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A Cross-Sectional Assessment of Literacy and Awareness, Attitudes, and Beliefs About Colorectal Cancer and Its Screening in Riyadh Region

Journal of Cancer Education volume 33, pages 660–667 (2018)Cite this article

Abstract

This study aims to explore the association between functional health literacy and awareness for, beliefs, and attitudes of patients with colorectal cancer (CRC) and CRC screening test in Riyadh, Saudi Arabia. A total of 256 participants from two different tertiary level hospitals in Riyadh, Saudi Arabia were recruited in this study. The participants were interviewed by a trained researcher between October and December 2015. All respondents answered a three-part questionnaire which included demographic data, questions related to CRC awareness, attitude, behaviour, and short Test of Functional Health Literacy in Adults (STOFHLA). More than half of the participants had an inadequate awareness of functional health literacy skills (FHLS), 16.4 % had marginal of FHLS awareness and 17.6 % had adequate awareness about FHLS as assessed by the STOFHLA. Overall, the majority of the participants in both marginal and adequate aware groups showed a limited awareness about colorectal cancer screening and testing. A significant association was found on awareness of the patients about frequencies that they should have been tested for colorectal cancer and functional health literacy. No significant association was found between functional health literacy as assessed by STOFHLA and concerns of Faecal Occult Blood Test (FOBT) (p = 0.384) and sigmoidoscopy or colonoscopy might cause embarrassment (p = 0.089), harm (p = 0.917), and pain (p = 0.849). The present study revealed a low level of health literacy among Saudi adults in Riyadh region. Although the level of literacy was low, the bigger concern is that of the poor awareness and beliefs of Saudi adults about CRC and CRC screening.

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Acknowledgments

The authors extend their appreciation to the Research Center at the College of Applied Medical Sciences and the Deanship of Scientific Research at King Saud University for funding this work.

Author information

Affiliations

  1. Department of Community Health Science, College of Applied Medical Science, King Saud University, P. O. Box: 10219, Riyadh, 11433, Saudi Arabia

    Khalid M. Almutairi & Jason M. Vinluan

  2. College of Business Administration, King Saud University, Riyadh, Saudi Arabia

    Wadi B. Alonazi

  3. Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Abdulaziz Alodhayani

  4. College of Nursing Saudi Arabia, King Saud University, Riyadh, Saudi Arabia

    Mohammad Ahmad & Nader Eqaab Alotaibi

  5. Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia

    Sultana Abdulaziz Alhurishi & Nourah Alsadhan

  6. Security Forces Hospital, College of Business Administration, King Saud University, Riyadh, Saudi Arabia

    Majed Mohammed Alsalem

  7. College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Alaa Mustafa Alaqeel

Authors
  1. Khalid M. Almutairi
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  2. Wadi B. Alonazi
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  3. Abdulaziz Alodhayani
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  4. Jason M. Vinluan
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  5. Mohammad Ahmad
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  6. Sultana Abdulaziz Alhurishi
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  7. Nourah Alsadhan
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  8. Majed Mohammed Alsalem
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  9. Nader Eqaab Alotaibi
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  10. Alaa Mustafa Alaqeel
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Corresponding author

Correspondence to Khalid M. Almutairi.

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Informed consent was obtained from all individual participants included in the study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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The authors declare that they have no conflict of interest.

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Almutairi, K.M., Alonazi, W.B., Alodhayani, A. et al. A Cross-Sectional Assessment of Literacy and Awareness, Attitudes, and Beliefs About Colorectal Cancer and Its Screening in Riyadh Region. J Canc Educ 33, 660–667 (2018). https://doi.org/10.1007/s13187-016-1129-8

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  • DOI: https://doi.org/10.1007/s13187-016-1129-8

Keywords

  • Literacy
  • Colorectal cancer
  • Cancer screening
  • Attitude
  • Behaviour
  • Saudi Arabia