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Published in: BMC Cancer 1/2013

Open Access 01-12-2013 | Research article

Level of colorectal cancer awareness: a cross sectional exploratory study among multi-ethnic rural population in Malaysia

Authors: Tin Tin Su, Jun Yan Goh, Jackson Tan, Abdul Rahim Muhaimah, Yoganathan Pigeneswaren, Nasirin Sallamun Khairun, Abdul Wahab Normazidah, Devi Kunasekaran Tharisini, Hazreen Abd Majid

Published in: BMC Cancer | Issue 1/2013

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Abstract

Background

This paper presents the level of colorectal cancer awareness among multi-ethnic rural population in Malaysia.

Methods

A rural-based cross sectional survey was carried out in Perak state in Peninsular Malaysia in March 2011. The survey recruited a population-representative sample using multistage sampling. Altogether 2379 participants were included in this study. Validated bowel/colorectal cancer awareness measure questionnaire was used to assess the level of colorectal cancer awareness among study population. Analysis of variance (ANOVA) was done to identify socio-demographic variance of knowledge score on warning signs and risk factors of colorectal cancer.

Results

Among respondents, 38% and 32% had zero knowledge score for warning signs and risk factors respectively. Mean knowledge score for warning signs and risk factors were 2.89 (SD 2.96) and 3.49 (SD 3.17) respectively. There was a significant positive correlation between the knowledge score of warning signs and level of confidence in detecting a warning sign. Socio-demographic characteristics and having cancer in family and friends play important role in level of awareness.

