Exploring knowledge, attitude, practices and barriers toward colorectal cancer screening in the United Arab Emirates: a mixed-methods study

Colorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However...

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Published in:	Frontiers in public health Vol. 13; p. 1548258
Main Authors:	Elbarazi, Iffat, Alam, Zufishan, Alshebli, Mouza, Alsunaidi, Lamia, Al-Bluwi, Ghada S. M., Faheem, Fayeza, Abdullahi, Aminu S., Ahmed, Luai A., Al-Maskari, Fatma
Format:	Journal Article
Language:	English
Published:	Switzerland Frontiers Media S.A 2025
Subjects:	Adult Aged Arab colonoscopy colorectal cancer Colorectal Neoplasms - diagnosis Early Detection of Cancer - psychology Early Detection of Cancer - statistics & numerical data Female health behavior (MeSH) Health Knowledge, Attitudes, Practice Humans Male Middle Aged mixed method Patient Acceptance of Health Care - statistics & numerical data Qualitative Research Surveys and Questionnaires United Arab Emirates United Arab Emirates colorectal cancer Arab colonoscopy health behavior (MeSH) mixed method
ISSN:	2296-2565, 2296-2565
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Abstract	Colorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However, there is limited research to document awareness and uptake of colorectal cancer screening among the UAE population. This study aimed to assess the knowledge and behaviors of the adult Emirati population in Al-Ain, UAE, toward CRC screening, along with the barriers affecting uptake. A mixed methods research design was employed. Participants (  = 493) recruited from primary care centers, participated in a face-to-face survey that assessed their knowledge and attitudes toward CRC screening. It was followed by in-depth interviews with the consenting participants (  = 16) to explore factors affecting screening uptake. Quantitative data was analyzed via descriptive statistics with Mann-Whitney U and Kruskal-Wallis ANOVA tests applied to examine knowledge differences across sociodemographic variables. Whereas qualitative data was analyzed via thematic analysis. Low average knowledge scores (10%) and participation levels (12.3%) for CRC screening were evident among the participantsThe majority of the participants held discouraging attitudes, indicating various barriers toward CRC screening. Identified themes relevant to factors affecting screening uptake included knowledge deficits, the influence of inherent beliefs, and the inadequate role of healthcare providers (HCPs). In order to encourage CRC screening among individuals, policymakers need to invest in community awareness and education campaigns that target primary care physicians and adults from all educational backgrounds.
AbstractList	Colorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However, there is limited research to document awareness and uptake of colorectal cancer screening among the UAE population.BackgroundColorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However, there is limited research to document awareness and uptake of colorectal cancer screening among the UAE population.This study aimed to assess the knowledge and behaviors of the adult Emirati population in Al-Ain, UAE, toward CRC screening, along with the barriers affecting uptake.AimThis study aimed to assess the knowledge and behaviors of the adult Emirati population in Al-Ain, UAE, toward CRC screening, along with the barriers affecting uptake.A mixed methods research design was employed. Participants (n = 493) recruited from primary care centers, participated in a face-to-face survey that assessed their knowledge and attitudes toward CRC screening. It was followed by in-depth interviews with the consenting participants (n = 16) to explore factors affecting screening uptake. Quantitative data was analyzed via descriptive statistics with Mann-Whitney U and Kruskal-Wallis ANOVA tests applied to examine knowledge differences across sociodemographic variables. Whereas qualitative data was analyzed via thematic analysis.MethodA mixed methods research design was employed. Participants (n = 493) recruited from primary care centers, participated in a face-to-face survey that assessed their knowledge and attitudes toward CRC screening. It was followed by in-depth interviews with the consenting participants (n = 16) to explore factors affecting screening uptake. Quantitative data was analyzed via descriptive statistics with Mann-Whitney U and Kruskal-Wallis ANOVA tests applied to examine knowledge differences across sociodemographic variables. Whereas qualitative data was analyzed via thematic analysis.Low average knowledge scores (10%) and participation levels (12.3%) for CRC screening were evident among the participantsThe majority of the participants held discouraging attitudes, indicating various barriers toward CRC screening. Identified themes relevant to factors affecting screening uptake included knowledge deficits, the influence of inherent beliefs, and the inadequate role of healthcare providers (HCPs).ResultsLow average knowledge scores (10%) and participation levels (12.3%) for CRC screening were evident among