High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
BackgroundAs the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention to...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.974923/full |
| _version_ | 1811217124020977664 |
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| author | Zhiwen Huang Wei Liu Roy Rillera Marzo Roy Rillera Marzo Zhijian Hu Li Ping Wong Yulan Lin |
| author_facet | Zhiwen Huang Wei Liu Roy Rillera Marzo Roy Rillera Marzo Zhijian Hu Li Ping Wong Yulan Lin |
| author_sort | Zhiwen Huang |
| collection | DOAJ |
| description | BackgroundAs the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC screening among people aged 40 years old and above in China.MethodsA cross-sectional, web-based survey was conducted among people aged 40 years old and above between October 2021 and March 2022 in Southeastern China. The participants' knowledge was assessed by a series of questions about risk factors (24-item scale) and warning symptoms (14-item scale).ResultsA total of 2547 complete responses were received. The mean age was 47.72 (±7.20) years and near 60% were male. Respondents had a moderate level of knowledge about risk factors and warning symptoms of GC. The total mean knowledge score was 23.9 (±9.8) out of a possible score of 38. Majority (80%) of respondents reported intention to be screened for GC in the next 5 years. The most influential predictors of screening intention were income level (OR = 2.13, 95% CI: 1.36–3.32), perceived benefits (OR = 1.99, 95% CI: 1.33–2.73), perceived severity (OR = 1.68, 95% CI: 1.20–2.34), ever took GC screening (OR = 1.63, 95% CI: 1.28–2.08), perceived poor overall health (OR = 1.59, 95% CI: 1.19–2.11), and perceived barriers (OR = 1.56, 95% CI: 1.17–2.09). Other significant factors were ever diagnosed with chronic gastric diseases, total knowledge score, and cues-to-action. The major reasons for not willing to take screening were “endoscopy is uncomfortable” (29.6%), “worry about screening results” (23.6%), and “have no symptoms” (21.3%).ConclusionHigh-risk population aged 40 years and above expressed high intention to receive GC screening. Intervention to improve health promotion and reduce the barriers to uptake of GC screening among high-risk populations in China is warranted. |
| first_indexed | 2024-04-12T06:49:59Z |
| format | Article |
| id | doaj.art-28145e512c7e4e90be1d7d23eb5eaeec |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T06:49:59Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-28145e512c7e4e90be1d7d23eb5eaeec2022-12-22T03:43:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.974923974923High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern ChinaZhiwen Huang0Wei Liu1Roy Rillera Marzo2Roy Rillera Marzo3Zhijian Hu4Li Ping Wong5Yulan Lin6Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaDepartment of Community Medicine, International Medical School, Management and Science University, Shah Alam, Selangor, MalaysiaGlobal Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, MalaysiaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaDepartment of Social and Preventive Medicine, Faculty of Medicine, Centre for Epidemiology and Evidence-Based Practice, Universiti Malaya, Kuala Lumpur, MalaysiaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaBackgroundAs the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC screening among people aged 40 years old and above in China.MethodsA cross-sectional, web-based survey was conducted among people aged 40 years old and above between October 2021 and March 2022 in Southeastern China. The participants' knowledge was assessed by a series of questions about risk factors (24-item scale) and warning symptoms (14-item scale).ResultsA total of 2547 complete responses were received. The mean age was 47.72 (±7.20) years and near 60% were male. Respondents had a moderate level of knowledge about risk factors and warning symptoms of GC. The total mean knowledge score was 23.9 (±9.8) out of a possible score of 38. Majority (80%) of respondents reported intention to be screened for GC in the next 5 years. The most influential predictors of screening intention were income level (OR = 2.13, 95% CI: 1.36–3.32), perceived benefits (OR = 1.99, 95% CI: 1.33–2.73), perceived severity (OR = 1.68, 95% CI: 1.20–2.34), ever took GC screening (OR = 1.63, 95% CI: 1.28–2.08), perceived poor overall health (OR = 1.59, 95% CI: 1.19–2.11), and perceived barriers (OR = 1.56, 95% CI: 1.17–2.09). Other significant factors were ever diagnosed with chronic gastric diseases, total knowledge score, and cues-to-action. The major reasons for not willing to take screening were “endoscopy is uncomfortable” (29.6%), “worry about screening results” (23.6%), and “have no symptoms” (21.3%).ConclusionHigh-risk population aged 40 years and above expressed high intention to receive GC screening. Intervention to improve health promotion and reduce the barriers to uptake of GC screening among high-risk populations in China is warranted.https://www.frontiersin.org/articles/10.3389/fpubh.2022.974923/fullknowledgeattitudeintentioncancer screeningstomach cancer |
| spellingShingle | Zhiwen Huang Wei Liu Roy Rillera Marzo Roy Rillera Marzo Zhijian Hu Li Ping Wong Yulan Lin High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China Frontiers in Public Health knowledge attitude intention cancer screening stomach cancer |
| title | High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China |
| title_full | High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China |
| title_fullStr | High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China |
| title_full_unstemmed | High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China |
| title_short | High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China |
| title_sort | high risk population s knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in southeastern china |
| topic | knowledge attitude intention cancer screening stomach cancer |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.974923/full |
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