Skip to main content

Advertisement

Log in

Knowledge, Perception, and Attitudes About Cancer and its Treatment Among Healthy Relatives of Cancer Patients: Single Institution Hospital-Based Study in Saudi Arabia

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

This study was conducted to assess knowledge, perception, and attitudes regarding cancer and treatment among healthy relatives of cancer patients who attended an outpatient cancer clinic with their relatives who suffer from cancers. The participants recruited in this cross-sectional, interview-based study were 846 (557 female and 289 male subjects) healthy relatives of cancer patients from the outpatient cancer clinic at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Most of the participants answered that they believed the causes of cancer were genetic (44.90 %), followed by environmental factors (30.10 %), diet (26.90 %), other causes (26.90 %), envy (26.90 %), and black magic (17.60 %). Most of the healthy participants believed that doctors should tell patients the full truth about the diagnosis (83.57 %). More than half of the healthy population stated that cancer patients should accept all types of treatment (chemotherapy and/or radiotherapy and/or surgery), with more male subjects having this position than females (P = 0.014). Most of the participants believed that cancer cannot be caught from another person who suffered from cancer (67.50 %). Most of the participants believed that cancer education was sufficient (66.70 %), with a significant difference between male and female respondents (P = 0.004). With regard to why cancer patients hide their disease, most of the participants in the age group <25 years believed that the causes were fear of loss of health insurance (56.20 %), followed by job loss (34.40 %), and then social stigma (9.40 %); in the age group between 25 and 45 years, the causes were fear of loss of health insurance (76.50 %), followed by social stigma (14.70 %), and then job loss (8.80 %); while in the age group >45 years, the reasons were job loss (47.10 %), followed by health insurance loss (41.20 %), and then social stigma (11.80 %), with a significant difference between groups (P = 0.034). This study demonstrated that still a large number of healthy participants had deficient perceptions and poor attitudes about important issues concerning cancers such as different mode of treatments, alternative treatment, biological causes, and prognosis, particularly among male respondents. Prevention education strategies should be considered, including targeted approaches that aim to reduce disparities in cancer perception among the general population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Boyle P, Levin B (2009) World cancer report 2008, 1st edn. World Health Organization, Geneva

    Google Scholar 

  2. Omar S, Alieldin NH, Khatib OM (2007) Cancer magnitude, challenges and control in the Eastern Mediterranean region. East Mediterr Health J 13:1486–1496

    CAS  PubMed  Google Scholar 

  3. Kanavos P (2006) The rising burden of cancer in the developing world. Ann Oncol 17(Suppl 8):15–23

    Google Scholar 

  4. Soerjomataram I, de Vries E, Pukkala E, Coebergh JW (2007) Excess of cancers in Europe: a study of eleven major cancers amenable to lifestyle change. Int J Cancer 120:1336–1343

    Article  CAS  PubMed  Google Scholar 

  5. Glade MJ (1999) Food, nutrition, physical activity and the prevention of cancer: a global perspective. American Institute for Cancer Research/World Cancer Research Fund, American Institute for Cancer Research. Nutrition 15:523–526

    Article  CAS  PubMed  Google Scholar 

  6. Gansler T, Kaw C, Crammer C, Smith T (2008) A population-based study of prevalence of complementary methods use by cancer survivors: a report from the American Cancer Society’s studies of cancer survivors. Cancer 113:1048–1057

    Article  PubMed  Google Scholar 

  7. Milaat WA (2000) Knowledge of secondary-school female students on breast cancer and breast self-examination in Jeddah, Saudi Arabia. East Mediterr Health J 6:338–344

    CAS  PubMed  Google Scholar 

  8. Alsaif AA (2004) Breast self-examination among Saudi female nursing students in Saudi Arabia. Saudi Med J 25:1574–1578

    PubMed  Google Scholar 

  9. Alam AA (2006) Knowledge of breast cancer and its risk and protective factors among women in Riyadh. Ann Saudi Med 26:272–277

    PubMed  Google Scholar 

  10. Jahan S, Al-Saigul AM, Abdelgadir MH (2006) Breast cancer. Knowledge, attitudes and practices of breast self examination among women in Qassim region of Saudi Arabia. Saudi Med J 27:1737–1741

    PubMed  Google Scholar 

  11. Amin TT, Al Mulhim AR, Al Meqihwi A (2009) Breast cancer knowledge, risk factors and screening among adult Saudi women in a primary health care setting. Asian Pac J Cancer Prev 10:133–138

    PubMed  Google Scholar 

  12. Sait KH (2009) Attitudes, knowledge, and practices in relation to cervical cancer and its screening among women in Saudi Arabia. Saudi Med J 30:1208–1212

    PubMed  Google Scholar 

  13. Al-Attas SA (2005) Knowledge, attitude and behavior about oral cancer, among a group of adult Jeddah population. Saudi Dental J 17:34–42

    Google Scholar 

  14. Brown ML, Potosky AL, Thompson GB, Kessler LG (1990) The knowledge and use of screening tests for colorectal and prostate cancer: data from the 1987 National Health Interview Survey. Prev Med 19:562–574

    Article  CAS  PubMed  Google Scholar 

  15. Breslow RA, Sorkin JD, Frey CM, Kessler LG (1997) Americans’ knowledge of cancer risk and survival. Prev Med 26:170–177