Conclusions

Level of awareness on colorectal cancer warning signs and risk factors in the rural population of Malaysia is very low. Therefore, it warrants an extensive health education campaign on colorectal cancer awareness as it is one of the commonest cancer in Malaysia. Health education campaign is urgently needed because respondents would seek medical attention sooner if they are aware of this problem.
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Literature
2.
go back to reference National Cancer Registry: Second report of the national cancer registry cancer incidence in Malaysia 2003. 2003, Kuala Lumpur: Ministry of Health, Malaysia, 1675-8870. National Cancer Registry: Second report of the national cancer registry cancer incidence in Malaysia 2003. 2003, Kuala Lumpur: Ministry of Health, Malaysia, 1675-8870.
3.
go back to reference National Cancer Registry: Malaysian Cancer Statistics Data and Figure. 2006, Peninsular Malaysia: Ministry of Health Malaysia National Cancer Registry: Malaysian Cancer Statistics Data and Figure. 2006, Peninsular Malaysia: Ministry of Health Malaysia
4.
go back to reference World Cancer Research Fund: Food, nutrition, physical activity and the prevention of cancer: a global perspective. Washington DC: AICR, 2007. 2007, Washington: American Institute for Cancer Research, Contract No.: 978-0-9722522-2-5 World Cancer Research Fund: Food, nutrition, physical activity and the prevention of cancer: a global perspective. Washington DC: AICR, 2007. 2007, Washington: American Institute for Cancer Research, Contract No.: 978-0-9722522-2-5
5.
go back to reference Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV: Dietary patterns and breast cancer risk: a systematic review and meta-analysis. The American journal of clinical nutrition. 2010, 91 (5): 1294-1302. 10.3945/ajcn.2009.28796.CrossRefPubMed Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV: Dietary patterns and breast cancer risk: a systematic review and meta-analysis. The American journal of clinical nutrition. 2010, 91 (5): 1294-1302. 10.3945/ajcn.2009.28796.CrossRefPubMed
6.
go back to reference Fuchs CS, Giovannucci EL, Colditz GA, Hunter DJ, Speizer FE, Willett WC: A prospective study of family history and the risk of colorectal cancer. New England Journal of Medicine. 1994, 331 (25): 1669-1674. 10.1056/NEJM199412223312501.CrossRefPubMed Fuchs CS, Giovannucci EL, Colditz GA, Hunter DJ, Speizer FE, Willett WC: A prospective study of family history and the risk of colorectal cancer. New England Journal of Medicine. 1994, 331 (25): 1669-1674. 10.1056/NEJM199412223312501.CrossRefPubMed
7.
go back to reference Larsson SC, Orsini N, Wolk A: Diabetes mellitus and risk of colorectal cancer: a meta-analysis. J Natl Cancer Inst. 2005, 97 (22): 1679-1687. 10.1093/jnci/dji375.CrossRefPubMed Larsson SC, Orsini N, Wolk A: Diabetes mellitus and risk of colorectal cancer: a meta-analysis. J Natl Cancer Inst. 2005, 97 (22): 1679-1687. 10.1093/jnci/dji375.CrossRefPubMed
8.
go back to reference Le Marchand L, Wilkens LR, Kolonel LN, Hankin JH, Lyu L-C: Associations of sedentary lifestyle, obesity, smoking, alcohol use, and diabetes with the risk of colorectal cancer. Cancer research. 1997, 57 (21): 4787-4794.PubMed Le Marchand L, Wilkens LR, Kolonel LN, Hankin JH, Lyu L-C: Associations of sedentary lifestyle, obesity, smoking, alcohol use, and diabetes with the risk of colorectal cancer. Cancer research. 1997, 57 (21): 4787-4794.PubMed
9.
go back to reference McCaffery K, Wardle J, Waller J: Knowledge, attitudes, and behavioral intentions in relation to the early detection of colorectal cancer in the United Kingdom. Preventive medicine. 2003, 36 (5): 525-535. 10.1016/S0091-7435(03)00016-1.CrossRefPubMed McCaffery K, Wardle J, Waller J: Knowledge, attitudes, and behavioral intentions in relation to the early detection of colorectal cancer in the United Kingdom. Preventive medicine. 2003, 36 (5): 525-535. 10.1016/S0091-7435(03)00016-1.CrossRefPubMed
10.
go back to reference Ramadas A, Kandiah M: Food intake and colorectal adenomas: a case–control study in Malaysia. Asian Pac J Cancer Prev. 2009, 10 (5): 925-932.PubMed Ramadas A, Kandiah M: Food intake and colorectal adenomas: a case–control study in Malaysia. Asian Pac J Cancer Prev. 2009, 10 (5): 925-932.PubMed
11.
