Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China

doi:10.21037/atm-22-1019

HFCAS OpenIR

	Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China
	Xu, Hui-Fang 1; Gu, Xiao-Fen 2; Wang, Xiao-Hui 3; Wang, Wen-Jun 4; Du, Ling-Bin 5; Duan, Shuang-Xia 6; Liu, Yin 1; Zhang, Xi 7; Zhao, Yu-Qian 8; Ma, Li 9; Liu, Yun-Yong 10; Huang, Juan-Xiu 11; Cao, Ji 12; Fan, Yan-Ping 13; Li, Li 14; Feng, Chang-Yan 15; Lian, Xue-Mei 16; Du, Jing-Chang 17; Zhang, Jian-Gong 1; Yu, Yan-Qin 18; Qiao, You-Lin 1,19
	2022-03-18
发表期刊	ANNALS OF TRANSLATIONAL MEDICINE
ISSN	2305-5839
通讯作者	Zhang, Jian-Gong(zhangjg@zzu.edu.cn) ; Yu, Yan-Qin(yanqin0324@126.com) ; Qiao, You-Lin(qiaoy@cicams.ac.cn)
摘要	Background: Colorectal cancer (CRC) is the 3rd most common malignancy globally, and its disease burden is increasing rapidly in China. But CRC patients' knowledge and awareness of CRC have not yet been examined, which could facilitate the identification of targeted population from public for intervention. Methods: A nationwide multicenter cross-sectional survey was conducted in 19 tertiary hospitals (10 cancer hospitals and 9 general hospitals) from March 2020 to March 2021 in China. During study period, all Stage III and IV CRC patients were invited to complete a semi-structured survey that had been designed to collect information about their socio-demographic characteristics, and knowledge and awareness of CRC risk factors and screening. A multivariate logistic regression model was used to identify factors associated with their knowledge and awareness. Results: In total, 4,589 advanced CRC patients were enrolled in this study, of whom, 46.2% were from tertiary cancer hospitals, and 59.5% were male. Patients had a mean age of 60.1 +/- 11.6 years. Before diagnosis, 65.1% of the patients had no related knowledge of the CRC risk factors, and 84.9% were unaware of the CRC screening-related information. Only 30.4% of patients had actively sought to acquire CRC-related knowledge before diagnosis. The 3 most common knowledge sources were relatives or friends who had been diagnosed with CRC (13.2%), popular science television/broadcast shows (12.9%), and community publicity and education (9.6%). Generally, knowledge and awareness were positively associated with better education level [odds ratios (ORs) ranged from 1.49 to 2.54, P<0.001], annual household income ranged from 50,000 Chinese Yuan (CNY) to 100,000 CNY (OR =1.32, P<0.001), being manual laborer (OR =1.25, P<0.001) and being white-collar worker (OR =1.47, P<0.001). Conclusions: Advanced CRC patients' knowledge and awareness of CRC were severely limited before diagnosis. Thus, those who had limited knowledge and awareness should has a priority for intervention.
关键词	Colorectal cancer knowledge awareness patients
DOI	10.21037/atm-22-1019
关键词[WOS]	STATISTICS ; WORLDWIDE
收录类别	SCI
语种	英语
资助项目	Beijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
项目资助者	Beijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
WOS研究方向	Oncology ; Research & Experimental Medicine
WOS类目	Oncology ; Medicine, Research & Experimental
WOS记录号	WOS:000777864500001
出版者	AME PUBL CO
引用统计	被引频次：2[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	http://ir.hfcas.ac.cn:8080/handle/334002/128670
专题	中国科学院合肥物质科学研究院
通讯作者	Zhang, Jian-Gong; Yu, Yan-Qin; Qiao, You-Lin
作者单位	1.Zhengzhou Univ, Henan Canc Hosp, Henan Engn Res Ctr Canc Prevent & Control,Affilia, Dept Canc Epidemiol,Henan Int Joint Lab Canc Prev, Zhengzhou 450008, Peoples R China 2.Xinjiang Med Univ, Affiliated Tumor Hosp, Dept Student Affairs, Urumqi, Peoples R China 3.Gansu Prov Canc Hosp, Dept Publ Hlth, Lanzhou, Peoples R China 4.Jining Med Univ, Sch Nursing, Jining, Peoples R China 5.Univ Chinese Acad Sci, Canc Hosp, Zhejiang Canc Hosp, Dept Canc Prevent, Hangzhou, Peoples R China 6.Xinxiang Cent Hosp, Dept Prevent Hlth, Xinxiang, Henan, Peoples R China 7.Peking Univ, Canc Hosp & Inst, Beijing Off Canc Prevent & Control, Minist Educ Beijing,Key Lab Carcinogenesis & Tran, Beijing, Peoples R China 8.Univ Elect Sci & Technol China, Sichuan Canc Hosp & Inst, Ctr Canc Prevent Res, Sichuan Canc Ctr,Sch Med, Chengdu, Peoples R China 9.Dalian Med Univ, Publ Hlth Sch, Dalian, Peoples R China 10.Canc Hosp China Med Univ, Liaoning Canc Hosp & Inst, Liaoning Off Canc Control & Res, Shenyang, Peoples R China 11.Wuzhou Red Cross Hosp, Dept Gastroenterol, Wuzhou, Peoples R China 12.Guangxi Med Univ, Affiliated Hosp 1, Dept Canc Prevent & Control Off, Nanning, Peoples R China 13.Sun Yat Sen Univ, Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Canc Ctr, Guangzhou, Peoples R China 14.Jinan Univ, Affiliated Hosp 1, Dept Clin Res, Guangzhou, Peoples R China 15.Chongqing Univ, Canc Hosp, Chongqing Key Lab Translat Res Canc Metastasis &, Chongqing, Peoples R China 16.Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing, Peoples R China 17.Chengdu Med Coll, Sch Publ Hlth, Chengdu, Peoples R China 18.Baotou Med Coll, Clin Epidemiol Res Ctr, Dept Publ Hlth & Prevent Med, Baotou 014010, Peoples R China 19.Chinese Acad Med Sci & Peking Union Med Coll, Ctr Global Hlth, Sch Populat Med & Publ Hlth, Beijing 100005, Peoples R China
推荐引用方式 GB/T 7714	Xu, Hui-Fang,Gu, Xiao-Fen,Wang, Xiao-Hui,et al. Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China[J]. ANNALS OF TRANSLATIONAL MEDICINE,2022.
APA	Xu, Hui-Fang.,Gu, Xiao-Fen.,Wang, Xiao-Hui.,Wang, Wen-Jun.,Du, Ling-Bin.,...&Qiao, You-Lin.(2022).Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China.ANNALS OF TRANSLATIONAL MEDICINE.
MLA	Xu, Hui-Fang,et al."Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China".ANNALS OF TRANSLATIONAL MEDICINE (2022).