Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians.

Autor: Elshami M; Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Lakeside 7100, Cleveland, OH, 44106, USA. mohamedraed.elshami@gmail.com.; Ministry of Health, Gaza, Palestine. mohamedraed.elshami@gmail.com., Ayyad M; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Hamdan FK; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Alser M; The United Nations Relief and Works Agency for Palestine Refugees in The Near East (UNRWA), Amman, Jordan., Al-Slaibi I; Almakassed Hospital, Jerusalem, Palestine., Naji SA; Faculty of Pharmacy, Al-Azhar University of Gaza, Gaza, Palestine., Mohamad BM; Doctors Without Borders (Médecins Sans Frontières), Hebron, Palestine., Isleem WS; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Shurrab A; Palestine Medical Complex, Khanyounis, Palestine., Yaghi B; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Qabaja YA; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Dwikat MF; Faculty of Medicine, An-Najah National University, Nablus, Palestine., Sweity RR; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Jneed RT; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Assaf KA; Faculty of Medicine, An-Najah National University, Nablus, Palestine., Albandak ME; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Hmaid MM; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Awwad II; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Alhabil BK; Ministry of Health, Gaza, Palestine., Alarda MN; Faculty of Dentistry, Arab American University, Jenin, Palestine., Alsattari AS; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Aboyousef MS; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Aljbour OA; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., AlSharif R; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Giacaman CT; Augusta Victoria Hospital, Jerusalem, Palestine., Alnaga AY; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine., Nemer RMA; Faculty of Allied Medical Sciences, Arab American University, Jenin, Palestine., Almadhoun NM; Faculty of Medicine, Al-Azhar University, Gaza, Palestine., Skaik SM; Faculty of Medicine, Al-Quds Abu Dis University Al-Azhar Branch of Gaza, Gaza, Palestine., Abu-El-Noor N; Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine., Bottcher B; Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2023 Apr 27; Vol. 13 (1), pp. 6871. Date of Electronic Publication: 2023 Apr 27.
DOI: 10.1038/s41598-023-34136-5
Abstrakt: This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. Palestinian adults were recruited from hospitals, primary healthcare centers, and public spaces in 11 governorates. A modified, translated-into-Arabic version of the validated Bowel Cancer Awareness Measure was used. The questionnaire comprised three sections: sociodemographics, assessment of CRC symptom awareness and time to seek medical advice, and barriers to early presentation. A total of 4623 participants were included. The proportion that reported seeking immediate medical advice for possible CRC signs/symptoms with blood or mass ranged from 47.1% for 'blood in stools' to 59.5% for 'bleeding from back passage'. Less than half of the participants reported immediate seeking of medical advice for non-specific symptoms (ranging from 5.4% for 'loss of appetite' to 42.0% for 'anemia') and other gastrointestinal symptoms (ranging from 7.7% for 'feeling persistently full' to 35.7% for 'change in bowel habits'). Good CRC symptom awareness was associated with higher likelihood of seeking medical advice within a week from recognizing a CRC symptom. About 13.0% reported a delay to visit their doctor after recognizing a CRC symptom. The most reported barriers were practical with 'would try some herbs first' (50.9%) as the leading barrier. CRC symptoms with blood or mass prompted earlier help seeking. Participants with good CRC awareness were more likely to seek medical advice within a week.
(© 2023. The Author(s).)
Databáze: MEDLINE
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