The state of knowledge of people up to 40 years of age on risk factors and prevention of colorectal cancer
Keywordscancer, cancer screening, colorectal cancer, early-onset cancer, health and safety rules
Introduction: Colorectal cancer (CRC) is the third most common malignant tumor in men and the second in women. This disease is a significant civilization and social problem. So far, the highest incidence has been among people over 60 years of age. However, nowadays, more and more cases of colorectal cancer are recorded in patients under 40 years of age. This is a very worrying phenomenon and a public health challenge.
The aim : of the study was to asses the knowledge of people aged 18 to 40 on risk factors and prevention of colorectal cancer
Material and method The research was conducted from November 2022 to January 2023. The research used the diagnostic survey method, while the research tool was a proprietary questionnaire. The online questionnaire concerned issues related to risk factors and prevention of colorectal cancer. The study was conducted among 185 people under 40 years of age.
Results: The vast majority of respondents had heard of CRC (88.7%). According to 68.1% of respondents, the risk of CRC increases with age. Only 42.2% of the respondents were aware that colorectal cancer can develop in young people. The main predisposing factors were the presence of adenoma-type polyps in the large intestine (95.1%), excessive body weight (83.8%), incorrect diet (92.4%). Only 31.9% of the respondents correctly indicated the definition of primary prevention.
Conclusions Knowledge about colorectal cancer prevention was unsatisfactory Full knowledge about preventive examinations can reduce barriers to screening. Nationwide public health efforts are needed to raise awareness of colorectal cancer among young people.
Baidoun F, Elshiwy K, Elkeraie Y, Merjaneh Z, Khoudari G, Sarmini MT, Gad M, Al-Husseini M, Saad A. Colorectal Cancer Epidemiology: Recent Trends and Impact on Outcomes. Curr Drug Targets. 2021;22(9):998-1009. doi: 10.2174/1389450121999201117115717.
Didkowska J, Wojciechowska U, Zatoński W. Malignant neoplasms in Poland in 2011. Warszawa: Centrum Onkologii Instytut im. Marii Skłodowskiej-Curie; 2013.
Wong MCS, Huang J, Huang JLW, Pang TWY, Choi P, Wang J, Chiang JI, Jiang JY. Global Prevalence of Colorectal Neoplasia: A Systematic Review and Meta-Analysis. Clin Gastroenterol Hepatol. 2020 Mar;18(3):553-561.e10. doi: 10.1016/j.cgh.2019.07.016.
Díaz-Tasende J. Colorectal cancer screening and survival. Rev Esp Enferm Dig. 2018 Nov;110(11):681-683. doi: 10.17235/reed.2018.5870/2018.
Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017 Apr;66(4):683-691. doi: 10.1136/gutjnl-2015-310912.
Patel SG, Ahnen DJ. Colorectal Cancer in the Young. Curr Gastroenterol Rep. 2018 Mar 28;20(4):15. doi: 10.1007/s11894-018-0618-9.
Deng Y, Wang L, Huang J, Ding H, Wong MCS. Associations between potential causal factors and colorectal cancer risk: A systematic review and meta-analysis of Mendelian randomization studies. J Dig Dis. 2022 Aug;23(8-9):435-445. doi: 10.1111/1751-2980.13130.
O'Sullivan DE, Sutherland RL, Town S, Chow K, Fan J, Forbes N, Heitman SJ, Hilsden RJ, Brenner DR. Risk Factors for Early-Onset Colorectal Cancer: A Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2022 Jun;20(6):1229-1240.e5. doi: 10.1016/j.cgh.2021.01.037.
Thanikachalam K, Khan G. Colorectal Cancer and Nutrition. Nutrients. 2019 Jan 14;11(1):164. doi: 10.3390/nu11010164.
Choi YJ, Myung SK, Lee JH. Light Alcohol Drinking and Risk of Cancer: A Meta-Analysis of Cohort Studies. Cancer Res Treat. 2018 Apr;50(2):474-487. doi: 10.4143/crt.2017.094.
