Differences in colorectal cancer awareness between screening eligible vs. ineligible Palestinians: a national cross-sectional study.

Autor:	Elshami M; Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.; Ministry of Health, Gaza, Palestine., Albandak M; 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), Gaza, Palestine., Al-Slaibi I; Almakassed Hospital, Jerusalem, Palestine., Ayyad M; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Dwikat MF; Faculty of Medicine, An-Najah National University, Nablus, 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, Khan Younis, Palestine., Yaghi B; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Ayyash Qabaja Y; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Hamdan FK; Faculty of Medicine, Al-Quds University, Jerusalem, 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., 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., Abu Nemer RM; 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-Azhar University, Gaza, Palestine., Albarqi SI; Faculty of Pharmacy, Al-Azhar University 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:	European journal of public health [Eur J Public Health] 2024 Oct 01; Vol. 34 (5), pp. 872-878.
DOI:	10.1093/eurpub/ckae083
Abstrakt:	Background: This study aimed to compare colorectal cancer (CRC) awareness between screening-eligible and ineligible individuals in Palestine. Methods: Convenience sampling was utilized to recruit Palestinian adults from diverse settings, including hospitals, primary healthcare centers and public spaces across 11 governorates. The evaluation of CRC awareness in terms of signs/symptoms, risk factors and causation myths was conducted using Arabic-translated, modified versions of the validated instruments, the Bowel Cancer Awareness Measure and the Cancer Awareness Measure-Mythical Causes Scale. Results: The final analysis included 2698 participants, with 2158 (80.9%) eligible for CRC screening and 540 (19.1%) ineligible for it. The most recognized CRC sign/symptom was 'lump in the abdomen' in both screening-eligible (n = 386, 71.5%) and ineligible (n = 1582, 73.3%) groups. 'Lack of physical activity' was the most recognized risk factor in both groups (eligible: n = 451, 83.5%; ineligible: n = 1766, 81.8%). The most reported causation myth in both groups was 'having a physical trauma' (eligible: n = 340, 63.0%; ineligible: n = 1353, 62.7%). In the screening-eligible group, only 210 participants (38.9%) demonstrated high awareness of CRC signs/symptoms, 213 participants (39.4%) showed high awareness of CRC risk factors and only 46 participants (8.5%) displayed high awareness of CRC causation myths. There were no significant associations between being eligible for screening colonoscopy and the awareness levels of CRC signs/symptoms, risk factors and causation myths. Conclusion: Overall, awareness levels of CRC signs/symptoms, risk factors and causation myths were notably low among screening-eligible participants. There were no differences in awareness levels between individuals eligible for colonoscopy and those who were not. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
Databáze:	MEDLINE
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