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Knowledge, Attitudes, and Practices Regarding Colorectal Cancer Screening Among Medical Residents: An Exploratory,
Karim Abdeltawab1, Assem Gebreal1, Basma Akram Mohamed1
1Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Egyptian medical residents show adequate knowledge of colorectal cancer (CRC) screening but suboptimal practices, influenced by low awareness of national initiatives and patient barriers. Enhancing provider education and access is crucial for early CRC detection.
Area of Science:
- Oncology
- Public Health
- Medical Education
Background:
- Colorectal cancer (CRC) incidence is high in Egypt, with a notable proportion of early-onset cases.
- Low CRC screening rates persist, potentially due to limited physician awareness and systemic issues.
- Understanding healthcare providers' perspectives is vital for improving screening uptake.
Purpose of the Study:
- To assess medical residents' knowledge, attitudes, and practices concerning CRC screening in Egypt.
- To identify perceived patient barriers to CRC screening.
- To evaluate awareness of the national '100 Million Healthy Lives' screening initiative.
Main Methods:
- A cross-sectional survey was conducted among 70 medical residents at Alexandria Main University Hospital.
- Data collection occurred from September 2023 to January 2024 via face-to-face or online questionnaires.
- Statistical analyses included descriptive statistics and bivariate analyses with a significance level of p < 0.10.
Main Results:
- Over half (55.7%) of residents were aware of the national CRC screening program.
- While 72.9% had adequate knowledge and 66.7% a positive attitude, only 51.4% demonstrated good practice.
- Financial constraints and low patient awareness were the primary barriers cited.
- Adequate knowledge correlated significantly with a positive attitude (p=0.078).
Conclusions:
- Medical residents' CRC screening practices in Egypt are suboptimal despite adequate knowledge and positive attitudes.
- Limited awareness of national screening programs and structural barriers impede effective screening.
- Improving provider education, screening accessibility, and national initiative awareness is essential for early CRC detection.
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