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Knowledge, attitude, and perceived barriers regarding colorectal cancer screening practices and risk factors among medical students in Saudi Arabia

机译:沙特阿拉伯医学生关于大肠癌筛查实践和危险因素的知识,态度和感知障碍

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Colorectal cancer (CRC) is a major health problem. It is the third most diagnosed common tumour and the fourth leading cause of cancer-related deaths worldwide. Early screening has been shown to decrease the incidence of CRC cancer and decrease mortality. In Saudi Arabia (SA), there is no national policy for CRC screening despite the growing incidence of the disease. This study investigated the knowledge of risk factors for CRC, recommendations for screening, and attitudes and barriers towards screening among medical students. Data was collected using a self-administered valid and reliable questionnaire consisting of demographic characteristics, knowledge, attitude, and barriers measurements completed by 581 medical students from two Saudi schools. Frequencies and mean scores of knowledge and attitude were determined. The likelihood of students having adequate knowledge of CRC risk factors and screening modalities was estimated using multivariate logistic regression analysis. Knowledge of the risk factors for CRC and screening modalities, and attitude towards screening were poor in 52.47 and 57.83% of the surveyed medical students; respectively. Higher level of medical education (OR?=?3.23; 95% CI: 2.01–5.18) and a positive attitude towards CRC screening (OR?=?2.74; 95% CI: 1.86–4.03) were independent predictors of higher knowledge levels. Lack of awareness about CRC and screening modalities among patients, and shortage of specialized healthcare providers were barriers independently associated with low knowledge levels. Saudi medical students have limited knowledge of CRC risk factors of and a poor attitude towards CRC screening. These results contribute to our understanding of missed teaching opportunities in Saudi medical schools and suggest intervening at the medical school, clinical practice, and population levels to increase CRC screening practices.
机译:大肠癌(CRC)是主要的健康问题。它是全球诊断第三最多的常见肿瘤,也是癌症相关死亡的第四大主要原因。早期筛查已显示可降低CRC癌症的发生率并降低死亡率。在沙特阿拉伯(SA),尽管该疾病的发病率不断增加,但没有针对CRC筛查的国家政策。这项研究调查了CRC危险因素的知识,筛查的建议以及医学生对筛查的态度和障碍。数据是使用自我管理的有效且可靠的调查表收集的,该调查表由来自两个沙特阿拉伯学校的581名医学生完成了人口统计学特征,知识,态度和障碍的测量。确定频率和知识和态度的平均分数。使用多元逻辑回归分析估计学生对CRC危险因素和筛查方式有足够了解的可能性。在接受调查的医学生中,有52.47%和57.83%的人对CRC和筛查方式的危险因素以及筛查态度的了解很差。分别。较高的医学教育水平(OR?=?3.23; 95%CI:2.01-5.18)和对CRC筛查的积极态度(OR?=?2.74; 95%CI:1.86-4.03)是较高知识水平的独立预测因素。缺乏对CRC的了解以及患者之间的筛查方式,以及缺乏专业的医疗服务提供者,都是与知识水平低下独立相关的障碍。沙特阿拉伯医学生对CRC危险因素的了解有限,并且对CRC筛查的态度较差。这些结果有助于我们了解沙特医学院错过的教学机会,并建议对医学院,临床实践和人口水平进行干预,以增加CRC筛查实践。

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