Colorectal Cancer Risk Factors: A Study of Knowledge, Attitude and Practice Among Adults in Riyadh, Saudi Arabia
Cancer Research Journal
Volume 3, Issue 5, September 2015, Pages: 94-99
Received: Jul. 24, 2015;
Accepted: Aug. 4, 2015;
Published: Aug. 12, 2015
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Osama Al Wutayd, Community Medicine Department, King Saud University, Riyadh, Saudi Arabia
Fahad Alamri, Deputy Ministry for Public Health, Assistant Deputy for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
Arwa Mohammed Ali, Medical Oncology Department, King Khalid University Hospitals, King Saud University, Riyadh, Saudi Arabia; Medical Oncology Department, South Egypt Cancer Institute, Assiut University, Asyut, Egypt
Kassim Abdelazeem Kassim, Deputy Ministry for Public Health, Assistant Deputy for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
Ahmed Khair Ibrahim, Public Health & Community Medicine School, Faculty of Medicine, Assiut University, Asyut, Egypt
Background: Colorectal cancer ranked the second cancers in the Kingdom of Saudi Arabia, accounting for 10.4% of all newly diagnosed cancers in 2010. There are several risk factors affecting the incidence of colorectal cancer where some factors influence the risk more than others. Colorectal cancer is easily preventable through screening which can detect the disease in its early stages and improve survival rates. Aim: We aimed to determine the level of knowledge, attitude and practice of colorectal cancer and its risk factors among mall adult visitors in Riyadh, Saudi Arabia. Methods: Across-sectional study was conducted in five randomly selected malls (120 from each mall were randomly recruited), using a modified validated questionnaire. Means, standard deviations, frequencies, percentages were calculated for the differences in the level of awareness among the study participants. Results: The response rate was 70% (55% were females and 45% were males). More than one-third of the participants identified cigarette smoking, family history of colorectal cancer and inflammatory bowel disease as risk factors for the disease. In addition, the majority of responses reported that screening tools are useful in colorectal cancer prevention and control. Conclusion: Implementation of awareness programs is needed to establish a strong link between the public, health centers and educational institutions to increase the level of awareness of colorectal cancer
Osama Al Wutayd,
Arwa Mohammed Ali,
Kassim Abdelazeem Kassim,
Ahmed Khair Ibrahim,
Colorectal Cancer Risk Factors: A Study of Knowledge, Attitude and Practice Among Adults in Riyadh, Saudi Arabia, Cancer Research Journal.
Vol. 3, No. 5,
2015, pp. 94-99.
Lozano, R., et al., Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012. 380(9859): p.2095–128.
WHO, World Cancer Report 2014, in International Agency for Research on Cancer. 2014, WHO: Geneva.
Merika, E., et al., Review. Colon cancer vaccines: an update. In vivo, 2010. 24(5): p.607–28.
Ferlay, J., et al., Colorectal Cancer Incidence, Mortality and Prevalence Worldwide in 2008. Int J Cancer, 2010. 127(12): p.2893-917.
Giovannucci, E., Modifiable risk factors for colon cancer. Gastroenterologyclinics of North America, 2002. 31(4): p.925-43.
Siegel, R., C. Desantis, and A. Jemal, Colorectal cancer statistics, 2014. CA: a cancer journal for clinicians, 2014. 64(2): p.104-17.
Ng, S. and S. Wong, Colorectal cancer screening in Asia. British medical bulletin, 2013. 105(1): p.29-42.
Sung, J., et al., Increasing incidence of colorectal cancer in Asia: implications for screening. The lancet oncology, 2005. 6(11): p.871-76.
Mosli, M. and M. Al-Ahwal, Colorectal cancer in the Kingdom of Saudi Arabia: need for screening. APJCP, 2012. 13(8): p.3809-813.
Al-Eid, H., Cancer Incidence Report 2010, in Saudi Cancer Registry, S. Bazarbashi, Editor. 2014, Ministry of Health: Kingdom of Saudi Arabia.
Mandel, J., T. Church, and J. Bond, The effect of fecal occult-blood screening on the incidence of colorectal cancer. NEJM, 2000. 343(22): p.1603-07.
Mack, L., H. Stuart, and W. Temple, Survey of colorectal cancer screening practices in a large Canadian urban centre. Canadian Journal of Surgery, 2004. 47(3): p.189-94.
Federici, A., et al., Survey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy. Preventive Medicine, 2005. 41(1): p.30-35.
Misra, S., et al., Cost effectiveness of interventions to promote screening for colorectal cancer: a randomized trial. JPMPH, 2011. 44(3): p.101-10.
Arbyn, M., et al., European Commission's proposal for a council recommendation on cancer screening. BMJ, 2003. 327(7409): p.289-90.
Ibrahim, E., et al., Past, present and future of colorectal cancer in the Kingdom of Saudi Arabia. Saudi journal of gastroenterology, 2008. 14(4): p.178-82.
Christou, A. and S. Thompson, Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. BMC Public Health 2012. 12(528).
Deutekom, M., et al., Uptake of faecal occult blood test colorectal cancer screening by different ethnic groups in the Netherlands. Eur J Publ Health, 2009. 19(4): p.400-02.
Worthley, D., et al., Screening for colorectal cancer by faecal occult blood test: why people choose to refuse. Intern Med J, 2006. 36(9): p.607-10.
Puteh, S., et al., Relationship of Knowledge, Attitude, Practice (KAP) and Demographic Factors with Quality of Life among Urban Colorectal Cancer Patients in Malaysia. Middle East Journal of Cancer 2014. 5(1): p.31-41.
Aparna, K., The Knowledge, Attitudes and Practices Approach: an evaluation of the barriers to colorectal cancer screening at Orange Blossom Family Health Johns Hopkins University School of Medicine, 2014. PCLPSite: Health Care Center for the Homeless, Orange Blossom Family Health, Orlando,.
Ravichandran, K., N. Al-Hamdan, and G. Mohamed, Knowledge, attitude, and behavior among Saudis toward cancer preventive practice. J Family Community Med, 2011. 18(3): p.135-42.
WHO, sample size and power, in An epidemiological approach to reproductive health, P. Wingo, et al., Editors. 1994, WHO: Geneva, Switzerland. p.16-57.
Sessa, A., et al., Knowledge, attitudes, and preventive practices about colorectal cancer among adults in an area of Southern Italy. BMC cancer, 2008. 8(171).
IBM Corp. Released 2012. IBM SPSS Statistics for Windows VA, N.I.C.
Al-Amri, F. A., et al., Breast cancer correlates in a cohort of breast screening program participants in Riyadh, KSA. Journal of the Egyptian National Cancer Institute, 2015. 27(2): p.77-82.
Saeedi, M., et al., Knowledge, attitude and practice of breast cancer screening among female general practitioners in Riyadh, Saudi Arabia. Cancer Research Journal 2014. 2(6): p.108-13.