研究动态
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加强结直肠癌预防:埃及公众意识全国评估。

Enhancing colorectal cancer prevention: a national assessment of public awareness in Egypt.

发表日期:2024 May 27
作者: Sania Ali Yehia, Mohamed Alboraie, Reham Ashour, Dalia Hassan, Reem Ezzat, Fathiya El-Raey, Mohammed Tag-Adeen, Mohamed Abdelaziz, Sabry Asfour, Abeer Abdellatef, Nermeen Abdeen, Rasha Elsayed, Sally Waheed Elkhadry
来源: TROPICAL MEDICINE & INTERNATIONAL HEALTH

摘要:

尽管埃及人口结直肠癌(CRC)的发病率不断上升,但人们似乎仍然严重缺乏对该疾病的认识。本研究旨在评估埃及民众对结直肠癌风险因素、筛查程序以及对其诊断的适当反应的认识。2022 年 7 月至 2023 年 3 月期间在埃及进行了一项横断面研究,并招募了成年人的方便样本在经过验证的肠癌意识测量 (CAM) 2.1 版的帮助下,来自代表不同地理区域、社会经济和教育背景的七个省份进行了调查。修改后的阿拉伯语问卷通过一项包含 30 名患者的试点研究进行了验证。然后通过谷歌表格呈现,然后通过在线方法和面对面采访进行分享。调查问卷提供了数字和分类数据,并进行了相应的分析。卡方检验、Fisher 精确检验和 Man-Whitney 检验用于比较结直肠癌知识匮乏和良好的群体。通过Logistic回归分析来预测影响研究人群认知水平的因素。共有940人参与了调查。他们的年龄从18岁到86岁不等,平均年龄为37.38±12.22岁。知识平均得分为 14.29±7.05(满分 37 分),大多数参与者 (71%) 对 CRC 的了解甚少。大多数参与者(64.1%)选择结肠镜检查作为最佳筛查方式,其次是腹部CT(27.8%)和粪便潜血(15.5%)。该研究揭示了对结直肠癌了解程度良好和较差的参与者之间存在显着差异。 (78.5%) 具有良好 CRC 知识的参与者居住在城市,(85.4%) 具有大学或更高学历,其中 (87.2%) 为非吸烟者 (p<0.05%)。 总体而言,缺乏认识关于埃及人口尤其是农村地区和较低教育水平人群中结直肠癌的发病率,需要开展更多健康教育活动来加强埃及的结直肠癌预防工作。© 2024。作者。
Despite the increasing incidence of colorectal cancer (CRC) in the Egyptian population, it still seems that there is a significant lack of awareness regarding the disease. This study aimed to assess the Egyptian population's awareness of CRC regarding its risk factors, the screening procedures, and the appropriate responses to its diagnosis.A cross-sectional study was conducted in Egypt between July 2022 and March 2023 and recruited a convenient sample of adults from seven governorates representing different geographic areas, and socioeconomic and educational backgrounds with the help of the validated Bowel Cancer Awareness Measure (CAM) version 2.1. The modified Arabic questionnaire was validated through a pilot study including 30 patients. Then it was presented through a Google form before being shared via online methods and face-to-face interviews. The questionnaire provided both numerical and categorical data, which were analyzed accordingly. The Chi-square, the Fisher exact, and the Man-Whitney test were used to compare colorectal cancer poor and good knowledge groups. Logistic regression analysis was conducted to predict the factors that affected the awareness level of the study population.Nine hundred forty individuals participated in the survey. Their ages ranged from 18 to 86 years old, with an average of 37.38 ± 12.22 years. The mean Knowledge score was 14.29 ± 7.05 out of 37 with most of our participants (71%) having poor knowledge about CRC. Most of the participants (64.1%) chose colonoscopy as the best screening modality, followed by an abdominal CT (27.8%), and fecal occult blood (15.5%). The study revealed significant differences between participants with good and poor knowledge of colorectal cancer. (78.5%) of participants with good CRC knowledge lived in cities, (85.4%) attained university or higher educational level, and (87.2%) of them were nonsmokers (p < 0.05%).In general, there was a lack of awareness about Colorectal cancer among the Egyptian population especially among rural and lower educational levels, and more health education campaigns are required to enhance CRC prevention efforts in Egypt.© 2024. The Author(s).