Awareness of Colorectal Cancer Warning Symptoms and Associated Factors among Adult Gastrointestinal Tract Outpatient Department Attendants in Tikur Anbesa Specialized Hospital
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Date
2023-05
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Addis Ababa University
Abstract
Introduction: Colorectal cancer prevention and control measures should include public
awareness creation about colorectal cancer sign and symptoms which has great role in early
detection and effective treatment. Awareness of colorectal cancer warning symptom is not
well known in Ethiopia particularly in Addis Ababa. Therefore, for effective intervention to
control colorectal cancer there was a need to study about awareness of colorectal cancer
warning symptoms in Addis Ababa Ethiopia.
Objective: To assess awareness of colorectal cancer warning symptoms and associated
factors among adult gastrointestinal tract outpatient department attendant at Tikur Anbesa
Specialized Hospital, in Addis Ababa Ethiopia, 2023.
Methods: This institution based cross-sectional study was conducted among 410 adult
gastrointestinal tract outpatient department attendants at Tikur Anbesa Specialized Hospital
from February 20/2023 to March 20/2023. Study participants were selected by using
systematic sampling technique with 9 intervals. The response rate was 97.3%. Data was
collected using ODK data collection tool and exported to SPSS version 7 for analysis.
Bivariable logistic regression was used to select candidate variables at p-value <0.2 and
Multivariable logistic regression was also used to identify significant variables associated
with the outcome variable at and p-value <0.05. Model fitness was tested with Hosmer and
Lemeshow goodness of fit (P-value=0.13).
Result: One hundred twenty-four (30.2%) of the study participants had good awareness of
colorectal cancer warning symptoms. Ever had any type of cancer AOR=3.64, 95%CI: 1.61-
8.28), regular health checkup (AOR=2.17, 95%CI: 1.05-4.49), being relative or friend with
bowel cancer patient (AOR=5.28, 95%CI: 1.92-14.52), heard about colorectal cancer
warning symptoms (AOR=3.25, 95%CI: 1.59-6.64) were significant variables associated
with CRC warning symptoms.
Conclusion and Recommendation: Nearly one third of study participants had good
awareness of colorectal cancer warning symptoms. Factors associated with colorectal cancer
warning symptoms include cancer history, health checkups, Friends/relatives of bowel
cancer patients, heard about colorectal cancer warning symptoms. Hence, additional efforts
are needed to raise awareness of colorectal cancer warning symptoms by considering the
above important factors.
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Keywords
Colorectal cancer, Awareness of warning symptoms, Tikur Anbesa specialized Hospital, Addis Ababa Ethiopia