Awareness About Colorectal Cancer, Prevention and Screening

Kav S., Yılmaz A. A. , Ayan B. B. , Kabakçı A., Karaca Z., Mercan Annak İ. , ...More

European Journal Of Oncology Nursing, vol.16, no.1, pp.22, 2012 (Journal Indexed in SCI Expanded)

  • Publication Type: Article / Abstract
  • Volume: 16 Issue: 1
  • Publication Date: 2012
  • Doi Number: 10.1016/s1462-3889(12)70073-x
  • Title of Journal : European Journal Of Oncology Nursing
  • Page Numbers: pp.22


Introduction: Colorectal cancer (CRC) incidence increases in the world. It is the sixth most common cancer and the third leading cause of cancer death in Turkey. Ministry of Health Cancer Control Department recently developed CRC screening guidelines and recommends yearly fecal occult blood test (FOBT) and colonoscopy every 10 years for people over 50 years old. Literature consistently indicates lack of knowledge, practice and participation to the screening programs. Aim of this study was to evaluate awareness about CRC, risk factors, prevention, screening and early detection behavior among different socio-cultural and education levels. Material and Method: This descriptive study was conducted in a university and a Cancer Early Detection, Screening and Education Centre (KETEM) located in Ankara, Turkey. People over 40 years old were invited to participate and have reached total of 215 responses (81 academic and 99 administrative staff from the university; 35 from KETEM). In the data collection, a questionnaire containing 42 questions on individuals’ socio-demographic characteristics, their knowledge and behavior about CRC, risk factors, prevention, screening and early detection was used. The data was analyzed using descriptive statistics and chi-square test. Results and Discussion: The respondents had a mean age of 49.4±8.9 years (range 40–78 years); 59.1% of them were 50 years old and over, 51.6% women, 74.0% married, 68.9% were graduate or post-graduate, 69.8% had low-income and 99.1% had a health insurance. Less than half have the knowledge on CRC (39.1%), sign and symptoms (37.2%) and screening tests (35.6%). Only 9.3% of them were referred by their physician to the screening; 4.6% of them had FOBT in a preceding year and 15.3% had colonoscopy with complaints. It was found that participants with higher education, higher income and women were having more knowledge on CRC and screening tests. Participants requested to receive information about prevention, screening and early detection, sign and symptoms and risk factors for CRC. Of them, 87.9% demanded information related prevention and early detection of CRC via brochure in detail. Conclusion: This study will provide guidance for developing educational program to promote awareness of CRC prevention, screening and early detection. Socio-cultural characteristics should be considered when planning such program and tailored to their needs.