Knowledge and Awareness of Colorectal Cancer among University Students in Oman
DOI:
https://doi.org/10.31584/jhsmr.2021835Keywords:
colorectal cancer, risk factors, screening program, undergraduate medical studentsAbstract
Objective: Colorectal cancer (CRC) is one of the top ranked cancers in Oman and the incidences of CRC have been dramatically increasing in recent times. The aim of the study was to assess the level of knowledge of CRC and to understand the level of awareness on CRC screening methods among undergraduate medical students.
Material and Methods: This was a cross-sectional study conducted in College of Medicine and Health Sciences, Oman among the undergraduate medical students. The study was a survey based on a questionnaire consisting of 27 items that addressed general risk factors, dietary risk factors, signs and symptoms, screening, and prognostic factors of CRC. Statistical analysis was done using SPSS version 22.
Results: A total of three hundred and eighty-two (n=382) students from the premedical (45, 11.8%), preclinical (249, 65.2%) and clinical (88, 23.0%) years participated in the survey. In all the five categories, general risk factors, dietary risk factors, signs and symptoms, screening and prognostic factors, the clinical students had better knowledge and awareness compared to the lower academic year students.
Conclusion: There was low level of awareness among the premedical students, and had shown increased level of awareness in subsequent academic years. Undergraduate teachings should focus more on factual knowledge, skills, and screening for colon cancer. Students need to actively participate in public awareness about CRC through community programs in order to boost their knowledge. These initiatives by students can bring about changes in society as well.
References
Al-Lawati NA, Al-Bahrani BJ, Al-Raisi SS, Al-Lawati JA. Twenty-year trends of cancer incidence in Omanis, 1996-2015. Oman Med J 2019;34:361-87.
Murphy N, Xu L, Zervoudakis A, Xue X, Kabat G, Rohan TE, et al. Reproductive and menstrual factors and colorectal cancer incidence in the Women’s Health Initiative Observational Study. Br J Cancer 2017;116:117–25.
Patel SG, Ahnen DJ. Prevention of interval colorectal cancers: what every clinician needs to know. Clin Gastroenterol Hepatol 2014;12:7–15.
Smith RA, Andrews KS, Brooks D, Fedewa SA, Manassaram- Baptiste D, Saslow D, et al. Cancer screening in the United States, 2018: a review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin 2018; 68:297–316.
Villarreal-Garza C, Garc a-Aceituno L, Villa AR, Perfecto- Arroyo M, Rojas-Flores M, Le n-Rodr guez E. Knowledge about cancer screening among medical students and internal medicine residents in Mexico City. J Cancer Educ 2010;25: 624–31.
Wang MY, Lin GZ, Li Y, Dong H, Liao YH, Liu HZ, et al. Knowledge, attitudes, preventive practices and screening intention about colorectal cancer and the related factors among residents in Guangzhou, China. Asian Pacific J Cancer Prev 2017;18:3217–23.
Lin Loo J, Yee Woo W, Wah Chin M, Ru Yam H, Kwang Ang Y, Seng Yim H. Cancer Awareness of a Sample of Malaysian Undergraduate Students. Am J Cancer Prev 2013; 1:9–13.
Al-Azri M, Al-Rasbi K, Al-Hinai M, Davidson R, Al-Maniri A. Awareness of risk factors for cancer among omani adults- A community based study. Asian Pacific J Cancer Prev 2014; 15:5401–6.
Althobaiti A, Jradi H. Knowledge, attitude, and perceived barriers regarding colorectal cancer screening practices and risk factors among medical students in Saudi Arabia. BMC Med Educ 2019;421. doi: 10.1186/s12909-019-1857-7.
Mhaidat NM, Al-husein BA, Alzoubi KH, Hatamleh DI, Khader Y, Matalqah S, et al. Knowledge and awareness of colorectal cancer early warning signs and risk factors among university students in Jordan. J Cancer Educ 2018;33:448–56.
Wang R, Wang MJ, Ping J. Clinicopathological features and survival outcomes of colorectal cancer in young versus elderly. Med 2015;94:e1402.
Al-Azri M, Al-Kindi J, Al-Harthi T, Al-Dahri M, Panchatcharam SM, Al-Maniri A. Awareness of stomach and colorectal cancer risk ractors, symptoms and time taken to seek medical help among public attending primary care setting in muscat governorate, Oman. J Cancer Educ 2019;34:423–34.
Mansour-Ghanaei A, Joukar F, Mansour-Ghanaei F, Rasoulian J, Naghipour MR, Fani A, et al. Knowledge about colorectal cancer in Northern Iran: a population-based telephone survey. Asian Pacific J Cancer Prev 2015;16:7831–6.
Smith RA, Manassaram-Baptiste D, Brooks D, Doroshenk M, Fedewa S, Saslow D, et al. Cancer screening in the United States, 2015: a review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin 2015;65:30–54.
Song M, Garrett WS, Chan AT. Nutrients, foods, and colorectal cancer prevention. Gastroenterology 2015;148:1244-60.e16.
Scheid DC, Hamm RM, Ramakrishnan K, McCarthy LH, Mold JW. Improving colorectal cancer screening in family medicine: an Oklahoma physicians resource/research network (OKPRN) study. J Am Board Fam Med 2013;26:498–507.
Jones RM, Devers KJ, Kuzel AJ, Woolf SH. Patient-reported barriers to colorectal cancer screening. A mixed-methods Analysis. Am J Prev Med 2010;38:508–16.
Pietrzyk Ł, Torres A, Denisow-Pietrzyk M, Torres K. What do we know about education in colorectal cancer prevention?— Survey among 1130 medical students. J Cancer Educ 2017; 32:406–12.
Hill S, Sarfati D, Blakely T, Robson B, Purdie G, Chen J, et al. Survival disparities in Indigenous and non-Indigenous New Zealanders with colon cancer: the role of patient comorbidity, treatment and health service factors. J Epidemiol Community Health 2010;64:117–23.
Khayyat YM, Ibrahim EM. Public awareness of colon cancer screening among the general population: a study from the Western Region of Saudi Arabia. Qatar Med J 2014;2014:17.
Poornakala S, Prema NS. A study of morphological prognostic factors in colorectal cancer and survival analysis. Indian J Pathol Microbiol 2019;62:36-42.
Hassan MR1, Suan MA, Soelar SA, et al. Survival Analysis and Prognostic Factors for Colorectal Cancer Patients in Malaysia. Asian Pac J Cancer Prev 2016;17:3575-81.
Hill S, Sarfati D, Blakely T, Robson B, Purdie G, Chen J, et al. Survival disparities in Indigenous and non-Indigenous New Zealanders with colon cancer: The role of patient comorbidity, treatment and health service factors. J Epidemiol Community Health 2010;64:117–23.
Khayyat YM, Ibrahim EM. Public awareness of colon cancer screening among the general population: A study from the Western Region of Saudi Arabia. Qatar Med J 2014;2014:17.
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