DOI QR코드

DOI QR Code

Knowledge of Colorectal Cancer Screening among Young Malaysians

  • Al-Naggar, Redhwan Ahmed (Population Health and preventive Medicine Department, Faculty of Medicine, UiTM) ;
  • Bobryshev, Yuri V. (Faculty of Medicine, School of Medical Sciences, University of New South Wales)
  • 발행 : 2013.03.30

초록

The objective of this study was to determine the knowledge and associated factors regarding colorectal cancer screening among university students in Malaysia. The questionnaire consisted of three parts: socio-demographic characteristics, lifestyle practice and knowledge of colorectal screening. A cross-sectional study was conducted among 300 students ($21.3{\pm}1.4$ years old). The majority of the participants were Malay with a monthly family income of less than 5,000 Ringgit Malaysia (equal to 1,700 USD) (67.0% and 76.0%, respectively). Regarding their lifestyle practices, the majority were non-smokers and had never consumed alcohol (83.7%, and 88.0%, respectively). The majority of the participants had no knowledge of digital rectal examination, colonoscopy, barium enema and fecal occult blood screening (63.3%, 60.7%, 74.0% and 62.3%, respectively). Univariate and multivariate analysis revealed that their age and the discipline which the students were studying significantly influenced their level of knowledge about colorectal screening. The present study results indicate that education campaigns about colorectal cancer should be promoted.