go back to reference Wu A, Paganini-Hill A, Ross R, Henderson B: Alcohol, physical activity and other risk factors for colorectal cancer: a prospective study. British journal of cancer. 1987, 55 (6): 687-10.1038/bjc.1987.140.CrossRefPubMedPubMedCentral Wu A, Paganini-Hill A, Ross R, Henderson B: Alcohol, physical activity and other risk factors for colorectal cancer: a prospective study. British journal of cancer. 1987, 55 (6): 687-10.1038/bjc.1987.140.CrossRefPubMedPubMedCentral
12.
go back to reference Gatta G, Ciccolallo L, Capocaccia R, Coleman M, Hakulinen T, Møller H, et al: Differences in colorectal cancer survival between European and US populations: the importance of sub-site and morphology. European journal of cancer. 2003, 39 (15): 2214-2222. 10.1016/S0959-8049(03)00549-5.CrossRefPubMed Gatta G, Ciccolallo L, Capocaccia R, Coleman M, Hakulinen T, Møller H, et al: Differences in colorectal cancer survival between European and US populations: the importance of sub-site and morphology. European journal of cancer. 2003, 39 (15): 2214-2222. 10.1016/S0959-8049(03)00549-5.CrossRefPubMed
13.
go back to reference Kong CK, Roslani AC, Law CW, Law SC, Arumugam K: Impact of socio-economic class on colorectal cancer patient outcomes in Kuala Lumpur and Kuching, Malaysia. Asian Pac J Cancer Prev. 11 (4): 969-974. Epub 2010/12/08 Kong CK, Roslani AC, Law CW, Law SC, Arumugam K: Impact of socio-economic class on colorectal cancer patient outcomes in Kuala Lumpur and Kuching, Malaysia. Asian Pac J Cancer Prev. 11 (4): 969-974. Epub 2010/12/08
14.
go back to reference Hashim SM, Omar K, Fah TS, Abdul R, Rashid TID, Shah SA, et al: Factors influencing late consultation among patients with rectal bleeding in University Kebangsaan Malaysia Medical Centre. Asian Pacific J Cancer Prev. 2010, 11: 1335-1339. Hashim SM, Omar K, Fah TS, Abdul R, Rashid TID, Shah SA, et al: Factors influencing late consultation among patients with rectal bleeding in University Kebangsaan Malaysia Medical Centre. Asian Pacific J Cancer Prev. 2010, 11: 1335-1339.
15.
go back to reference Ghani SN, Yadav H: Health care in Malaysia. 2008, Malaysia: University of Malaya Press Ghani SN, Yadav H: Health care in Malaysia. 2008, Malaysia: University of Malaya Press
16.
go back to reference Institute of Public Health: The Third National Health and Morbidity Survey (NHMS III) 2006. 2008, Malaysia: Ministry of Health Institute of Public Health: The Third National Health and Morbidity Survey (NHMS III) 2006. 2008, Malaysia: Ministry of Health
17.
go back to reference Power E, Simon A, Juszczyk D, Hiom S, Wardle J: Assessing awareness of colorectal cancer symptoms: measure development and results from a population survey in the UK. BMC Cancer. 2011, 11 (366): 10.1186/1471-2407-11-366. Power E, Simon A, Juszczyk D, Hiom S, Wardle J: Assessing awareness of colorectal cancer symptoms: measure development and results from a population survey in the UK. BMC Cancer. 2011, 11 (366): 10.1186/1471-2407-11-366.
18.
go back to reference Stubbings SRK, Waller J, Ramirez A, Austoker J, Macleod U, Hiom S, Wardle J: Development of a measurement tool to assess public awareness of cancer. Br J Cancer. 2009, 101 (Suppl 2): S13-S7. Epub 3 DECEMBER 2009CrossRefPubMedPubMedCentral Stubbings SRK, Waller J, Ramirez A, Austoker J, Macleod U, Hiom S, Wardle J: Development of a measurement tool to assess public awareness of cancer. Br J Cancer. 2009, 101 (Suppl 2): S13-S7. Epub 3 DECEMBER 2009CrossRefPubMedPubMedCentral
19.
go back to reference Simon AE WJ, Robb K, Wardle J: Patient delay in presentation of possible cancer symptoms: the contribution of knowledge and attitudes in a population sample from the United kingdom. Cancer Epidemiol Biomarkers & Prevention. 2010, 19 (9): 2272-7. 10.1158/1055-9965.EPI-10-0219. Epub 26 JULY 2010CrossRef Simon AE WJ, Robb K, Wardle J: Patient delay in presentation of possible cancer symptoms: the contribution of knowledge and attitudes in a population sample from the United kingdom. Cancer Epidemiol Biomarkers & Prevention. 2010, 19 (9): 2272-7. 10.1158/1055-9965.EPI-10-0219. Epub 26 JULY 2010CrossRef
21.
go back to reference Rashid MRA, Aziz AFA, Ahmad S, Shah SA, Sagap I: Colorectal cancer patients in a tertiary referral centre in Malaysia: a five year follow-up review. Asian Pac J Cancer Prev. 2009, 10: 1163-6.PubMed Rashid MRA, Aziz AFA, Ahmad S, Shah SA, Sagap I: Colorectal cancer patients in a tertiary referral centre in Malaysia: a five year follow-up review. Asian Pac J Cancer Prev. 2009, 10: 1163-6.PubMed
22.