    Article  CAS  PubMed  Google Scholar 

  16. Fitch MI, Greenberg M, Levstein L, Muir M, Plante S et al (1997) Health promotion and early detection of cancer in older adults: assessing knowledge about cancer. Oncol Nurs Forum 24:1743–1748

    CAS  PubMed  Google Scholar 

  17. Paul C, Barratt A, Redman S, Cockburn J, Lowe J (1999) Knowledge and perceptions about breast cancer incidence, fatality and risk among Australian women. Aust N Z J Public Health 23:396–400

    Article  CAS  PubMed  Google Scholar 

  18. Brunswick N, Wardle J, Jarvis MJ (2001) Public awareness of warning signs for cancer in Britain. Cancer Causes Control 12:33–37

    Article  CAS  PubMed  Google Scholar 

  19. Wardle J, Waller J, Brunswick N, Jarvis MJ (2001) Awareness of risk factors for cancer among British adults. Public Health 115:173–174

    Article  CAS  PubMed  Google Scholar 

  20. McCaffery K, Wardle J, Waller J (2003) Knowledge, attitudes, and behavioral intentions in relation to the early detection of colorectal cancer in the United Kingdom. Prev Med 36:525–535

    Article  PubMed  Google Scholar 

  21. Waller J, McCaffery K, Wardle J (2004) Beliefs about the risk factors for cervical cancer in a British population sample. Prev Med 38:745–753

    Article  PubMed  Google Scholar 

  22. Feizi A, Kazemnejad A, Hosseini M, Parsa-Yekta Z, Jamali J (2011) Assessing awareness level about warning signs of cancer and its determinants in an Iranian general population. J Health Popul Nutr 29:656–659

    PubMed Central  PubMed  Google Scholar 

  23. Parvez T, Gumgumji AA, Anwar MS, Al-Ahmadi SS (2004) Awareness about causes of gastrointestinal tract (GIT) malignancies. J Coll Physicians Surg Pak 14:98–101

    PubMed  Google Scholar 

  24. Adlard JW, Hume MJ (2003) Cancer knowledge of the general public in the United Kingdom: survey in a primary care setting and review of the literature. Clin Oncol (R Coll Radiol) 15:174–180

    Article  CAS  Google Scholar 

  25. Kaur J, Brown KT (2009) Public awareness of risk factors for major cancers in the UK and Australia. Clin Oncol (R Coll Radiol) 21:426–427

    Article  CAS  Google Scholar 

  26. Ravichandran K, Mohamed G, Al-Hamdan NA (2010) Public knowledge on cancer and its determinants among Saudis in the Riyadh Region of Saudi Arabia. Asian Pac J Cancer Prev 11:1175–1180

    PubMed  Google Scholar 

  27. Ryan EL, Skinner CS (1999) Risk beliefs and interest in counseling: focus-group interviews among first-degree relatives of breast cancer patients. J Cancer Educ 14:99–103

    CAS  PubMed  Google Scholar 

  28. Pearlman DN, Clark MA, Rakowski W, Ehrich B (1999) Screening for breast and cervical cancers: the importance of knowledge and perceived cancer survivability. Women Health 28:93–112

    Article  CAS  PubMed  Google Scholar 

  29. Yardley C, Glover C, Allen-Mersh TG (2000) Demographic factors associated with knowledge of colorectal cancer symptoms in a UK population-based survey. Ann R Coll Surg Engl 82:205–209

    PubMed Central  CAS  PubMed  Google Scholar 

  30. Beier ME, Ackerman PL (2003) Determinants of health knowledge: an investigation of age, gender, abilities, personality, and interests. J Pers Soc Psychol 84:439–448

    Article  PubMed  Google Scholar 

  31. Ma GX, Fleisher L (2003) Awareness of cancer information among Asian Americans. J Commun Health 28:115–130

    Article  Google Scholar 

  32. San Turgay A, Sari D, Türkistanli EC (2005) Knowledge, attitudes, risk factors, and early detection of cancer relevant to the schoolteachers in Izmir, Turkey. Prev Med 40:636–641

    Article  CAS  PubMed  Google Scholar 

  33. Lykins EL, Graue LO, Brechting EH, Roach AR, Gochett CG et al (2008) Beliefs about cancer causation and prevention as a function of personal and family history of cancer: a national, population-based study. Psychooncology 17:967–974

    Article  PubMed Central  PubMed  Google Scholar 

  34. Evans R, Brotherstone H, Miles A, Wardle J (2005) Gender differences in early detection of cancer. J Mens Health Gend 2:209–217

    Article  Google Scholar 

Download references

Acknowledgments

We would like to thank all the participants for their support and agreement to participate in the survey.

Conflict of Interest

None declared.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Khalid Sait.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eldeek, B., Alahmadi, J., Al-Attas, M. et al. Knowledge, Perception, and Attitudes About Cancer and its Treatment Among Healthy Relatives of Cancer Patients: Single Institution Hospital-Based Study in Saudi Arabia. J Canc Educ 29, 772–780 (2014). https://doi.org/10.1007/s13187-014-0653-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-014-0653-7

Keywords

Navigation