Knowledge of colorectal cancer among patients presenting with rectal bleeding and its association with delay in seeking medical advice

Syahnaz Mohd Hashim, Tong Seng Fah, Khairani Omar, Mohd Radzniwan Abdul Rashid, Shamsul Azhar Shah, Ismail Sagap

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Knowledge is believed to be a driving factor for patients' early presentation for healthcare. This study was conducted to assess knowledge of colorectal cancer among subjects presenting with rectal bleeding and to determine its association with late presentation. Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The research instruments used in this study was a self-administered questionnaire including data on duration of rectal bleeding, first medical consultation and knowledge of colorectal cancer. Results: Sixty percent of subjects with rectal bleeding delayed seeking medical advice. Subjects were more aware of symptoms of non-colorectal cancers compared to symptoms of colorectal cancer. The majority of subjects (63.8%) correctly identified rectal bleeding as a symptom but were not aware of the best screening method to detect colorectal cancer. Half of the subjects knew increasing age and genetic background to be risk factors for colorectal carcinoma. However, knowledge of colorectal cancer was not found to be significantly associated with delay in seeking help. Conclusion: Findings indicate poor awareness of colorectal cancer among the subjects. Although public education of colorectal cancer is important for early presentation on rectal bleeding, further studies are advocated to evaluate other factors influencing patients' help seeking behavior other than knowledge.

Original languageEnglish
Pages (from-to)2007-2011
Number of pages5
JournalAsian Pacific Journal of Cancer Prevention
Volume12
Issue number8
Publication statusPublished - 2011

Fingerprint

Colorectal Neoplasms
Hemorrhage
Malaysia
Endoscopy
Referral and Consultation
Cross-Sectional Studies
Delivery of Health Care
Education
Research
Neoplasms

Keywords

  • Colorectal cancer
  • Delay in seeking help
  • Knowledge
  • Malaysia
  • Rectal bleeding

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

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title = "Knowledge of colorectal cancer among patients presenting with rectal bleeding and its association with delay in seeking medical advice",
abstract = "Background: Knowledge is believed to be a driving factor for patients' early presentation for healthcare. This study was conducted to assess knowledge of colorectal cancer among subjects presenting with rectal bleeding and to determine its association with late presentation. Methods: A cross-sectional study of 80 patients with rectal bleeding, aged 40 and above, was conducted between December 2008 and June 2009 in the endoscopy unit, University Kebangsaan Malaysia Medical Centre. The research instruments used in this study was a self-administered questionnaire including data on duration of rectal bleeding, first medical consultation and knowledge of colorectal cancer. Results: Sixty percent of subjects with rectal bleeding delayed seeking medical advice. Subjects were more aware of symptoms of non-colorectal cancers compared to symptoms of colorectal cancer. The majority of subjects (63.8{\%}) correctly identified rectal bleeding as a symptom but were not aware of the best screening method to detect colorectal cancer. Half of the subjects knew increasing age and genetic background to be risk factors for colorectal carcinoma. However, knowledge of colorectal cancer was not found to be significantly associated with delay in seeking help. Conclusion: Findings indicate poor awareness of colorectal cancer among the subjects. Although public education of colorectal cancer is important for early presentation on rectal bleeding, further studies are advocated to evaluate other factors influencing patients' help seeking behavior other than knowledge.",
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AU - Rashid, Mohd Radzniwan Abdul

AU - Shah, Shamsul Azhar

AU - Sagap, Ismail

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