Main Article Content
Background: Colorectal cancer (CRC) is the 5th most frequent cause of cancer-related deaths in Nigeria. As with other cancers, CRC risk is multifactorial, including issues such as poor diet, obesity, alcohol abuse, physical inactivity, age above 50 years, history of adenomatous polyps, inflammatory bowel disease, and family history of CRCs or polyps.
Aim: The study aimed to ascertain the level of knowledge of risk factors and preventive measures against CRC among adults attending health facilities in Obudu Local Government area Cross River State, Nigeria.
Study Design: A descriptive survey research design was used.
Place and Duration of Study: Urban health facilities in Obudu Local government area, Cross River state between 2017 and 2019.
Methodology: The sample of the study comprised 310 attendees of health facilities. A structured questionnaire was the main instrument used for data collection. Face validity was employed. The split-half method was used to establish the reliability of the instrument with thirty adults in a neighboring town.
Results: Findings showed that males had better knowledge of risk factors (75.3%) than females (45.8%); and males had better knowledge of prevention of CRC (82.1%) than females (57.2%), hence showing a significant association (P=.002, P=.003) between gender with knowledge of risk factors and prevention of CRC respectively. There were also significant associations between age (P=.007, .001) and educational level (P=.002, .006) with knowledge of risk factors and prevention of CRC respectively. This showed that younger ages and higher education were associated with better knowledge of CRC.
Conclusions: Less knowledgeable women and persons with low educational level should be targeted with messages on CRC. Health educators should intensify their health education campaign on the importance of screening as the major preventive measure against CRC at the household level. Government and non-governmental organizations (NGOs) should sponsor the provision of resources and screening facilities.
Sessa A, Abbate R, Di Giuseppe G, Marinelli P, Angelillo IF. Knowledge, attitudes and preventive practices about colorectal cancer among adults in an area of Southern Italy. BMC Cancer. 2008;8:171. DOI: 10.1186/1471-2407-8-171
Adeoti M, Oguntola S, Olugbenga-Bello A, Oladimeji O, Jegede S. Colorectal cancer: Knowledge and risk factors among adults in a sub urban Nigeria community. J Med Sci Clin Res. 2016;4(9):1247.
Kinzler KW, Vogelstein B. Lessons from hereditary colorectal cancer. Cell. 1996;87(2):159-70. DOI: 10.1016/s0092-8674(00)81333-1
Ibrahim O, Afolayan A, Adeniji K, Buhari O, Badmos K. Colorectal carcinoma in children and young adults in Ilorin, Nigeria. West African Journal of Medicine. 2011;30(3):202-205.
Odukoya O, Fayemi M. A rural-urban comparison of knowledge, risk- factors and preventive practices for colorectal cancer among adults in Lagos State. Asian Pacific Journal of Cancer Prevention: APJCP. 2019;20(4):1063-1071. DOI: 10.31557/apjcp.2019.20.4.1063
Shaukat A, Mongin SJ, Geisser MS. Long-term mortality after screening for colorectal cancer. New England Journal of Medicine. 2013;369(12):1106-1114.
Agu BN, Ezedum CE, Agbaje OS. Demographic pattern of self-injurious behaviours among secondary school students in Imo State. Science. 2015;3(3): 321-330.
National Population Commission. The Nigeria Population Census 2006. 2006;23(2):2011.
Lwanga SK, Lemeshow S, Organization WH. Sample size determination in health studies: A practical manual. World Health Organization; 1991.
Taha H, Jaghbeer MA, Shteiwi M, AlKhaldi S, Berggren V. Knowledge and perceptions about colorectal cancer in Jordan. Asian Pacific Journal of Cancer Prevention: APJCP. 2015;16(18):8479-86. DOI: 10.7314/apjcp.2015.16.18.8479
Koo JH, Leong RW, Ching J. Knowledge of attitudes toward and barriers to participation of colorectal cancer screening tests in the Asia-Pacific region: A multicenter study. Gastrointestinal Endoscopy. 2012;76(1):126-35. DOI: 10.1016/j.gie.2012.03.168
Galal YS, Amin TT, Alarfaj AK. Colon cancer among older saudis: Awareness of risk factors and early signs and perceived barriers to screening. Asian Pacific Journal of Cancer Prevention: APJCP. 2016;17(4): 1837-46. DOI: 10.7314/apjcp.2016.17.4.1837
Chong VH, Lim AG, Baharudin HN, Tan J, Chong CF. Poor knowledge of colorectal cancer in Brunei Darussalam. Asian Pacific Journal of Cancer Prevention: APJCP. 2015;16(9):3927-30. DOI: 10.7314/apjcp.2015.16.9.3927
Al Wutayd O, Alamri F, Ali AM, Kassim KA, Ibrahim AK. Colorectal cancer risk factors: A study of knowledge, attitude and practice among adults in Riyadh, Saudi Arabia. Cancer Research Journal. 2015;3(5):94-99.