the participantsThe majority of the participants held discouraging attitudes, indicating various barriers toward CRC screening. Identified themes relevant to factors affecting screening uptake included knowledge deficits, the influence of inherent beliefs, and the inadequate role of healthcare providers (HCPs).In order to encourage CRC screening among individuals, policymakers need to invest in community awareness and education campaigns that target primary care physicians and adults from all educational backgrounds.ConclusionIn order to encourage CRC screening among individuals, policymakers need to invest in community awareness and education campaigns that target primary care physicians and adults from all educational backgrounds. BackgroundColorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However, there is limited research to document awareness and uptake of colorectal cancer screening among the UAE population.AimThis study aimed to assess the knowledge and behaviors of the adult Emirati population in Al-Ain, UAE, toward CRC screening, along with the barriers affecting uptake.MethodA mixed methods research design was employed. Participants (n = 493) recruited from primary care centers, participated in a face-to-face survey that assessed their knowledge and attitudes toward CRC screening. It was followed by in-depth interviews with the consenting participants (n = 16) to explore factors affecting screening uptake. Quantitative data was analyzed via descriptive statistics with Mann–Whitney U and Kruskal-Wallis ANOVA tests applied to examine knowledge differences across sociodemographic variables. Whereas qualitative data was analyzed via thematic analysis.ResultsLow average knowledge scores (10%) and participation levels (12.3%) for CRC screening were evident among the participantsThe majority of the participants held discouraging attitudes, indicating various barriers toward CRC screening. Identified themes relevant to factors affecting screening uptake included knowledge deficits, the influence of inherent beliefs, and the inadequate role of healthcare providers (HCPs).ConclusionIn order to encourage CRC screening among individuals, policymakers need to invest in community awareness and education campaigns that target primary care physicians and adults from all educational backgrounds. Colorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening program was introduced in 2014, and it was expected that the program would face challenges, including low participation and poor adherence. However, there is limited research to document awareness and uptake of colorectal cancer screening among the UAE population. This study aimed to assess the knowledge and behaviors of the adult Emirati population in Al-Ain, UAE, toward CRC screening, along with the barriers affecting uptake. A mixed methods research design was employed. Participants (  = 493) recruited from primary care centers, participated in a face-to-face survey that assessed their knowledge and attitudes toward CRC screening. It was followed by in-depth interviews with the consenting participants (  = 16) to explore factors affecting screening uptake. Quantitative data was analyzed via descriptive statistics with Mann-Whitney U and Kruskal-Wallis ANOVA tests applied to examine knowledge differences across sociodemographic variables. Whereas qualitative data was analyzed via thematic analysis. Low average knowledge scores (10%) and participation levels (12.3%) for CRC screening were evident among the participantsThe majority of the participants held discouraging attitudes, indicating various barriers toward CRC screening. Identified themes relevant to factors affecting screening uptake included knowledge deficits, the influence of inherent beliefs, and the inadequate role of healthcare providers (HCPs). In order to encourage CRC screening among individuals, policymakers need to invest in community awareness and education campaigns that target primary care physicians and adults from all educational backgrounds.
Author	Al-Bluwi, Ghada S. M. Alshebli, Mouza Alsunaidi, Lamia Elbarazi, Iffat Al-Maskari, Fatma Faheem, Fayeza Alam, Zufishan Abdullahi, Aminu S. Ahmed, Luai A.
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Snippet	Colorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC screening... BackgroundColorectal cancer (CRC) is a major contributor to cancer-related morbidity and mortality worldwide. In the United Arab Emirates (UAE), the CRC...
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SubjectTerms	Adult Aged Arab colonoscopy colorectal cancer Colorectal Neoplasms - diagnosis Early Detection of Cancer - psychology Early Detection of Cancer - statistics & numerical data Female health behavior (MeSH) Health Knowledge, Attitudes, Practice Humans Male Middle Aged mixed method Patient Acceptance of Health Care - statistics & numerical data Qualitative Research Surveys and Questionnaires United Arab Emirates
Title	Exploring knowledge, attitude, practices and barriers toward colorectal cancer screening in the United Arab Emirates: a mixed-methods study
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