Evidence map›Paper›PMID 31050920›Full record

ArticleJournal of global oncology2019

Public Awareness and Barriers to Seeking Medical Advice for Colorectal Cancer in the Gaza Strip: A Cross-Sectional Study.

Mohamedraed Elshami, Maha Alfaqawi, Tamer Abdalghafoor, Ayoob A Nemer, Mohammed Ghuneim, Hussien Lubbad, Batool Almahallawi, Mosab Samaan, Abdallah Alwali, Ahmad Alborno and 10 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 2 countries.

Mohamedraed ElshamiMinistry of Health, Gaza, Palestine.
Maha AlfaqawiMinistry of Health, Gaza, Palestine.
Tamer AbdalghafoorIslamic University of Gaza, Gaza, Palestine.
Ayoob A NemerIslamic University of Gaza, Gaza, Palestine.
Mohammed GhuneimIslamic University of Gaza, Gaza, Palestine.
Hussien LubbadIslamic University of Gaza, Gaza, Palestine.
Batool AlmahallawiIslamic University of Gaza, Gaza, Palestine.
Mosab SamaanIslamic University of Gaza, Gaza, Palestine.
Abdallah AlwaliIslamic University of Gaza, Gaza, Palestine.
Ahmad AlbornoIslamic University of Gaza, Gaza, Palestine.
Deyaa Al-KafarnaIslamic University of Gaza, Gaza, Palestine.
Aseel SalahIslamic University of Gaza, Gaza, Palestine.
Karam ShihadaIslamic University of Gaza, Gaza, Palestine.
Mohammed Abo AmonaIslamic University of Gaza, Gaza, Palestine.
Amira Al-NajjarIslamic University of Gaza, Gaza, Palestine.
Rana Abu SubhaIslamic University of Gaza, Gaza, Palestine.
Basma AlheluIslamic University of Gaza, Gaza, Palestine.
Israa AbujayyabIslamic University of Gaza, Gaza, Palestine.
Loai AlbarqouniBond University, Queensland, Australia.
Bettina BottcherIslamic University of Gaza, Gaza, Palestine.
Islamic University of Gaza · PSUniversity of Palestine · PSBond University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRaising awareness of colorectal cancer (CRC) symptoms for early recognition, reduction of modifiable risk factors, and removing barriers to seeking medical help could lower its mortality. This study aimed to assess the level of public awareness of CRC in the Gaza Strip. MATERIALS AND

methodsThis was a cross-sectional study conducted at three hospitals and 10 high schools between September and October 2017. The Arabic version of the validated Bowel Cancer Awareness Measure (BoCAM) questionnaire was used to evaluate awareness of CRC symptoms and risk factors, and barriers to seeking medical help. Adults (age ≥ 18 years) in three major hospitals and adolescents (ages 15 to 17 years) in 10 schools were recruited for face-to-face interviews to complete the BoCAM.

resultsOf 3,172 potential participants, 3,080 completed the BoCAM (response rate, 97.1%). Among these, 1,578 (51.2%) were adults and 1,614 (52.4%) were females. Persistent abdominal pain was the most commonly recognized CRC symptom (n = 1,899; 61.7%), whereas anorectal pain was the least common (n = 1,056; 34.3%). In total, 2,177 (70.7%) were not confident in recognizing CRC symptoms or signs. Having a bowel disease was the most frequently recognized CRC risk factor (n = 1,456; 47.3%) and diabetes the least recognized (n = 591; 19.2%). The overall mean scores ± standard deviations for recalling and recognizing CRC symptoms were 1.2 ± 1.3 and 4.3 ± 2.3, respectively (out of 9 points). The overall mean scores ± standard deviations for recalling and recognizing CRC risk factors were 0.7 ± 0.8 and 8.0 ± 3.1, respectively (out of 16 points). Emotional barriers were the most commonly reported barriers to seeking medical help, with feeling worried about what a doctor might find as the most common barrier (n = 1,522; 49.4%).

conclusionPublic awareness of CRC is suboptimal in Gaza. Improving CRC awareness with educational interventions is needed, including in local schools.

Indexed as

CounselingHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityAdolescentAdultColorectal NeoplasmsCross-Sectional StudiesFemaleHumansInformation Seeking BehaviorMaleMiddle EastPublic Health SurveillanceRisk FactorsSurveys and QuestionnairesYoung Adult

Identifiers

PMID31050920
PMCPMC6550031
OpenAlexW2942560099

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.