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Assessing Knowledge and Perceptions of Colorectal Cancer Screening in Armenia
Taron Torosian1, Evelyn A Abrami2, Roxanne L Massoumi3
1Department of Global Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.
The Journal of Surgical Research
|September 19, 2020
Summary
Colorectal cancer (CRC) knowledge is high in Armenia, but screening awareness is low. Most adults are willing to be screened if recommended by a doctor, but cost is a significant barrier.
Area of Science:
- Oncology
- Public Health
- Health Behavior
Background:
- Armenia faces a high burden of colorectal cancer (CRC) incidence and mortality.
- Currently, no organized CRC screening programs are established in Armenia.
Purpose of the Study:
- To assess the awareness and attitudes regarding colorectal cancer (CRC) and its screening methods among Armenian adults.
- To identify barriers and facilitators for implementing CRC screening in Armenia.
Main Methods:
- A survey was conducted among 368 adults aged 40-64 in Yerevan polyclinics.
- The survey utilized the Health Belief Model, with questions translated and adapted for local relevance.
Main Results:
- High self-reported knowledge of CRC (84%) and belief in early detection benefits (91%).
- Low awareness of CRC screening methods (22%), but high willingness to screen if recommended (76%).
- Screening willingness is cost-sensitive, with 78% preferring free or low-cost options (<$20 USD).
Conclusions:
- Significant gap exists between CRC knowledge and screening awareness in Armenia.
- Physician recommendations strongly influence screening uptake, but cost remains a major barrier.
- Interventions should focus on increasing screening awareness, enhancing physician counseling, and reducing financial barriers to establish a national CRC screening program.
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