go back to reference Mitchell E, Macdonald S, Campbell N, Weller D, Macleod U: Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systematic review. British journal of cancer. 2007, 98 (1): 60-70.CrossRefPubMedPubMedCentral Mitchell E, Macdonald S, Campbell N, Weller D, Macleod U: Influences on pre-hospital delay in the diagnosis of colorectal cancer: a systematic review. British journal of cancer. 2007, 98 (1): 60-70.CrossRefPubMedPubMedCentral
23.
go back to reference Sladden M, Thomson A, Lombard C: Rectal bleeding in general practice patients. Australian family physician. 1999, 28 (7): 750-PubMed Sladden M, Thomson A, Lombard C: Rectal bleeding in general practice patients. Australian family physician. 1999, 28 (7): 750-PubMed
24.
go back to reference Dent OF, Goulston KJ, Tennant CC, Langeluddecke P, Mant A, Chapuis PH, et al: Rectal bleeding. Patient delay in presentation. Diseases of the colon and rectum. 1990, 33 (10): 851-7. 10.1007/BF02051921.CrossRefPubMed Dent OF, Goulston KJ, Tennant CC, Langeluddecke P, Mant A, Chapuis PH, et al: Rectal bleeding. Patient delay in presentation. Diseases of the colon and rectum. 1990, 33 (10): 851-7. 10.1007/BF02051921.CrossRefPubMed
25.
go back to reference Cai SR, Zhu HH, Li QR, Ma XY, Yao KY, Zhang SZ, et al: Gender disparities in dietary status and its risk factors in underserved populations. Public Health. 2012, 126 (4): 324-31. 10.1016/j.puhe.2012.01.003. Epub 23 FEBRUARY 2012CrossRefPubMed Cai SR, Zhu HH, Li QR, Ma XY, Yao KY, Zhang SZ, et al: Gender disparities in dietary status and its risk factors in underserved populations. Public Health. 2012, 126 (4): 324-31. 10.1016/j.puhe.2012.01.003. Epub 23 FEBRUARY 2012CrossRefPubMed
26.
go back to reference Coups EJ, Hay J, Ford JS: Awareness of the role of physical activity in colon cancer prevention. Patient Educ Couns. 2008, 72 (2): Epub 1 MAY 2008 Coups EJ, Hay J, Ford JS: Awareness of the role of physical activity in colon cancer prevention. Patient Educ Couns. 2008, 72 (2): Epub 1 MAY 2008
27.
go back to reference Stead M, Caswell S, Craigie AM, Eadie D, Anderson AS, BeWEL team: Understanding the potential and challenges of adenoma treatment as a prevention opportunity: insights from the BeWEL formative study. Prev Med. 2012, 54 (1): 97-103. 10.1016/j.ypmed.2011.10.017. Epub 29 OCTOBER 2011CrossRefPubMedPubMedCentral Stead M, Caswell S, Craigie AM, Eadie D, Anderson AS, BeWEL team: Understanding the potential and challenges of adenoma treatment as a prevention opportunity: insights from the BeWEL formative study. Prev Med. 2012, 54 (1): 97-103. 10.1016/j.ypmed.2011.10.017. Epub 29 OCTOBER 2011CrossRefPubMedPubMedCentral
28.
go back to reference Hazreen A, Myint SM, Farizah H, Rashid MA, Chai C, Dymna V, et al: An evaluation of information dissemination during the severe acute respiratory syndrome (SARS) outbreak among selected rural communities in Kuala Kangsar. Medical Journal of Malaysia. 2005, 60 (2): 180-7.PubMed Hazreen A, Myint SM, Farizah H, Rashid MA, Chai C, Dymna V, et al: An evaluation of information dissemination during the severe acute respiratory syndrome (SARS) outbreak among selected rural communities in Kuala Kangsar. Medical Journal of Malaysia. 2005, 60 (2): 180-7.PubMed
29.
go back to reference Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, et al: Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer. 2009, 101 (Suppl 2): s18-s3.CrossRefPubMedPubMedCentral Robb K, Stubbings S, Ramirez A, Macleod U, Austoker J, Waller J, et al: Public awareness of cancer in Britain: a population-based survey of adults. Br J Cancer. 2009, 101 (Suppl 2): s18-s3.CrossRefPubMedPubMedCentral
30.
go back to reference Zittleman L, Emsermann C, Dickinson M, Norman N, Winkelman K, Linn G, et al: Increasing colon cancer testing in rural Colorado: evaluation of the exposure to a community-based awareness campaign. BMC Public Health. 2009, 9: 288-10.1186/1471-2458-9-288. Epub 2009/08/12CrossRefPubMedPubMedCentral Zittleman L, Emsermann C, Dickinson M, Norman N, Winkelman K, Linn G, et al: Increasing colon cancer testing in rural Colorado: evaluation of the exposure to a community-based awareness campaign. BMC Public Health. 2009, 9: 288-10.1186/1471-2458-9-288. Epub 2009/08/12CrossRefPubMedPubMedCentral
Metadata
Title
Level of colorectal cancer awareness: a cross sectional exploratory study among multi-ethnic rural population in Malaysia
Authors
Tin Tin Su
Jun Yan Goh
Jackson Tan
Abdul Rahim Muhaimah
Yoganathan Pigeneswaren
Nasirin Sallamun Khairun
Abdul Wahab Normazidah
Devi Kunasekaran Tharisini
Hazreen Abd Majid
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2013
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-13-376

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