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High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China

As the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC sc...

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Main Authors: Huang, Zhiwen, Liu, Wei, Marzo, Roy Rillera, Hu, Zhijian, Wong, Li Ping, Lin, Yulan
Format: Article
Published: Frontiers Media 2022
Subjects:
R Medicine
RA Public aspects of medicine
Online Access:http://eprints.um.edu.my/41192/
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spelling my.um.eprints.411922023-09-13T03:14:34Z http://eprints.um.edu.my/41192/ High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China Huang, Zhiwen Liu, Wei Marzo, Roy Rillera Hu, Zhijian Wong, Li Ping Lin, Yulan R Medicine RA Public aspects of medicine As the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC screening among people aged 40 years old and above in China. MethodsA cross-sectional, web-based survey was conducted among people aged 40 years old and above between October 2021 and March 2022 in Southeastern China. The participants' knowledge was assessed by a series of questions about risk factors (24-item scale) and warning symptoms (14-item scale). ResultsA total of 2547 complete responses were received. The mean age was 47.72 (+/- 7.20) years and near 60% were male. Respondents had a moderate level of knowledge about risk factors and warning symptoms of GC. The total mean knowledge score was 23.9 (+/- 9.8) out of a possible score of 38. Majority (80%) of respondents reported intention to be screened for GC in the next 5 years. The most influential predictors of screening intention were income level (OR = 2.13, 95% CI: 1.36-3.32), perceived benefits (OR = 1.99, 95% CI: 1.33-2.73), perceived severity (OR = 1.68, 95% CI: 1.20-2.34), ever took GC screening (OR = 1.63, 95% CI: 1.28-2.08), perceived poor overall health (OR = 1.59, 95% CI: 1.19-2.11), and perceived barriers (OR = 1.56, 95% CI: 1.17-2.09). Other significant factors were ever diagnosed with chronic gastric diseases, total knowledge score, and cues-to-action. The major reasons for not willing to take screening were ``endoscopy is uncomfortable'' (29.6%), ``worry about screening results'' (23.6%), and ``have no symptoms'' (21.3%). ConclusionHigh-risk population aged 40 years and above expressed high intention to receive GC screening. Intervention to improve health promotion and reduce the barriers to uptake of GC screening among high-risk populations in China is warranted. Frontiers Media 2022-08 Article PeerReviewed Huang, Zhiwen and Liu, Wei and Marzo, Roy Rillera and Hu, Zhijian and Wong, Li Ping and Lin, Yulan (2022) High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China. Frontiers in Public Health, 10. ISSN 2296-2565, DOI https://doi.org/10.3389/fpubh.2022.974923 <https://doi.org/10.3389/fpubh.2022.974923>. 10.3389/fpubh.2022.974923
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
RA Public aspects of medicine
spellingShingle R Medicine
RA Public aspects of medicine
Huang, Zhiwen
Liu, Wei
Marzo, Roy Rillera
Hu, Zhijian
Wong, Li Ping
Lin, Yulan
High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
description As the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC screening among people aged 40 years old and above in China. MethodsA cross-sectional, web-based survey was conducted among people aged 40 years old and above between October 2021 and March 2022 in Southeastern China. The participants' knowledge was assessed by a series of questions about risk factors (24-item scale) and warning symptoms (14-item scale). ResultsA total of 2547 complete responses were received. The mean age was 47.72 (+/- 7.20) years and near 60% were male. Respondents had a moderate level of knowledge about risk factors and warning symptoms of GC. The total mean knowledge score was 23.9 (+/- 9.8) out of a possible score of 38. Majority (80%) of respondents reported intention to be screened for GC in the next 5 years. The most influential predictors of screening intention were income level (OR = 2.13, 95% CI: 1.36-3.32), perceived benefits (OR = 1.99, 95% CI: 1.33-2.73), perceived severity (OR = 1.68, 95% CI: 1.20-2.34), ever took GC screening (OR = 1.63, 95% CI: 1.28-2.08), perceived poor overall health (OR = 1.59, 95% CI: 1.19-2.11), and perceived barriers (OR = 1.56, 95% CI: 1.17-2.09). Other significant factors were ever diagnosed with chronic gastric diseases, total knowledge score, and cues-to-action. The major reasons for not willing to take screening were ``endoscopy is uncomfortable'' (29.6%), ``worry about screening results'' (23.6%), and ``have no symptoms'' (21.3%). ConclusionHigh-risk population aged 40 years and above expressed high intention to receive GC screening. Intervention to improve health promotion and reduce the barriers to uptake of GC screening among high-risk populations in China is warranted.
format Article
author Huang, Zhiwen
Liu, Wei
Marzo, Roy Rillera
Hu, Zhijian
Wong, Li Ping
Lin, Yulan
author_facet Huang, Zhiwen
Liu, Wei
Marzo, Roy Rillera
Hu, Zhijian
Wong, Li Ping
Lin, Yulan
author_sort Huang, Zhiwen
title High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
title_short High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
title_full High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
title_fullStr High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
title_full_unstemmed High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China
title_sort high-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in southeastern china
publisher Frontiers Media
publishDate 2022
url http://eprints.um.edu.my/41192/
_version_ 1778161639274577920
score 13.211869

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