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

	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
刊名	ANNALS OF TRANSLATIONAL MEDICINE
	2022-03-18
关键词	Colorectal cancer knowledge awareness patients
ISSN号	2305-5839
DOI	10.21037/atm-22-1019
通讯作者	Zhang, Jian-Gong(zhangjg@zzu.edu.cn) ; Yu, Yan-Qin(yanqin0324@126.com) ; Qiao, You-Lin(qiaoy@cicams.ac.cn)
英文摘要	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.
资助项目	Beijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
WOS关键词	STATISTICS ; WORLDWIDE
WOS研究方向	Oncology ; Research & Experimental Medicine
语种	英语
出版者	AME PUBL CO
WOS记录号	WOS:000777864500001
资助机构	Beijing Love Book Cancer Foundation ; Merck Serono Co., Ltd.
内容类型	期刊论文
源URL	[http://ir.hfcas.ac.cn:8080/handle/334002/128669]
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
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).