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-Fang1; Gu, Xiao-Fen2; Wang, Xiao-Hui3; Wang, Wen-Jun4; Du, Ling-Bin5; Duan, Shuang-Xia6; Liu, Yin1; Zhang, Xi7; Zhao, Yu-Qian8; Ma, Li9; Liu, Yun-Yong10; Huang, Juan-Xiu11; Cao, Ji12; Fan, Yan-Ping13; Li, Li14; Feng, Chang-Yan15; Lian, Xue-Mei16; Du, Jing-Chang17; Zhang, Jian-Gong1; Yu, Yan-Qin18; Qiao, You-Lin1,19
2022-03-18
Source PublicationANNALS OF TRANSLATIONAL MEDICINE
ISSN2305-5839
Corresponding AuthorZhang, Jian-Gong(zhangjg@zzu.edu.cn) ; Yu, Yan-Qin(yanqin0324@126.com) ; Qiao, You-Lin(qiaoy@cicams.ac.cn)
AbstractBackground: 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.
KeywordColorectal cancer knowledge awareness patients
DOI10.21037/atm-22-1019
WOS KeywordSTATISTICS ; WORLDWIDE
Indexed BySCI
Language英语
Funding ProjectBeijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
Funding OrganizationBeijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
WOS Research AreaOncology ; Research & Experimental Medicine
WOS SubjectOncology ; Medicine, Research & Experimental
WOS IDWOS:000777864500001
PublisherAME PUBL CO
Citation statistics
Document Type期刊论文
Identifierhttp://ir.hfcas.ac.cn:8080/handle/334002/128670
Collection中国科学院合肥物质科学研究院
Corresponding AuthorZhang, Jian-Gong; Yu, Yan-Qin; Qiao, You-Lin
Affiliation1.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
Recommended Citation
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).
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