Awareness of Colorectal Cancer and its Associated Factors Among Adult Patients Attending Jimma University Medical Center South-West, Ethiopia, 2020.

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Date

2020-06

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Addis Ababa University

Abstract

Background: Colorectal cancer (CRC) is the first commonest diagnosed cancer in men and the fourth commonest in women in Ethiopia. The most significant factors that may increase the risk of having CRC were modifiable. These factors were prevented by increasing awareness of the population. Objective: This study aimed to assess the awareness of CRC and its associated factors among adult patients attending Jimma University Medical Center, South-West Ethiopia, 2020. Methods: The institution-based quantitative cross-sectional study design was conducted among 422 patients at Jimma University Medical Center from March 8 to April 30, 2020. The study participants were recruited by a systematic random sampling method and data was collected semi-structured interviewer-administered questionnaires. The collected data were entered into Epi data version 4.6.0 and transferred to SPSS version 25. Descriptive, Bivariate and multivariate logistic regression were implemented. The strength of association was determined by using AOR, 95% CI. The statistical level of significance was stated at P<0.05. Result: A 100% response rate in this study was recorded. More than half (57.6%) of the study participants had low awareness of CRC. The first common and least common risk factors that were known by participants were smoking (78.2%) and aging (32.5%) whereas the most common and least common symptoms were blood in the stool (49.3%) and abdomen lump (33.9%). There is significant association between awareness of colorectal cancer and gender [AOR=1.86; 95% CI (1.26, 2.75)], residency [AOR= 0.45; 95% CI (0.30, 0.67)], monthly income [AOR=4.72; 95% CI (3.11, 7.15)], level of education [AOR=2.83; 95% CI (1.49, 5.37)], information sources [AOR=2.51; 95% CI (1.18,5.37)], and heard about CRC [AOR=4.48; 95%CI (2.90,6.93)]. Conclusion and recommendation: Results showed that awareness of patients towards CRC was inadequate. However, the majority of patients had better awareness of colorectal cancer risk factors. Similarly, participants with high levels of education and females had better awareness of CRC than the reverse. Therefore, there is a need for campaigns and educational programs, from health care authorities, a higher educational institution for the general public and patients.

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Keywords

Awareness, Colorectal cancer, Symptom, Risk factor, patients.

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