Public awareness and knowledge of colorectal cancer and screening: insights from a study based in Georgia, Caucasus region
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20250908Keywords:
Colorectal cancer awareness, Public cancer awareness, Colorectal cancer screening program, Screening in primary care, Bowel cancer CAMAbstract
Background: Colorectal cancer (CRC) remains a major public health challenge in terms of prevention and early detection. This study evaluates awareness and knowledge of CRC and its screening program in the urban population of Tbilisi, Georgia, aiming to provide valuable insights for primary care practitioners and physicians worldwide.
Methods: A cross-sectional study involving 385 participants aged 18 and above conducted using CAM (Colorectal awareness measure) tool at a primary care center. Data were analyzed using descriptive statistics and ANOVA tests.
Results: The mean total knowledge score was 6.93 out of 19 (SD±4.54). Knowledge scores for symptoms and risk factors were 5.29 out of 9 (SD±2.25) and 3.74 out of 10 (SD±2.44), respectively. A significant 82.6% of participants lacked confidence in identifying CRC warning signs. Higher CRC awareness was correlated with tertiary education, younger age (31-40 years), and female gender. Among those aged 40 and above, 53.1% were aware of the free screening program, but only 16% correctly identified the screening initiation age.
Conclusions: Public awareness of CRC and its screening program in Georgia is insufficient. Improved awareness campaigns are needed to address these gaps.
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References
World Health Organization. Colorectal cancer. 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/colorectal-cancer. Accessed on 10 January 2025.
National Center for Disease Control and Public Health. Fact sheet: Cancer in Georgia, 2015-2021. Available at: https://test.ncdc.ge/Handlers/GetFile.ashx?ID=5b773bb3-39d4-45c5-b329-375fa1334200. Accessed 10 January 2025.
Nonikashvili M, Kereselidze M, Toidze O, Beruchashvili T. The incidence of colorectal cancer (CRC) in Georgia continues to increase: A population-based registry study. Cancer Treat Res Commun. 2023;35:100693. DOI: https://doi.org/10.1016/j.ctarc.2023.100693
Gulbiani L, Topuridze M, Todua T, Sarashvili N, Abzianidze T, Kochlamazashvili M, et al. Awareness of cancer screening among georgian primary care physicians. Georgian Med News. 2022;(322):53-8.
National Statistics Office of Georgia. Available at: https://www.geostat.ge/en/modules/categories/41/population. Accessed on 10 January 2025.
The Cancer Awareness Measures (CAM). Cancer Research UK. 2014. Available at https://www.cancerresearchuk.org/health-professional/awareness-and-prevention/the-cancer-awareness-measures-cam. Accessed 10 January 2025.
Yuhara H, Steinmaus C, Cohen SE, Corley DA, Tei Y, Buffler PA. Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer? Am J Gastroenterol. 2011;106(11):1911-21. DOI: https://doi.org/10.1038/ajg.2011.301
Sindhu CK, Nijar AK, Leong PY, Li ZQ, Hong CY, Malar L, et al. Awareness of Colorectal Cancer among the Urban Population in the Klang Valley. Malays Fam Physician Off J Acad Fam Physicians Malays. 2019;14(3):18-27.
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(1):17-24. DOI: https://doi.org/10.5339/qmj.2014.3
Power E, Simon A, Juszczyk D, Hiom S, Wardle J. Assessing awareness of colorectal cancer symptoms: Measure development and results from a population survey in the UK. BMC Cancer. 2011;11:366. DOI: https://doi.org/10.1186/1471-2407-11-366
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