Facilitators and barriers to colorectal cancer screening using the immunochemical faecal occult blood test among an average-risk population in semi-rural Malaysia: A qualitative study.
Facilitators and barriers to colorectal cancer screening using the immunochemical faecal occult blood test among an average-risk population in semi-rural Malaysia: A qualitative study.
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DOI：
10.1371/journal.pone.0279489
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Su, Tin Tin
中科院分区：
文献类型：
--
作者：
Ramanathan, Kogila;Schliemann, Desiree;Tamin, Nor Saleha Binti Ibrahim;Mohan, Devi;Donnelly, Michael;Su, Tin Tin
马来西亚的结直肠癌（CRC）发病率正在增加，大多数CRC患者在晚期被诊断出来。本研究调查了参与者对CRC的认识，以及他们对CRC筛查的看法和观点，CRC筛查参与的障碍，好处和促进因素，以及寻求健康的行为和预防性卫生服务的使用。在柔佛州塞加马特区的主要族裔群体中，对89名年龄大于50岁的参与者进行了11次焦点小组讨论。对FGD进行录音、逐字转录并翻译成英语。采用专题分析法对数据进行了分析。我们认为，对医生的信任是决定是否寻求医疗保健的一个关键原因。一般来说，参与者对CRC体征/症状和筛查的认识较低。将粪便样本送到诊所的情感和逻辑问题成为筛查的主要障碍。马来语、汉语和泰米尔语简化的粪便收集说明、健康诊所的免费筛查和完成iFOBT测试的提醒被认为有助于筛查的参与，并被认为是可能增加iFOBT摄入的策略。初级保健医生在减少患者的误解，向患者推荐筛查，提高出勤率和提高CRC筛查的接受率方面发挥着至关重要的作用。有必要进行进一步的研究，以探讨如何减少已确定的障碍，实施和测试潜在的促进策略，以及检查医生对CRC筛查临床指南的遵守情况。
Colorectal cancer (CRC) incidence in Malaysia is increasing, and most CRC patients are diagnosed at a late stage. This study investigated participant awareness of CRC and their perceptions and views about CRC screening, barriers, benefits, and facilitators towards CRC screening participation as well as health-seeking behaviour and the use of preventative health services. Eleven focus group discussions (FGDs) were conducted with a purposive sample of 89 participants aged > 50 from the major ethnic groups in the Segamat District, Johor State. FGDs were audiotaped, transcribed verbatim, and translated into English. Data were analysed using thematic analysis. We identified trust in doctors as a key reason for whether or not to seek health care. Generally, the participants had low awareness of CRC sign/symptoms and screening. Emotional and logistic concerns about sending a stool sample to a clinic emerged as the main barriers to screening. Simplified illustrated instructions about stool collection in Malay, Chinese and Tamil, free screening at health clinics and reminders to complete the iFOBT test were perceived to facilitate engagement in screening, and posited as strategies that were likely to increase iFOBT uptake. Primary care physicians play a crucial role in terms of reducing patient’s misperceptions, recommending screening to patients, enhancing attendance, and improving uptake of CRC screening. There is a need for further research to investigate ways in which to reduce identified barriers and implement and test potential facilitative strategies as well as examine adherence by doctors to clinical guidelines about CRC screening.
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DOI：
10.31557/apjcp.2020.21.5.1253
发表时间：
2020-05-01
期刊：
Asian Pacific journal of cancer prevention : APJCP
影响因子：
--
作者：
Mohd Suan MA;Tan WL;Ismail I;Abu Hassan MR
通讯作者：
Abu Hassan MR
影响因子：
5.7
作者：
Goldman, Shira N.;Liss, David T.;Baker, David W.
通讯作者：
Baker, David W.
影响因子：
2.5
作者：
Douaiher, Jeffrey;Ravipati, Advaitaa;Are, Chandrakanth
通讯作者：
Are, Chandrakanth
影响因子：
3.8
作者：
Schliemann D;Ramanathan K;Matovu N;O'Neill C;Kee F;Su TT;Donnelly M
通讯作者：
Donnelly M
影响因子：
5.2
作者：
Gruner LF;Amitay EL;Heisser T;Guo F;Niedermaier T;Gies A;Hoffmeister M;Brenner H
通讯作者：
Brenner H