Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians
Abstract This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. Palestinian adults were recruited from hospi...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-34136-5 |
| _version_ | 1827956804941774848 |
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| author | Mohamedraed Elshami Mohammed Ayyad Fatma Khader Hamdan Mohammed Alser Ibrahim Al-Slaibi Shoruq Ahmed Naji Balqees Mustafa Mohamad Wejdan Sudki Isleem Adela Shurrab Bashar Yaghi Yahya Ayyash Qabaja Mohammad Fuad Dwikat Raneen Raed Sweity Remah Tayseer Jneed Khayria Ali Assaf Maram Elena Albandak Mohammed Madhat Hmaid Iyas Imad Awwad Belal Khalil Alhabil Marah Naser Alarda Amani Saleh Alsattari Moumen Sameer Aboyousef Omar Abdallah Aljbour Rinad AlSharif Christy Teddy Giacaman Ali Younis Alnaga Ranin Mufid Abu Nemer Nada Mahmoud Almadhoun Sondos Mahmoud Skaik Nasser Abu-El-Noor Bettina Bottcher |
| author_facet | Mohamedraed Elshami Mohammed Ayyad Fatma Khader Hamdan Mohammed Alser Ibrahim Al-Slaibi Shoruq Ahmed Naji Balqees Mustafa Mohamad Wejdan Sudki Isleem Adela Shurrab Bashar Yaghi Yahya Ayyash Qabaja Mohammad Fuad Dwikat Raneen Raed Sweity Remah Tayseer Jneed Khayria Ali Assaf Maram Elena Albandak Mohammed Madhat Hmaid Iyas Imad Awwad Belal Khalil Alhabil Marah Naser Alarda Amani Saleh Alsattari Moumen Sameer Aboyousef Omar Abdallah Aljbour Rinad AlSharif Christy Teddy Giacaman Ali Younis Alnaga Ranin Mufid Abu Nemer Nada Mahmoud Almadhoun Sondos Mahmoud Skaik Nasser Abu-El-Noor Bettina Bottcher |
| author_sort | Mohamedraed Elshami |
| collection | DOAJ |
| description | Abstract This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. Palestinian adults were recruited from hospitals, primary healthcare centers, and public spaces in 11 governorates. A modified, translated-into-Arabic version of the validated Bowel Cancer Awareness Measure was used. The questionnaire comprised three sections: sociodemographics, assessment of CRC symptom awareness and time to seek medical advice, and barriers to early presentation. A total of 4623 participants were included. The proportion that reported seeking immediate medical advice for possible CRC signs/symptoms with blood or mass ranged from 47.1% for ‘blood in stools’ to 59.5% for ‘bleeding from back passage’. Less than half of the participants reported immediate seeking of medical advice for non-specific symptoms (ranging from 5.4% for ‘loss of appetite’ to 42.0% for ‘anemia’) and other gastrointestinal symptoms (ranging from 7.7% for ‘feeling persistently full’ to 35.7% for ‘change in bowel habits’). Good CRC symptom awareness was associated with higher likelihood of seeking medical advice within a week from recognizing a CRC symptom. About 13.0% reported a delay to visit their doctor after recognizing a CRC symptom. The most reported barriers were practical with ‘would try some herbs first’ (50.9%) as the leading barrier. CRC symptoms with blood or mass prompted earlier help seeking. Participants with good CRC awareness were more likely to seek medical advice within a week. |
| first_indexed | 2024-04-09T15:09:35Z |
| format | Article |
| id | doaj.art-22327cb81c0b4877952b5abb383bdd98 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T15:09:35Z |
| publishDate | 2023-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-22327cb81c0b4877952b5abb383bdd982023-04-30T11:16:26ZengNature PortfolioScientific Reports2045-23222023-04-0113111110.1038/s41598-023-34136-5Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among PalestiniansMohamedraed Elshami0Mohammed Ayyad1Fatma Khader Hamdan2Mohammed Alser3Ibrahim Al-Slaibi4Shoruq Ahmed Naji5Balqees Mustafa Mohamad6Wejdan Sudki Isleem7Adela Shurrab8Bashar Yaghi9Yahya Ayyash Qabaja10Mohammad Fuad Dwikat11Raneen Raed Sweity12Remah Tayseer Jneed13Khayria Ali Assaf14Maram Elena Albandak15Mohammed Madhat Hmaid16Iyas Imad Awwad17Belal Khalil Alhabil18Marah Naser Alarda19Amani Saleh Alsattari20Moumen Sameer Aboyousef21Omar Abdallah Aljbour22Rinad AlSharif23Christy Teddy Giacaman24Ali Younis Alnaga25Ranin Mufid Abu Nemer26Nada