Evidence map›Paper›PMID 42169584›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2026

Sociodemographic and Clinical Predictors of Colonoscopy Utilization in Oman: A Call to Action within a Population-Based Cross-Sectional Study.

Adhari Al Zaabi, Thamra Al Ghafri, Ahmed Al Habsi, Mundher Al Ziedi, Abdulmalik Al Sarmi

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Article in Asian Pacific journal of cancer prevention : APJCP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Adhari Al ZaabiDepartment of Human and Clinical Anatomy, Sultan Qaboos University, Muscat 123, Oman, Sultan Qaboos University, Sultanate of Oman.ORCID 0000-0003-4290-1272
Thamra Al GhafriDirectorate General of Health Care Services, Muscat, Ministry of Health, Oman.ORCID 0000-0002-4818-9565
Ahmed Al HabsiOman Medical Specialty Board, Sultanate of Oman.
Mundher Al ZiediOman Medical Specialty Board, Sultanate of Oman.
Abdulmalik Al SarmiArmy Forced Hospital, Sultanate of Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveColorectal cancer (CRC) is the second leading cause of cancer mortality in Oman, yet structured screening remains absent. Most cases are diagnosed at advanced stages, highlighting the need to understand predictors of colonoscopy uptake to inform national screening strategies. This study aimed to identify sociodemographic, perceptual, and healthcare-related factors associated with colonoscopy utilization-whether for screening or diagnostic purposes among Omani adults.

methodsA nationwide, cross-sectional online survey was conducted using a structured questionnaire adapted from the Health Information National Trends Survey (HINTS) between March and August 2023. Recruitment was carried out using non-probability convenience sampling through digital platforms (Instagram, Facebook, Twitter, WhatsApp) and health networks. Data collected included sociodemographic factors, CRC risk perceptions, awareness, and healthcare interactions. Chi-square tests and multivariate regression analysis were used to identify predictors of colonoscopy uptake.

resultsOf the 1,060 respondents, only 137 participants (12.9%) reported ever undergoing colonoscopy; the majority (67.2%) did so due to symptoms rather than for screening. Uptake was significantly higher among men, participants aged >40 years, those who were married, and those who were employed (P < 0.05). Colonoscopy recipients were more likely to perceive themselves at higher risk for CRC and report frequent worry about the disease (P < 0.001). Multivariable analysis identified three strong predictors of colonoscopy uptake: 1. Clinical indication (presence of symptoms; OR 63.9, 95% CI: 45.6-89.1); 2. Physician recommendation (OR 9.5, 95% CI: 2.9-30.0); 3. Perception of test effectiveness [trend-level association (P = 0.054)].

conclusionColonoscopy utilization in Oman remains low and is largely symptom-driven. Uptake was higher among men aged over 40 years, those who were married, and those who were employed, indicating that socioeconomic and life-stage factors influence engagement with colorectal health services. Physician recommendation emerged as the strongest determinant of colonoscopy uptake. These findings highlight the urgent need for a national CRC screening program that integrates the Fecal Immunochemical Test (FIT) within physician-led pathways to promote early detection and prevention.

Indexed as

ColonoscopyColorectal NeoplasmsEarly Detection of CancerHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedOmanPrognosisSociodemographic Factorscolonoscopycolorectal cancerOmanPredictorsScreening

Identifiers

PMID42169584
PMCPMC13652093

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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.