Knowledge, Attitude and Obstacles of Colorectal Cancer Screening in Primary Health Care in Bali, Indonesia.

Background: The knowledge of colorectal cancer (CRC) and its screening methods of healthcare workers is the bedrock of CRC early detection particularly in countries lacking national screening programs. Unknown factors influencing colorectal cancer early detection program implementation. We aimed to evaluate the knowledge and attitudes of primary health care (PHC) provider regarding CRC screening and identify the barriers associated with the screening plan. Methods: A cross-sectional study was conducted among PHC physicians and nurses in public primary health care centers in Bali, Indonesia. A 44-item self-administered questionnaire was used to assess the knowledge, attitude and practice of CRC screening. The questionnaire was spread using google form. The data analyzed univariately and with chi-square to compare proportional differences. Results: Two hundred and five respondents have participated in this study. The average duration of doing practice in PHC is 6.6 years. In knowledge of CRC, 50.2% of them have good knowledge, and there is no difference between PCPs vs nurses (51.9% vs 47.3%; p=0.53). In attitude toward CRC screening, 58.5% out of the have good attitude, and there is no difference between primary care physicians (PCPs) vs nurses (60.3% vs 55.4%; p=0.50). There was no association between knowledge and attitude towards CRC screening (p=0.63). Conclusion: The majority of health workers' knowledge and attitudes toward CRC screening were in the "good" category. The patient's fear of being diagnosed with cancer, as well as the patient's fear and anxiety of screening tests, is the most significant barrier to colorectal cancer screening. [ABSTRACT FROM AUTHOR]

Latar Belakang: Pengetahuan tentang Kanker Kolorektal (CRC) dan metode pemeriksaannya oleh para tenaga kesehatan merupakan dasar utama dalam deteksi dini CRC, terutama di negara-negara yang tidak memiliki program skrining nasional. Faktor-faktor yang tidak diketahui yang memengaruhi implementasi program deteksi dini kanker kolorektal. Kami bertujuan untuk mengevaluasi pengetahuan dan sikap penyedia perawatan kesehatan primer (PHC) mengenai skrining CRC dan mengidentifikasi hambatan yang terkait dengan rencana skrining tersebut. Metode: Penelitian lintas-seksional dilakukan di antara dokter dan perawat PHC di pusat perawatan kesehatan primer publik di Bali, Indonesia. Kuesioner mandiri sebanyak 44 item digunakan untuk menilai pengetahuan, sikap, dan praktik skrining CRC. Data dianalisis secara univariat dan menggunakan chi-square untuk membandingkan beda proporsi. Hasil: Sebanyak 205 responden berpartisipasi dalam penelitian ini. Rata-rata durasi praktik di PHC adalah 6,6 tahun. Dalam pengetahuan tentang CRC, 50,2% dari mereka memiliki pengetahuan yang baik, dan tidak ada perbedaan antara Dokter Umum (PCPs) dan perawat (51,9% vs 47,3%; p=0,53). Dalam sikap terhadap skrining CRC, 58,5% dari mereka memiliki sikap yang baik, dan tidak ada perbedaan antara primary care physicians (PCPs) dan perawat (60,3% vs 55,4%; p=0,50). Tidak ada hubungan antara pengetahuan dan sikap terhadap skrining CRC (p=0,63). Simpulan: Mayoritas pengetahuan dan sikap tenaga kesehatan terhadap skrining CRC berada dalam kategori "baik." Ketakutan pasien akan didiagnosis menderita kanker, serta ketakutan dan kecemasan pasien terhadap tes skrining, merupakan hambatan terbesar dalam skrining kanker kolorektal. [ABSTRACT FROM AUTHOR]

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