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沙特阿拉伯卡西姆地区普通人群对结肠癌筛查的认知:基于社区的研究

Awareness of colon cancer screening among the general population: Community-based study from the Qassim Region of Saudi Arabia.

作者信息

Aldakhil Mohammed D, Alayaaf Abdullah S, Alamro Nibras M, Aljubaili Omar K

机构信息

Department of Surgery, College of Medicine, Qassim University, Al 'Qassim-Saudi Arabia.

Medical Student, College of Medicine, Qassim University, Al 'Qassim-Saudi Arabia.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):5207-5212. doi: 10.4103/jfmpc.jfmpc_865_24. Epub 2024 Nov 18.

Abstract

INTRODUCTION

Colorectal cancer (CRC) has surged to prominence as the leading cancer affecting men and the second most common affecting women in Saudi Arabia. The need for preventative screening is underscored by the rising prevalence of precancerous polyps, early-stage colorectal cancer, and the fact that these conditions often manifest without symptoms.

METHODS

This study utilized a cross-sectional descriptive design and employed data from a sample of 425 residents of Qassim region in Saudi Arabia. The participants guaranteed their confidentiality when completing self-administered online questionnaires.

RESULTS

Nearly half, 209 (49.2%), of the participants indicated that there were increasing incidences of colon cancer in Saudi Arabia. A considerable number [122 (28.7%)] of respondents believed that family history was the risk factor for colorectal cancer. A total of 203 (47.8%) knew that CRC could develop without symptoms. Common symptoms of CRC were cited as bleeding per rectum 300 (70.6%) and abdominal pain 259 (60.9%). The majority, 384 (90.4%), of the respondents believed that CRC could be prevented and cured if detected early, 415 (97.6%). The results noted that more females knew that there were increasing incidences of CRC in KSA ( = 0.03). Older participants were more likely to understand the function of the colon and rectum ( < 0.001**), the risk factors ( < 0.001**), and the symptoms of CRC ( < 0.001**), as well as their willingness to choose colonoscopy to conduct colon follow-up screening even without symptoms ( < 0.001**). Married participants had a higher likelihood of knowing the ranking of CRC among the most common tumors in both sexes in KSA ( = 0.027*). Participants with a higher education level were more likely to know the ranking of CRC among the common tumors in the KSA ( = 0.004**), the functions of colon and rectum (0.003**), and the symptoms of CRC ( < 0.001**).

CONCLUSION

The study revealed considerably below-average knowledge about the general public's screening for CRC in the Qassim region of Saudi Arabia. Although a substantial proportion of participants demonstrated knowledge about the risk factors, symptoms, and prevention of CRC, there is limited knowledge about screening programs in the region. This underscores the need for public awareness campaigns and concerted efforts to eliminate the obstacles preventing more people from getting screened with colonoscopies for early detection and prevention of CRC.

摘要

引言

在沙特阿拉伯,结直肠癌(CRC)已成为影响男性的主要癌症以及影响女性的第二大常见癌症,备受关注。癌前息肉和早期结直肠癌的患病率不断上升,且这些病症往往无症状显现,这凸显了预防性筛查的必要性。

方法

本研究采用横断面描述性设计,使用了沙特阿拉伯卡西姆地区425名居民的样本数据。参与者在完成自行填写的在线问卷时保证了其保密性。

结果

近一半(209人,占49.2%)的参与者表示沙特阿拉伯结肠癌发病率在上升。相当一部分受访者(122人,占28.7%)认为家族病史是结直肠癌的危险因素。共有203人(占47.8%)知道结直肠癌可能无症状发展。结直肠癌的常见症状被提及为直肠出血300人(占70.6%)和腹痛259人(占60.9%)。大多数受访者(384人,占90.4%)认为如果早期发现,结直肠癌可以预防和治愈,415人(占97.6%)。结果指出,更多女性知道沙特阿拉伯结直肠癌发病率在上升(P = 0.03)。年龄较大的参与者更有可能了解结肠和直肠的功能(P < 0.001**)、危险因素(P < 0.001**)、结直肠癌的症状(P < 0.001**),以及即使无症状也愿意选择结肠镜检查进行结肠后续筛查的意愿(P < 0.001**)。已婚参与者更有可能知道结直肠癌在沙特阿拉伯男女最常见肿瘤中的排名(P = 0.027*)。教育水平较高的参与者更有可能知道结直肠癌在沙特阿拉伯常见肿瘤中的排名(P = 0.004**)、结肠和直肠的功能(P = 0.003**)以及结直肠癌的症状(P < 0.001**)。

结论

该研究表明,沙特阿拉伯卡西姆地区公众对结直肠癌筛查的了解程度远低于平均水平。尽管相当一部分参与者表现出对结直肠癌危险因素、症状和预防的了解,但该地区对筛查项目的了解有限。这凸显了开展公众意识宣传活动以及共同努力消除阻碍更多人接受结肠镜检查以早期发现和预防结直肠癌的障碍的必要性。

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Colorectal Cancer in Saudi Arabia: The Way Forward.沙特阿拉伯的结直肠癌:未来之路。
Asian Pac J Cancer Prev. 2023 Jan 1;24(1):13-19. doi: 10.31557/APJCP.2023.24.1.13.
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Colon Cancer.结肠癌
Am Fam Physician. 2018 May 15;97(10):Online.

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