참고문헌

  1. Abdullah AS, Wong CM, Yam HK, Fielding R (2005). Factors related to non-participation in physical activity among the students in Hong Kong. Int J Sports Med, 26, 611-5. https://doi.org/10.1055/s-2004-821315
  2. Adetunji T, Toriola MT, Myllykangas, et al (2008). Smoking behavior and attitudes regarding the role of physicians in tobacco control among medical students in Kuopio, Finland in 2006. CVD Prev Control, 3, 53-60. https://doi.org/10.1016/j.precon.2007.10.001
  3. Al-Naggar RA, Al-Dubai SA, Al-Naggar TH, Chen R, Al- Jashamy K (2011). Prevalence and associated factors of smoking among Malaysian university students. Asian Pac J Cancer Prev, 12, 619-24.
  4. American College of Sports Medicine (2000). ACSM's Guidelines for Exercise Testing and Prescription. 6th ed., Lippincott, Williams, Wilkins, Baltimore, MD, USA.
  5. Barton MB, Tattersall MH, Butow PN, et al (2003). Cancer knowledge and skills of interns in Australia and New Zealand in 2001: comparison with 1990, and between course types. Med J Aust, 178, 285-9.
  6. Benson VS, Patnick J, Davies AK, et al (2008). Colorectal cancer screening: a comparison of 35 initiatives in 17 countries. Int J Cancer, 122, 1357-67.
  7. Berg AO (2008). Recommendations and rationale: screening for colorectal cancer. U.S. Preventive Services Task Force (USPSTF). Ann Intern Med, 149, 627-37. https://doi.org/10.7326/0003-4819-149-9-200811040-00243
  8. Biddle SJH, Gorely T, Stensel DJ (2004). Health-enhancing physical activity and sedentary behaviour in children and adolescents. J Sports Sci, 22, 679-701. https://doi.org/10.1080/02640410410001712412
  9. Blanks RG, Moss SM, McGahan CE, Quinn MJ, Babb PJ (2000). Effect of NHS breast screening programme on mortality from breast cancer in England and Wales, 1990-8: comparison of observed with predicted mortality. BMJ, 321, 665-9. https://doi.org/10.1136/bmj.321.7262.665
  10. Bloomfield K, Kraus B, Soyka M (2008). Gesundheitsberichterstattung des Bundes. Heft 40:Alkoholkonsum und alkoholbezogene Storungen. Berlin.
  11. Boehler M, Advani V, Schwind CJ, et al (2011). Knowledge and attitudes regarding colorectal cancer screening among medical students: a tale of two schools. J Canc Educ, 26, 147-52. https://doi.org/10.1007/s13187-010-0161-3
  12. Borum ML (1997). Cancer screening in women by internal medicine resident physicians. South Med J, 90, 1101-5. https://doi.org/10.1097/00007611-199711000-00009
  13. Chamberlain RM, Bakemeier RF, Gallagher RE, et al (1992). Cancer prevention education in United States medical schools. Cancer education survey II: cancer education in United States medical schools. J Cancer Educ, 7, 105-14. https://doi.org/10.1080/08858199209528152
  14. Colditz GA, Cannuscio CC, Frazier AL (1997). Physical activity and reduced risk of colon cancer: implications for prevention. Cancer Causes Control, 8, 649-67. https://doi.org/10.1023/A:1018458700185
  15. Craig RJM (2008). Health Survey for England 2006; The Information Centre: Leeds, UK.
  16. European Commission (2007). Special Eurobarometer - Report 272b: Attitudes towards Alcohol; http://ec.europa.eu/health/ph_determinants/life_style/Tobacco/Documents/ebs272c_en.pdf.
  17. Fontes ACD, Vianna RPT (2009). Prevalence and factors related to low level physical activity among university students in a public university in the northeast region of Brazil. Revista Brasileira de Epidemiologia, 12, 20-9. https://doi.org/10.1590/S1415-790X2009000100003
  18. Garr DR, Lackland DT, Wilson DB (2000). Prevention education and evaluation in U.S. medical schools: a status report. Acad Med, 75, 14-21.
  19. Geller AC, Prout M, Miller DR, et al (2002). Evaluation of a cancer prevention and detection curriculum for medical students. Prev Med, 35, 78-86. https://doi.org/10.1006/pmed.2002.1044
  20. Giovannucci E, Rimm EB, Stampfer MJ, et al (1994). A prospective study of cigarette smoking and risk of colorectal adenoma and colorectal cancer in U.S. men. J Nat Cancer Inst, 86, 183-91. https://doi.org/10.1093/jnci/86.3.183
  21. Haase A, Steptoe A, Sallis JF, Wardle J (2004). Leisure-time physical activity in university students from 32 countries: associations with health beliefs, risk awareness and national economic development. Prev Med, 39, 182-90. https://doi.org/10.1016/j.ypmed.2004.01.028
  22. Hansen HH, Bajorin DF, Muss HB, et al (2004). Recommendations for a global core curriculum in medical oncology. J Clin Oncol, 22, 4616-25. https://doi.org/10.1200/JCO.2004.08.134
  23. Harmy MY, Norwati D, Noor NM, Amry AR (2011). Knowledge and Attitude of Colorectal Cancer Screening Among Moderate Risk Patients in West Malaysia. Asian Pac J Cancer Prev, 12, 1957-60.
  24. Hobbs FD, Cherry RC, Fielding JW, Pike L, Holder R (1992). Acceptability of opportunistic screening for occult gastrointestinal blood loss. BMJ, 304, 483-6. https://doi.org/10.1136/bmj.304.6825.483
  25. Jeeva I, Jayasawal R, Kermani N, Pauri P (2007). Oncology curriculum in developing countries and the lessons to be learned. J Clin Oncol, 25, 12. https://doi.org/10.1200/JCO.2006.10.2939
  26. Jemal A, Bray F, Center MM, et al (2011). Global Cancer Statistics, CA. CA Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
  27. Lee M, Wilkereson L, Harrrity S, Hodgson C (2006). Differences in cancer prevention knowledge and experience among medical students at three institutions over time. J Cancer Educ, 21, 223-9.
  28. Lee M, Wilkerson L, Harrity S, Hodgson CS (2006). Differences in cancer prevention knowledge and experience among medical students at three institutions over time. J Cancer Educ, 21, 223-9.
  29. Madan AK, Aliabadi-Wahle S, Beech D (2006). Poor knowledge of basic cancer facts of physicians-in-training. J Natl Med Assoc, 98, 43-7. https://doi.org/10.1007/BF02790269
  30. Makrides L, Veinot P, Richard J, McKee E, Gallivan T (1998). A cardiovascular health needs assessment of university students living in residence. Can J Public Health, 89, 171-5.
  31. Ministry of Health (2006). National Cancer Registry, Malaysia Cancer Statistic; Data and Figure Penisular Malaysia.
  32. Musharrafieh U, Tamim HM, Rahi AC, et al (2008). Determinant of university students physical exercise: a study from Lebanon. Int J Public Health, 53, 208-13. https://doi.org/10.1007/s00038-008-7037-x
  33. National Youth Risk Behavior Survey 1991-2005: trends in the prevalence of physical activity (2006). Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
  34. Nelson RS, Thorson AG (2009). Colorectal cancer screening. Curr Oncol Rep, 11, 482-9. https://doi.org/10.1007/s11912-009-0065-8
  35. Oxentenko AS, Vierkant RA, Pardi DS, et al (2007). Colorectal cancer screening perceptions and practices: results from a national survey of gastroenterology, surgery and radiology trainees. J Cancer Educ, 22, 219-26. https://doi.org/10.1007/BF03174120
  36. Park B, Choi KS, Lee YY, Jun JK, Seo HG (2012). Trends in Cancer Screening Rates among Korean Men and Women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2011. Cancer Res Treat, 44, 113-20. https://doi.org/10.4143/crt.2012.44.2.113
  37. Park MJ, Choi KS, Jun JK, Lee HY (2011). Trends in the National Cancer Screening Program for Colorectal Cancer in the Republic of Korea, 2004-2009. Asian Pac J Cancer Prev, 12, 3489-93.
  38. Pignone M, Rich M, Teutsch SM, Berg AO, Lohr KN (2002). Screening for colorectal cancer in adults at average risk: a summary of the evidence for the US Preventive Services Task Force. Ann Intern Med, 137, 132-41. https://doi.org/10.7326/0003-4819-137-2-200207160-00015
  39. Raffle AE, Alden B, Quinn M, Babb PJ, Brett MT (2003). Outcomes of screening to prevent cancer: analysis of cumulative incidence of cervical abnormality and modelling of cases and deaths prevented. BMJ, 326, 901. https://doi.org/10.1136/bmj.326.7395.901
  40. Smith RA, Cokkinides V, Brooks D, Saslow D, Brawley OW (2010). Cancer screening in the United States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin, 60, 99-119. https://doi.org/10.3322/caac.20063
  41. Stephen M, Delnevo C, Coughlin S (2007). A national survey of medical students' beliefs and knowledge in screening for prostate cancer. J Gen Intern Med, 22, 80-5. https://doi.org/10.1007/s11606-006-0015-1
  42. Sung JJY, Lau JYW, Young GP, et al (2008). Asia Pacific consensus recommendations for colorectal cancer screening. Gut, 57, 1166-76. https://doi.org/10.1136/gut.2007.146316
  43. United States Preventive Services Task Force (2002). Screening for colorectal cancer: recommendation and rationale. Ann Intern Med, 137, 129-31. https://doi.org/10.7326/0003-4819-137-2-200207160-00014
  44. Villarreal-Garza C, García-Aceituno L, Villa AR, et al (2010). Knowledge about cancer screening among medical students and internal medicine residents in Mexico City. J Cancer Educ, 25, 624-31. https://doi.org/10.1007/s13187-010-0098-6
  45. Walsh JM, Salazar R, Terdiman JP, Gildengorin G, Perez-Stable EJ (2005). Promoting use of colorectal cancer screening tests. Can we change physician behavior? J Gen Intern Med, 20, 1097-101. https://doi.org/10.1111/j.1525-1497.2005.0245.x
  46. Wilkerson L, Lee M, Hodgson CS (2002). Evaluating curricular effects on medical students' knowledge and self-perceived skills in cancer prevention. Acad Med, 77, 51-3. https://doi.org/10.1097/00001888-200210001-00017
  47. Wong B, Chan AO, Wong WM, et al (2006). Attitudes and knowledge of colorectal cancer and screening in Hong Kong: A population-based study. J Gastroenterol Hepatol, 21, 41-6. https://doi.org/10.1111/j.1440-1746.2005.04000.x
  48. Wong N, Nenny S, Guy RJ, Seow-Choen F (2002). Adults in high risk area are unaware of the importance of colorectal cancer. Dis Colon Rectum, 45, 946-54. https://doi.org/10.1007/s10350-004-6334-6
  49. Zack DL, DiBaise JK, Quigley EMM, Hermant KR (2001). Colorectal cancer screening compliance by medicine residents: perceived and actual. Am J Gastroenterol, 96, 3004-8. https://doi.org/10.1111/j.1572-0241.2001.04678.x
  50. Zapka JG, Luckmann R, Sulsky SI, et al (2000). Cancer control knowledge, attitudes, and perceived skills among medical students. J Cancer Educ, 15, 73-8.

