Knowledge, Attitude and Obstacles of Colorectal Cancer Screening in Primary Health Care in Bali, Indonesia
), Gde Somayana(2), Dwijo Anargha Sindhughosa(3),
(1) Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Bali Indonesia
(2) Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Bali Indonesia
(3) Gastroentero-Hepatology Division, Department of Internal Medicine, Faculty of Medicine Udayana University, Bali Indonesia
Corresponding Author
Abstract
Background: The knowledge of CRC and its screening methods of healthcare workers is the bedrock of CRC early detection particularly in countries lacking national screening programs. Unknown factors influencing colorectal cancer early detection program implementation. We aimed to evaluate the knowledge and attitudes of primary health care (PHC) provider regarding CRC screening and identify the barriers associated with the screening plan.
Methods: A cross-sectional study was conducted among PHC physicians and nurses in public primary health care centers in Bali, Indonesia. A 44-item self-administered questionnaire was used to assess the knowledge, attitude and practice of CRC screening. The questionnaire was spread using google form.
Results: Two hundred and five respondents have participated in this study. The average duration of doing practice in PHC is 6.6 years. In knowledge of CRC, 50.2% of them have good knowledge, and there is no difference between PCPs vs nurses (51.9% vs 47.3%; p=0.53). In attitude toward CRC screening, 58.5% out of the have good attitude, and there is no difference between PCPs vs nurses (60.3% vs 55.4%; p=0.50). The barriers of the screening was divided into two areas, a barrier from the health care system and patients. There was no association between knowledge and attitude towards CRC screening (p=0.63).
Conclusion: The majority of health workers' knowledge and attitudes toward CRC screening were in the "good" category. The patient's fear of being diagnosed with cancer, as well as the patient's fear and anxiety of screening tests, is the most significant barrier to colorectal cancer screening.
Keywords
References
World Health Organization. Global health observatory data repository. WHO. 2011. Available from: https://apps.who.int/gho/data/node.main.CODWORLD?lang=en. Accessed January 16, 2023.
World Health Organization. Cancer. WHO. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/cancer. Accessed January 16, 2023).
National cancer registry. National cancer registry 2020. 2020. Available from: https://onkologia.org.pl/pl. Accessed January 16, 2023.
Lewandowska A, Rudzki G, Lewandowski T, Stryjkowska-Góra A, Rudzki S. Risk factors for the diagnosis of colorectal cancer. Cancer Control 2022;29:10732748211056692.
Rex DK, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, et al. Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force on colorectal cancer. Am J Gastroenterol 2017;112(7):1016-30.
Levin TR, Corley DA, Jensen CD, Schottinger JE, Quinn VP, Zauber AG, et al. Effects of organized colorectal cancer screening on cancer incidence and mortality in a large community-based population. Gastroenterology 2018;155(5):1383-91.e5.
US Preventive Services Task Force; Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Epling JW Jr, García FAR, et al. Screening for colorectal cancer: US preventive services Task Force Recommendation Statement. JAMA 2016;315(23):2564-75.
Issa IA, Noureddine M. Colorectal cancer screening: An updated review of the available options. World J Gastroenterol 2017;23(28):5086-96.
World Health Organization. National Cancer Control Programmes: Policies and Managerial Guidelines. 2nd edition. 2002. Available from: http://www.hdnet.org. Accessed January 18, 2023.
Zapka JG, Puleo E, Vickers-Lahti M, Luckmann R. Healthcare system factors and colorectal cancer screening. Am J Prev Med 2002;23(1):28-35.
Hauer KE, Wilkerson L, Teherani A. The relationship between medical students' knowledge, confidence, experience, and skills related to colorectal cancer screening. J Cancer Educ 2008;23(4):209-13.
Gennarelli M, Jandorf L, Cromwell C, Valdimarsdottir H, Redd W, Itzkowitz S. Barriers to colorectal cancer screening: inadequate knowledge by physicians. Mt Sinai J Med 2005;72(1):36-44.
Muliira JK, D'Souza MS, Ahmed SM, Al-Dhahli SN, Al-Jahwari FR. Barriers to colorectal cancer screening in primary care settings: attitudes and knowledge of nurses and physicians. Asia Pac J Oncol Nurs 2016;3(1):98-107.
Hannon PA, Martin DP, Harris JR, Bowen DJ. Colorectal cancer screening practices of primary care physicians in Washington State. Cancer Control 2008;15(2):174-81.
Omran S, Barakat H, Muliira JK, Aljadaa N. Knowledge, experiences, and barriers to colorectal cancer screening: a survey of health care providers working in primary care settings. J Cancer Educ 2015;30(1):53-61.
Montana Cancer Control Programs. Primary Care Provider Survey: Colorectal Cancer Screening Knowledge and Attitudes. 2020. Available from: https://dphhs.mt.gov/assets/publichealth/Cancer/HealthSystems/PrimaryCareProviderSurveyColorectalCancerScreeningKnowledgeandAttitudes.pdf. Accesed March 26, 2023.
Sung JJ, Ng SC, Chan FK, Chiu HM, Kim HS, Matsuda T, et al; Asia Pacific Working Group. An updated Asia Pacific Consensus Recommendations on colorectal cancer screening. Gut 2015;64(1):121-32.
Sharma VK, Corder FA, Raufman JP, Sharma P, Fennerty MB, Howden CW. Survey of internal medicine residents' use of the fecal occult blood test and their understanding of colorectal cancer screening and surveillance. Am J Gastroenterol 2000;95(8):2068-73.
Article Metrics
Abstract View
: 279 times
Download : 108 times
DOI: 10.24871/2432023235
Refbacks
- There are currently no refbacks.
