Alptekin Hatice Merve, Küçükkaya Burcu
Nursing Department, Division of Surgical Nursing, Faculty of Health Sciences, Kocaeli University, Kocaeli, Turkey.
Nursing Department, Division of Gynecology and Obstetrics Nursing, Faculty of Health Sciences, Bartın University, Bartın, Turkey.
Public Health Nurs. 2025 Mar-Apr;42(2):869-879. doi: 10.1111/phn.13519. Epub 2024 Dec 23.
Colorectal cancer (CRC) has high mortality if it is detected in advanced stages, persons can lower their risk of CRC by adopting a healthy lifestyle that may lead to prevention. Screening is the most powerful public health tool to reduce mortality, considering the challenges of making substantial lifestyle changes or implementing widespread primary prevention strategies to lower the risk of CRC. This study aims to find out the levels of information and awareness about CRC and its screening program in individuals living in Türkiye.
This study was a community-based cross-sectional.
This study was performed from November 2019 to November 2022 with a web-based survey circulated through social media and communication platforms. The research was conducted with 4146 participants.
The "Survey Form" was used in the data collection. Descriptive statistics and logistic regression were used in the data analysis.
The study found that 43.3% of participants had information about CRC and its screening program. Among all participants, 94.7% had never undergone CRC screening, and 55.6% were aware of a CRC awareness month. The study also revealed that participants who were knowledgeable about CRC screening were more likely to have a family history of cancer, a personal history of cancer, prior awareness of CRC, and previous information about the disease. Additionally, they were more likely to have undergone CRC screening before and to believe that CRC screening is necessary.
It was found that the majority of participants had no information on CRC and its screening program and never underwent CRC screening before. More studies should be performed to find out the factors negatively affecting the participation of individuals in the CRC screening program.
如果在晚期阶段发现结直肠癌（CRC），其死亡率很高，人们可以通过采取可能有助于预防的健康生活方式来降低患CRC的风险。考虑到在做出重大生活方式改变或实施广泛的一级预防策略以降低CRC风险方面存在挑战，筛查是降低死亡率最有效的公共卫生工具。本研究旨在了解居住在土耳其的个体对CRC及其筛查项目的信息和认知水平。
本研究为基于社区的横断面研究。
本研究于2019年11月至2022年11月进行，通过社交媒体和通信平台开展基于网络的调查。研究共纳入4146名参与者。
数据收集使用“调查问卷”。数据分析采用描述性统计和逻辑回归。
研究发现，43.3%的参与者了解CRC及其筛查项目。在所有参与者中，94.7%从未接受过CRC筛查，55.6%知晓CRC宣传月。研究还显示，了解CRC筛查的参与者更有可能有癌症家族史、个人癌症史、之前对CRC的认知以及之前关于该疾病的信息。此外，他们更有可能之前接受过CRC筛查，并认为CRC筛查是必要的。
研究发现，大多数参与者对CRC及其筛查项目不了解，且之前从未接受过CRC筛查。应开展更多研究以找出对个体参与CRC筛查项目产生负面影响的因素。