피인용 문헌

  1. Breast, Cervix and Colorectal Cancer Knowledge among Nurses in Turkey vol.15, pp.5, 2014, https://doi.org/10.7314/APJCP.2014.15.5.2267
  2. Colorectal Carcinoma in Malaysians: DNA Mismatch Repair Pattern in a Multiethnic Population vol.15, pp.7, 2014, https://doi.org/10.7314/APJCP.2014.15.7.3287
  3. Knowledge and Beliefs of Malaysian Adolescents Regarding Cancer vol.16, pp.3, 2015, https://doi.org/10.7314/APJCP.2015.16.3.1097
  4. Effectiveness of preventive medicine education and its determinants among medical students in Malaysia vol.10, pp.1, 2016, https://doi.org/10.1007/s11684-016-0428-0
  5. Colorectal Cancer Awareness and Screening Preference: A Survey during the Malaysian World Digestive Day Campaign vol.16, pp.18, 2016, https://doi.org/10.7314/APJCP.2015.16.18.8345
  6. What Do We Know About Education in Colorectal Cancer Prevention?—Survey Among 1130 Medical Students vol.32, pp.2, 2017, https://doi.org/10.1007/s13187-015-0967-0
  7. Colorectal Cancer: How Familiar Are Our Future Doctors with the Cancer of Tomorrow? vol.2018, pp.2314-6141, 2018, https://doi.org/10.1155/2018/7462101
  8. Identification of risk factors for neoplastic colonic polyps in young adults with bloody stool in comparison with those without symptom vol.33, pp.7, 2018, https://doi.org/10.1111/jgh.14070