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Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening
BACKGROUND/AIM: Early diagnosis of chronic illnesses and cancers mainly occurs at primary health care centers (PHCs) by primary health care physicians (PHPs). The incidence of colorectal cancer (CRC) in the Kingdom of Saudi Arabia (KSA) is rising and this has been attributed to many factors. The inc...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738794/ https://www.ncbi.nlm.nih.gov/pubmed/29205185 http://dx.doi.org/10.4103/sjg.SJG_1_17 |
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author | Mosli, Mahmoud Alnahdi, Yaser Alghamdi, Abdusalam Baabdullah, Mohammad Hadadi, Afnan Khateery, Khaleel Alsulami, Ibrahim AlHoqail, Abdulaziz Almadi, Majid Jawa, Hani Aljahdli, Emad Bazarah, Salem Qari, Yousif |
author_facet | Mosli, Mahmoud Alnahdi, Yaser Alghamdi, Abdusalam Baabdullah, Mohammad Hadadi, Afnan Khateery, Khaleel Alsulami, Ibrahim AlHoqail, Abdulaziz Almadi, Majid Jawa, Hani Aljahdli, Emad Bazarah, Salem Qari, Yousif |
author_sort | Mosli, Mahmoud |
collection | PubMed |
description | BACKGROUND/AIM: Early diagnosis of chronic illnesses and cancers mainly occurs at primary health care centers (PHCs) by primary health care physicians (PHPs). The incidence of colorectal cancer (CRC) in the Kingdom of Saudi Arabia (KSA) is rising and this has been attributed to many factors. The increasing incidence of CRC is compounded by nonadherence to screening recommendations. Therefore, evaluating PHPs knowledge, attitudes, and practices of screening for CRC is clinically important. We aimed to evaluate the knowledge, attitudes, and practices of PHPs regarding CRC screening and to identify the factors associated with nonadherence of PHPs to screening recommendations. MATERIALS AND METHODS: PHPs working at three tertiary care centers and PHCs across the city of Jeddah were randomly recruited. Participants were surveyed using a comprehensive questionnaire that recorded data on demographics, qualifications, and knowledge of various modalities and guidelines related to CRC screening. Perspectives about effectiveness of, or adherence to, factors that influence physicians' perspectives or recommendations for CRC screening were also assessed. Logistic regression analysis was used to identify physician characteristics associated with PHPs perspectives and nonadherence to CRC screening. RESULTS: A total of 127 PHPs were recruited. The average age of participants was 34 (±8.4) years, 86.6% were native Saudi's and 56.7% were females. The majority of surveys (66.9%) were completed at 24 PHCs and the remaining at hospital-based family medicine clinics. Most of the PHPs (55%) had a bachelor's degree and 31.5% were board-certified or carried a PhD in family medicine; 95% of participants believed that CRC screening in general was effective, but as much as 55% reported that they did not practice screening. The male physicians [odds ratio (OR) = 0.44, 95% confidence interval (CI) = 0.19–0.99, P = 0.048)] and PHPs with only a bachelor degree or less (OR = 0.72, 95% CI = 0.55–0.93, P = 0.011) were less likely to recommend screening for CRC. CONCLUSIONS: A considerable proportion of PHPs do not adhere to CRC screening recommendations despite a wide belief that screening is effective. Male PHPs with lower qualifications appear to be less likely to recommend screening. |
format | Online Article Text |
id | pubmed-5738794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57387942017-12-29 Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening Mosli, Mahmoud Alnahdi, Yaser Alghamdi, Abdusalam Baabdullah, Mohammad Hadadi, Afnan Khateery, Khaleel Alsulami, Ibrahim AlHoqail, Abdulaziz Almadi, Majid Jawa, Hani Aljahdli, Emad Bazarah, Salem Qari, Yousif Saudi J Gastroenterol Original Article BACKGROUND/AIM: Early diagnosis of chronic illnesses and cancers mainly occurs at primary health care centers (PHCs) by primary health care physicians (PHPs). The incidence of colorectal cancer (CRC) in the Kingdom of Saudi Arabia (KSA) is rising and this has been attributed to many factors. The increasing incidence of CRC is compounded by nonadherence to screening recommendations. Therefore, evaluating PHPs knowledge, attitudes, and practices of screening for CRC is clinically important. We aimed to evaluate the knowledge, attitudes, and practices of PHPs regarding CRC screening and to identify the factors associated with nonadherence of PHPs to screening recommendations. MATERIALS AND METHODS: PHPs working at three tertiary care centers and PHCs across the city of Jeddah were randomly recruited. Participants were surveyed using a comprehensive questionnaire that recorded data on demographics, qualifications, and knowledge of various modalities and guidelines related to CRC screening. Perspectives about effectiveness of, or adherence to, factors that influence physicians' perspectives or recommendations for CRC screening were also assessed. Logistic regression analysis was used to identify physician characteristics associated with PHPs perspectives and nonadherence to CRC screening. RESULTS: A total of 127 PHPs were recruited. The average age of participants was 34 (±8.4) years, 86.6% were native Saudi's and 56.7% were females. The majority of surveys (66.9%) were completed at 24 PHCs and the remaining at hospital-based family medicine clinics. Most of the PHPs (55%) had a bachelor's degree and 31.5% were board-certified or carried a PhD in family medicine; 95% of participants believed that CRC screening in general was effective, but as much as 55% reported that they did not practice screening. The male physicians [odds ratio (OR) = 0.44, 95% confidence interval (CI) = 0.19–0.99, P = 0.048)] and PHPs with only a bachelor degree or less (OR = 0.72, 95% CI = 0.55–0.93, P = 0.011) were less likely to recommend screening for CRC. CONCLUSIONS: A considerable proportion of PHPs do not adhere to CRC screening recommendations despite a wide belief that screening is effective. Male PHPs with lower qualifications appear to be less likely to recommend screening. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5738794/ /pubmed/29205185 http://dx.doi.org/10.4103/sjg.SJG_1_17 Text en Copyright: © 2017 Saudi Journal of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Mosli, Mahmoud Alnahdi, Yaser Alghamdi, Abdusalam Baabdullah, Mohammad Hadadi, Afnan Khateery, Khaleel Alsulami, Ibrahim AlHoqail, Abdulaziz Almadi, Majid Jawa, Hani Aljahdli, Emad Bazarah, Salem Qari, Yousif Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title | Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title_full | Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title_fullStr | Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title_full_unstemmed | Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title_short | Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
title_sort | knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738794/ https://www.ncbi.nlm.nih.gov/pubmed/29205185 http://dx.doi.org/10.4103/sjg.SJG_1_17 |
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