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沙特阿拉伯非癌症人群中恐癌症的患病率及预测因素

Prevalence and predictors of carcinophobia among the non cancer population in Saudi Arabia.

作者信息

Abusaris Raghib, Alsaqabi Dimah, Ibrahim Alyaa F A, A'aqoulah Ashraf, Alanazi Mona R, Alsheikh Manal, Albawardi Fai, Awawdeh Mohammed A, Salem Samah Saad

机构信息

Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.

出版信息

Sci Rep. 2025 Aug 11;15(1):29356. doi: 10.1038/s41598-025-15181-8.

DOI:10.1038/s41598-025-15181-8
PMID:40790347
Abstract

Cancer remains the leading cause of mortality and morbidity worldwide, with its associated physical, emotional, and financial burdens contributing to widespread fear among individuals without a cancer diagnosis. This study aimed to estimate the prevalence and identify predictors of fear of cancer (carcinophobia) among the non-cancer population in Saudi Arabia. A cross-sectional study was conducted using an online self-administered survey. The Arabic version of the Fear of Cancer Scale (FOCS) was used to assess cancer-related fear. A total of 413 participants from all five regions of Saudi Arabia were surveyed over a two-month period. The prevalence of high cancer fear was 7.75% (95% CI: 5.17-10.33%). Fear levels ranged from 5.2 to 10.4% across demographic groups. Age and income were significantly associated with cancer fear (p < .05). Older individuals were significantly less likely to report fear, while higher income was associated with a 3.6-fold increase in the odds of reporting fear. The study highlights the substantial prevalence of cancer-related fear in the population in Saudi Arabia and identifies critical predictors that may inform targeted public health strategies. Addressing psychological barriers such as carcinophobia is essential for promoting early detection and preventive healthcare behaviors. The findings suggest the need for culturally tailored cancer education and intervention programs to reduce fear and encourage proactive health management in Saudi Arabia.

摘要

癌症仍然是全球死亡和发病的主要原因,其相关的身体、情感和经济负担导致未患癌症的个体普遍感到恐惧。本研究旨在估计沙特阿拉伯非癌症人群中对癌症恐惧(恐癌症)的患病率,并确定其预测因素。采用在线自填式调查问卷进行了一项横断面研究。使用阿拉伯语版的癌症恐惧量表(FOCS)来评估与癌症相关的恐惧。在两个月的时间里,对来自沙特阿拉伯所有五个地区的413名参与者进行了调查。高癌症恐惧的患病率为7.75%(95%置信区间:5.17 - 10.33%)。不同人口群体的恐惧水平在5.2%至10.4%之间。年龄和收入与癌症恐惧显著相关(p < 0.05)。年龄较大的个体报告恐惧的可能性显著较低,而高收入与报告恐惧的几率增加3.6倍相关。该研究强调了沙特阿拉伯人群中与癌症相关恐惧的高患病率,并确定了可能为有针对性的公共卫生策略提供信息的关键预测因素。解决诸如恐癌症等心理障碍对于促进早期检测和预防性医疗行为至关重要。研究结果表明,需要开展针对文化特点的癌症教育和干预项目,以减少恐惧并鼓励沙特阿拉伯民众积极进行健康管理。

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本文引用的文献

1
Factors Affecting Breast Cancer Screening Behavior Among Women in Saudi Arabia: A Retrospective Cross-Sectional Study.沙特阿拉伯女性乳腺癌筛查行为的影响因素:一项回顾性横断面研究
Cureus. 2024 Apr 15;16(4):e58324. doi: 10.7759/cureus.58324. eCollection 2024 Apr.
2
Development and reliability and validity test of the Fear of Cancer Scale (FOCS).癌症恐惧量表(FOCS)的编制及信度、效度检验。
Ann Med. 2022 Dec;54(1):2354-2362. doi: 10.1080/07853890.2022.2113914.
3
Marital Adjustment in Patients with Cancer: Association with Psychological Distress, Quality of Life, and Sleep Problems.
癌症患者的婚姻调适:与心理困扰、生活质量和睡眠问题的关系。
Int J Environ Res Public Health. 2021 Jul 2;18(13):7089. doi: 10.3390/ijerph18137089.
4
Media Exposure, Cancer Beliefs, and Cancer-Related Information-Seeking or Avoidance Behavior Patterns in China.媒体接触、癌症信念与中国的癌症相关信息搜索或回避行为模式。
Int J Environ Res Public Health. 2021 Mar 18;18(6):3130. doi: 10.3390/ijerph18063130.
5
Epidemiology of cancer in Saudi Arabia thru 2010-2019: a systematic review with constrained meta-analysis.沙特阿拉伯2010 - 2019年癌症流行病学:一项受限荟萃分析的系统评价
AIMS Public Health. 2020 Sep 11;7(3):679-696. doi: 10.3934/publichealth.2020053. eCollection 2020.
6
What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England.癌症诊断会让人担心什么?一项基于英格兰成年人的人群调查。
BMC Cancer. 2018 Jan 24;18(1):86. doi: 10.1186/s12885-017-3963-4.
7
What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population.人们对癌症有哪些恐惧?一项关于普通人群癌症恐惧的系统评价与元综合分析。
Psychooncology. 2017 Aug;26(8):1070-1079. doi: 10.1002/pon.4287. Epub 2016 Oct 6.
8
The Tripartite Model of Risk Perception (TRIRISK): Distinguishing Deliberative, Affective, and Experiential Components of Perceived Risk.风险感知三方模型(TRIRISK):区分感知风险的审慎、情感和体验成分
Ann Behav Med. 2016 Oct;50(5):653-663. doi: 10.1007/s12160-016-9790-z.
9
The structure and demographic correlates of cancer fear.癌症恐惧的结构及其人口统计学相关因素。
BMC Cancer. 2014 Aug 16;14:597. doi: 10.1186/1471-2407-14-597.
10
Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies.癌症幸存者对癌症复发的恐惧:定量研究的系统评价。
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