1
|
El Muhtaseb MS, Ghanayem A, Almanaseer WN, Alshebelat H, Ghanayem R, Alsheikh GM, Al Karmi F, Al Aruri DO. Assessing awareness of colorectal cancer symptoms, risk factors and screening barriers among eligible adults in Jordan: a cross-sectional study. BMC Public Health 2025; 25:1544. [PMID: 40281527 PMCID: PMC12023689 DOI: 10.1186/s12889-025-22800-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2024] [Accepted: 04/14/2025] [Indexed: 04/29/2025] Open
Abstract
BACKGROUND Colorectal cancer (CRC) is the second most prevalent malignancy in Jordan. Because early detection can greatly improve treatment outcomes, it is crucial to increase awareness of signs and symptoms, risk factors, and the significance of routine CRC screenings. In this study, we aimed to assess awareness levels regarding CRC symptoms and risk factors among adults in Jordan and to identify barriers to CRC screening. METHODS This web-based cross-sectional study was conducted in Jordan from March 5, 2024 to July 9, 2024, and targeted people aged 50-75 years who had no history of CRC. The sample size was calculated via a convenience sampling method. Data were collected via a validated, culturally adapted survey. Descriptive analysis was used when appropriate. Analytic statistics were performed to predict participants' awareness of CRC symptoms and risk factors. RESULTS The study included 400 participants, with a mean age of 58.42 years (SD = 6.511). More than half of the respondents were females (56.5%). The mean awareness score of CRC symptoms among the study participants was 4.97/9 (SD = 1.18), whereas that of risk factors was 5.21/10 (SD = 1.53). The overall mean awareness score was 10.18/19 (SD = 2.65). The top three reported barriers to CRC screening were: not at risk due to absence of symptoms (61.8%), not at risk due to adopting a healthy lifestyle (56.8%), not at risk due to absence of family history (51.8%). CONCLUSION Colorectal cancer awareness among the population was relatively low, with significant symptoms and risk factors being overlooked by the participants. In addition to that, notable barriers to screening, especially fear and embarrassment of the screening test, have surfaced. This prompts the need for more cancer education and healthcare provider involvement to overcome screening barriers and promote participation in screening programs to enable early detection.
Collapse
Affiliation(s)
- M S El Muhtaseb
- Department of General Surgery, School of Medicine, University of Jordan, Amman, Jordan
| | | | | | | | | | - Ghadeer M Alsheikh
- Department of General Surgery, Jordan University Hospital, University of Jordan, Amman, Jordan
| | - Fahed Al Karmi
- Department of General Surgery, Jordan University Hospital, University of Jordan, Amman, Jordan
| | - Daoud O Al Aruri
- Department of General Surgery, Jordan University Hospital, University of Jordan, Amman, Jordan.
| |
Collapse
|
2
|
Elshami M, Dwikat MF, Al-Slaibi I, Alser M, Mohamad BM, Isleem WS, Shurrab A, Yaghi B, Qabaja YA, Naji SA, Hmdan FK, Ayyad MM, Sweity RR, Jneed RT, Assaf KA, Albandak ME, Hmaid MM, Awwad II, Alhabil BK, Alarda MN, Alsattari AS, Aboyousef MS, Aljbour OA, AlSharif R, Giacaman CT, Alnaga AY, Abu Nemer RM, Almadhoun NM, Skaik SM, Bottcher B, Abu-El-Noor N. Awareness of Colorectal Cancer Risk Factors in Palestine: Where Do We Stand? JCO Glob Oncol 2022; 8:e2200070. [PMID: 35696626 PMCID: PMC9225594 DOI: 10.1200/go.22.00070] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
To assess the public awareness level of colorectal cancer (CRC) risk factors in Palestine and identify factors associated with the good awareness level. A national study in Palestine finds low awareness of colorectal cancer risk factors.
Collapse
Affiliation(s)
- Mohamedraed Elshami
- Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH
- Ministry of Health, Gaza, Palestine
| | | | | | | | | | - Wejdan S. Isleem
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | | | - Bashar Yaghi
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | | | - Shoruq A. Naji
- Faculty of Pharmacy, Al-Azhar University of Gaza, Gaza, Palestine
| | - Fatima K. Hmdan
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | | | | | - Remah T. Jneed
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | - Khayria A. Assaf
- Faculty of Medicine, An-Najah National University, Nablus, Palestine
| | | | | | - Iyas I. Awwad
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | - Belal K. Alhabil
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | - Marah N. Alarda
- Faculty of Dentistry, Arab American University, Palestine, Jenin
| | | | | | - Omar A. Aljbour
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | - Rinad AlSharif
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | - Christy T. Giacaman
- Faculty of Nursing and Health Sciences, Bethlehem University, Bethlehem, Palestine
| | - Ali Y. Alnaga
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | - Ranin M. Abu Nemer
- Faculty of Allied Medical Sciences, Arab American University, Jenin, Palestine
| | | | - Sondos M. Skaik
- Faculty of Medicine, Al-Quds Abu Dis University Al-Azhar Branch of Gaza, Gaza, Palestine
| | - Bettina Bottcher
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
| | | |
Collapse
|
3
|
Ustundag H, Zengin N, Andsoy II, Gul A. Awareness of health sciences students about colorectal cancer risk factors. Eur J Cancer Care (Engl) 2019; 28:e13016. [PMID: 30809887 DOI: 10.1111/ecc.13016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 11/07/2018] [Accepted: 01/17/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE This descriptive study was conducted in order to determine the risk factors, symptoms and awareness of health sciences students with regards to colorectal cancer (CRC). METHODS This study included 1,028 health science students from two different universities. Data for this study were collected via a questionnaire form that included questions about CRC risk factors, protective approaches and symptoms. Frequencies, percentages and averages of the data were assessed with Kruskal-Wallis and Mann-Whitney U tests. RESULTS The most frequent risk factors of the students (mean age: 21.25 years) were smoking (90.5%), excessive alcohol consumption (87.4%), family history of cancer (84.2%) and obesity (82.6%), while the most common protective approaches were smoking cessation, avoiding alcohol, regular physical activity and a low-fat diet. There was a significant difference in the CRC awareness of students in terms of gender, the department and grade level at which they were studying, and having a family history of cancer. CONCLUSION Results of this study revealed that students had a sufficient awareness about risk factors and what they could do to diminish their risk, but their knowledge about CRC symptoms was less than expected. We believe that health sciences students should be given more education on CRC symptoms.
Collapse
Affiliation(s)
- Hulya Ustundag
- Faculty of Health Sciences, Nursing Department, Istanbul Bilgi University, Istanbul, Turkey
| | - Neriman Zengin
- Faculty of Health Sciences, University of Health Science, Istanbul, Turkey
| | - Isil Isik Andsoy
- Faculty of Health Sciences, Nursing Department, Karabuk University, Karabuk, Turkey
| | - Asiye Gul
- Faculty of Health Sciences, Istanbul Kultur University, Istanbul, Turkey
| |
Collapse
|