Alharthy Amani, Shubair Mamdouh M, Al-Khateeb Badr F, Alnaim Lubna, Aljohani Emad, Alenazi Nada Kareem, Alghamdi Maha Alamodi, Angawi Khadijah, Alsayer Rawabi M, Alhawiti Naif M, El-Metwally Ashraf
Department of Health Science, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh 13412, Saudi Arabia.
School of Health Sciences, Faculty of Human and Health Sciences (FHHS), University of Northern British Columbia (UNBC), 3333 University Way, Prince George, BC V2N 4Z9, Canada.
Curr Oncol. 2025 Apr 22;32(5):243. doi: 10.3390/curroncol32050243.
(1) Background: This study aims to identify the sociodemographic, behavioural, and systemic predictors of colorectal cancer (CRC) screening among primary healthcare attendees in Riyadh, Saudi Arabia, to inform targeted interventions and policy strategies. (2) Methods: This cross-sectional study was conducted between March and July 2023 across 48 randomly selected primary healthcare centers in Riyadh, Saudi Arabia. The target population for this study was adults aged 18 and above attending primary healthcare centers in Riyadh. Multi-stage random sampling was used to recruit participants. Multivariate logistic regression was performed to identify independent predictors of CRC screening. (3) Results: CRC screening uptake was found to be only 4.2%. Age was a significant predictor, with individuals aged 50-75 years (adjusted odds ratio [AOR]: 1.90, 95% confidence interval [CI]: 1.50-2.42) and those aged 75 years or older (AOR: 1.37, 95% CI: 1.01-1.87) being more likely to undergo screening compared to younger individuals. Insurance coverage strongly influenced screening behaviour (AOR: 1.64, 95% CI: 1.37-1.96). Smokers were nearly four times more likely to participate in screening than non-smokers (AOR: 3.87, 95% CI: 3.21-4.69), and physical activity was positively associated with screening (AOR: 1.43, 95% CI: 1.11-1.82). (4) Conclusions: CRC screening uptake in Riyadh is critically low, highlighting the need for targeted public health interventions. Key predictors such as age, insurance coverage, smoking, and physical activity underscore the importance of addressing sociodemographic disparities and promoting health awareness. The findings emphasize the need for culturally tailored educational campaigns, improved healthcare access, and enhanced screening programs to increase uptake.
(1) 背景：本研究旨在确定沙特阿拉伯利雅得初级医疗保健就诊者中结直肠癌（CRC）筛查的社会人口统计学、行为和系统预测因素，以为有针对性的干预措施和政策策略提供依据。(2) 方法：本横断面研究于2023年3月至7月在沙特阿拉伯利雅得随机选取的48个初级医疗保健中心进行。本研究的目标人群是利雅得初级医疗保健中心的18岁及以上成年人。采用多阶段随机抽样招募参与者。进行多变量逻辑回归以确定CRC筛查的独立预测因素。(3) 结果：发现CRC筛查的接受率仅为4.2%。年龄是一个重要的预测因素，50 - 75岁的个体（调整优势比[AOR]：1.90，95%置信区间[CI]：1.50 - 2.42）和75岁及以上的个体（AOR：1.37，95% CI：1.01 - 1.87）与较年轻个体相比更有可能接受筛查。保险覆盖对筛查行为有强烈影响（AOR：1.64，95% CI：1.37 - 1.96）。吸烟者参与筛查的可能性是非吸烟者的近四倍（AOR：3.87，95% CI：3.21 - 4.69），并且身体活动与筛查呈正相关（AOR：1.43，95% CI：1.11 - 1.82）。(4) 结论：利雅得的CRC筛查接受率极低，凸显了有针对性的公共卫生干预措施的必要性。年龄、保险覆盖、吸烟和身体活动等关键预测因素强调了解决社会人口统计学差异和提高健康意识的重要性。研究结果强调需要开展文化上量身定制的教育活动、改善医疗保健可及性以及加强筛查项目以提高接受率。