USPSTF. Screening for colorectal cancer: US preventive services task force recommendation statement. J Am Med Assoc. 2016;315(23):2564-2575
Bretthauer M, Løberg M, Wieszczy P, Kalager M, Emilsson L, Garborg K, Rupinski M, Dekker E, Spaander M, Bugajski M, Holme Ø, Zauber AG, Pilonis ND, Mroz A, Kuipers EJ, Shi J, Hernán MA, Adami HO, Regula J, Hoff G, Kaminski MF; NordICC Study Group. Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death. N Engl J Med. 2022 Oct 27;387(17):1547-1556. doi: 10.1056/NEJMoa2208375.
Katsaounou K, Nicolaou E, Vogazianos P, Brown C, Stavrou M, Teloni S, Hatzis P, Agapiou A, Fragkou E, Tsiaoussis G, Potamitis G, Zaravinos A, Andreou C, Antoniades A, Shiammas C, Apidianakis Y. Colon Cancer: From Epidemiology to Prevention. Metabolites. 2022; 12(6):499.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018 Jan;68(1):7-30. doi: 10.3322/caac.21442.
Gupta S. Screening for Colorectal Cancer. Hematol Oncol Clin North Am. 2022 Jun;36(3):393-414. doi: 10.1016/j.hoc.2022.02.001.
Wong MCS, Huang J, Lok V, et al.. Differences in incidence and mortality trends of colorectal cancer worldwide based on sex, age, and anatomic location. Clin Gastroenterol Hepatol 2021;19(5):955–66.e1
Kuprewicz A,Krajewska Kułak E, Trochimowicz L. Wiedza na temat raka jelita grubego i preferowane zachowania zdrowotne mieszkańców miasta i wsi.Pielęg Chir Angiol. 2016 ;2:74-83
Mueller NM, Hyams T, King-Marshall EC, Curbow BA. Colorectal cancer knowledge and perceptions among individuals below the age of 50. Psychooncology. 2022 Mar;31(3):436-441. doi: 10.1002/pon.5825
Roszkowska Anna, Kwolczak Justyna, Świerszcz Łukasz, Piecewicz-Szczesna Halina. Assessment of basic knowledge on colorectalcancer and its prophylaxis in people living in small city and countryside. Journal of Education, Health and Sport. 2018;8(9):1028-1035.
Lucas-Wright A., Duran P., Bazargan M., Vargas C., Maxwell A.E.: Cancer-related Knowledge, Attitudes and Behaviors within the Latino Faith Community in South Los Angeles. Ethn Dis., 2019; 29(2): 239–246. DOI: 10.18865/ed.29.2.239.
Markowska A, Górka J, Grochans E, Szkup M.. Assessment of the knowledge of a selected social group on the prevention of colorectal cancer Med Og Nauk Zdr. 2016;22(4):303-306. doi:10.5604/20834543.1227614.
Stefanowicz A, Kulik TB, Skórzyńska H, Środa M.. Knowledge about the colorectal cancer prevention program among people aged 50-65 Geriatria 2017; 11: 259-264.
Dekker E, Tanis PJ, Vleugels, J L A. Colorectal cancer. Lancet. 2019; 394:1467-1480.
Hreńczuk MK, Sidorczuk P. The evaluation of young adults' knowledge on risk factors and prevention of colorectal cancer. Med Og Nauk Zdr. 2022;28(1):52-57. doi:10.26444/monz/147112.
Li L, Fang YJ, Abulimiti A, Huang CY, Liu KY, Chen YM, Zhang CX. Educational level and colorectal cancer risk: the mediating roles of lifestyle and dietary factors. Eur J Cancer Prev. 2022 Mar 1;31(2):137-144.
How to Cite
Copyright (c) 2023 Maria Belcarz
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Number of views and downloads: 100
Number of citations: 0