Mahmoud Almadhoun27Sondos Mahmoud Skaik28Nasser Abu-El-Noor29Bettina Bottcher30Division of Surgical Oncology, Department of Surgery, University Hospitals Cleveland Medical CenterFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityThe United Nations Relief and Works Agency for Palestine Refugees in The Near East (UNRWA)Almakassed HospitalFaculty of Pharmacy, Al-Azhar University of GazaDoctors Without Borders (Médecins Sans Frontières)Faculty of Medicine, Islamic University of GazaPalestine Medical ComplexFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, An-Najah National UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Islamic University of GazaFaculty of Medicine, An-Najah National UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Al-Quds UniversityMinistry of HealthFaculty of Dentistry, Arab American UniversityFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Al-Quds UniversityAugusta Victoria HospitalFaculty of Medicine, Islamic University of GazaFaculty of Allied Medical Sciences, Arab American UniversityFaculty of Medicine, Al-Azhar UniversityFaculty of Medicine, Al-Quds Abu Dis University Al-Azhar Branch of GazaFaculty of Nursing, Islamic University of GazaFaculty of Medicine, Islamic University of GazaAbstract This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. Palestinian adults were recruited from hospitals, primary healthcare centers, and public spaces in 11 governorates. A modified, translated-into-Arabic version of the validated Bowel Cancer Awareness Measure was used. The questionnaire comprised three sections: sociodemographics, assessment of CRC symptom awareness and time to seek medical advice, and barriers to early presentation. A total of 4623 participants were included. The proportion that reported seeking immediate medical advice for possible CRC signs/symptoms with blood or mass ranged from 47.1% for ‘blood in stools’ to 59.5% for ‘bleeding from back passage’. Less than half of the participants reported immediate seeking of medical advice for non-specific symptoms (ranging from 5.4% for ‘loss of appetite’ to 42.0% for ‘anemia’) and other gastrointestinal symptoms (ranging from 7.7% for ‘feeling persistently full’ to 35.7% for ‘change in bowel habits’). Good CRC symptom awareness was associated with higher likelihood of seeking medical advice within a week from recognizing a CRC symptom. About 13.0% reported a delay to visit their doctor after recognizing a CRC symptom. The most reported barriers were practical with ‘would try some herbs first’ (50.9%) as the leading barrier. CRC symptoms with blood or mass prompted earlier help seeking. Participants with good CRC awareness were more likely to seek medical advice within a week.https://doi.org/10.1038/s41598-023-34136-5 |
| spellingShingle | Mohamedraed Elshami Mohammed Ayyad Fatma Khader Hamdan Mohammed Alser Ibrahim Al-Slaibi Shoruq Ahmed Naji Balqees Mustafa Mohamad Wejdan Sudki Isleem Adela Shurrab Bashar Yaghi Yahya Ayyash Qabaja Mohammad Fuad Dwikat Raneen Raed Sweity Remah Tayseer Jneed Khayria Ali Assaf Maram Elena Albandak Mohammed Madhat Hmaid Iyas Imad Awwad Belal Khalil Alhabil Marah Naser Alarda Amani Saleh Alsattari Moumen Sameer Aboyousef Omar Abdallah Aljbour Rinad AlSharif Christy Teddy Giacaman Ali Younis Alnaga Ranin Mufid Abu Nemer Nada Mahmoud Almadhoun Sondos Mahmoud Skaik Nasser Abu-El-Noor Bettina Bottcher Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians Scientific Reports |
| title | Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians |
| title_full | Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians |
| title_fullStr | Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians |
| title_full_unstemmed | Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians |
| title_short | Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians |
| title_sort | perceived barriers to early presentation and symptom specific time to seek medical advice for possible colorectal cancer symptoms among palestinians |
| url | https://doi.org/10.1038/s41598-023-34136-5 |
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