Alenezi Anfal Mohammed, Alshariyah Mahadi Mane Hussien, Alanazi Maryam Nazal, Abdel-Salam Doaa Mazen, Al-Hazmi Ahmad Homoud, Thirunavukkarasu Ashokkumar, Alhuwaydi Ahmed M, Alsabilah Rahaf Hamdan, Mohamed Rehab A
Department of Surgery, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia.
Department of Public Health, Najran Health Affairs, Najran 66232, Saudi Arabia.
Healthcare (Basel). 2023 Oct 21;11(20):2791. doi: 10.3390/healthcare11202791.
Psychosocial correlates are one of the crucial determinants for the uptake of colorectal cancer (CRC) screening by the pre-eligible population. The present study aimed to identify the psychosocial correlates of colorectal cancer screening and determine their associated factors among the Saudi population in the Najran region, Saudi Arabia. Using a validated questionnaire, we assessed five constructs of psychosocial correlates of CRC screening among 790 participants aged 45 years and above. The five constructs were salience and coherence, cancer worries, perceived susceptibility, response efficacy, and social influence. Of the studied population, less than 50% agreed with most of the five constructs' statements, and 27.5% preferred to follow their family members' advice. Significantly higher mean scores (±SD) were identified for the male gender (7.38 ± 2.15, = 0.027) and participants working in government sectors (7.60 ± 2.03, = 0.027) in the cancer worries construct, while the mean (±SD) scores of perceived susceptibility were significantly higher among married participants (14.38 ± 4.10, = 0.023) and smokers (14.95 ± 3.92, = 0.041). Our survey results could help policymakers to implement focused health education programs for the pre-eligible population on the importance of the uptake of CRC screening. Furthermore, it is recommended to carry out exploratory mixed-method surveys in other regions of Saudi Arabia to understand the region's specific psychosocial correlates towards CRC screening.
社会心理因素是符合条件前人群接受结直肠癌（CRC）筛查的关键决定因素之一。本研究旨在确定沙特阿拉伯纳季兰地区沙特人群中结直肠癌筛查的社会心理因素，并确定其相关因素。我们使用经过验证的问卷，对790名45岁及以上参与者的结直肠癌筛查社会心理因素的五个维度进行了评估。这五个维度分别是显著性和连贯性、癌症担忧、感知易感性、反应效能和社会影响。在研究人群中，不到50%的人同意这五个维度中大多数陈述的内容，27.5%的人更愿意听从家人的建议。在癌症担忧维度中，男性（7.38±2.15，P = 0.027）和在政府部门工作的参与者（7.60±2.03，P = 0.027）的平均得分显著更高，而在感知易感性维度中，已婚参与者（14.38±4.10，P = 0.023）和吸烟者（14.95±3.92，P = 0.041）的平均得分显著更高。我们的调查结果可以帮助政策制定者为符合条件前人群实施关于接受结直肠癌筛查重要性的针对性健康教育计划。此外，建议在沙特阿拉伯其他地区开展探索性混合方法调查，以了解该地区对结直肠癌筛查的特定社会心理因素。
