参与率仍然较低。本研究旨在评估阿联酋成年人的实践、相关因素、障碍和知识差距。
2100 名年龄在 40 岁以上的阿联酋居民参与了这项研究。使用经过验证的问卷收集数据。数据通过在线平台和医疗机构中的面对面访谈收集。采用卡方检验和二元逻辑回归进行数据分析。
研究显示结直肠癌筛查率较低，为 9.1%。分析的因素包括年龄组、健康保险覆盖范围、定期看医生、结直肠癌家族史、对结直肠癌的认识以及对结直肠癌及其症状的知识水平。50-59 岁年龄组的参与者进行结直肠癌筛查的可能性略高，但差异无统计学意义。然而，60-69 岁和≥70 岁年龄组的人更有可能接受筛查。定期看医生、结直肠癌家族史、对结直肠癌的先前了解，以及对疾病及其症状的了解与更高的筛查可能性相关，具有统计学意义的比值比。
成年人结直肠癌筛查率较低，为 9.1%。筛查的障碍包括医生未提供检查、担心阳性结果、对筛查过程感到不适、对疼痛的感知和缺乏知识。需要更大规模的研究来确定特定的障碍，并制定有针对性的措施。
