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    • Myths and Common Misbeliefs about Colorectal Cancer Causation in Palestine: A National Cross-Sectional Study

    JCO GLOBAL ONCOLOGY（2024）

    Division of Surgical Oncology | Al Azhar Univ Gaza | Annajah Natl Univ | Almakassed Hosp | United Nations Relief & Works Agcy Palestine Refug | Al Quds Univ | Doctors Borders Med Sans Frontieres | Islamic Univ Gaza | Palestine Med Complex | Minist Hlth | Arab Amer Univ | Augusta Victoria Hosp | Al Azhar Univ

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    Abstract
    PURPOSETo explore public awareness of myths around colorectal cancer (CRC) causation in Palestine and to examine factors associated with good awareness.MATERIALS AND METHODSConvenience sampling was used to recruit adult Palestinians from governmental hospitals, primary health care centers, and public spaces. Recognizing 13 myths around CRC causation was assessed using a translated-into-Arabic version of the Cancer Awareness Measure-Mythical Causes Scale. Awareness level was determined based on the number of CRC mythical causes recognized: poor (0-4), fair (5-9), and good (10-13). Multivariable logistic regression was used to examine the association between sociodemographic characteristics and displaying good awareness. It adjusted for age group, sex, education, occupation, monthly income, residence, marital status, having chronic diseases, being a vegetarian, knowing someone with cancer, and site of data collection.RESULTSOf 5,254 participants approached, 4,877 agreed to participate (response rate, 92.3%). A total of 4,623 questionnaires were included in the final analysis: 2,700 from the West Bank and Jerusalem (WBJ) and 1,923 from the Gaza Strip. Only 219 participants (4.7%) demonstrated good awareness of myths around CRC causation. WBJ participants were twice more likely than those from the Gaza Strip to display good recognition (5.9% v 3.1%). Male sex, living in the WBJ, and visiting hospitals were all associated with an increase in the likelihood of displaying good awareness. Conversely, knowing someone with cancer was associated with a decrease in the likelihood of displaying good awareness. Having a physical trauma was the most recognized CRC causation myth (n = 2,752, 59.5%), whereas eating food containing additives was the least (n = 456, 9.8%).CONCLUSIONOnly 4.7% displayed good ability to recognize myths around CRC causation. Future educational interventions are needed to help the public distinguish the evidence-based versus mythical causes of CRC.
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    Colorectal Cancer
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    【要点】：本文研究了巴勒斯坦地区公众对结直肠癌成因的误解和迷思，发现绝大多数人对结直肠癌成因的错误认识水平较低，指出需要开展教育干预以区分基于证据的成因与迷思。
    

    【方法】：采用方便抽样方法，选取政府医院、初级卫生保健中心和公共场所的成年巴勒斯坦人作为研究对象，使用翻译成阿拉伯语的癌症认识测量-迷思原因量表评估了关于结直肠癌成因的13个迷思的认识水平。
    

    【实验】：共招募了5254名参与者，其中4877名同意参与（回应率92.3%），最终分析了4623份问卷。仅有4.7%的参与者显示出对结直肠癌成因迷思的良好认识。结果显示，来自西岸和耶路撒冷的参与者比加沙地带的参与者更有可能显示出良好的认识。男性、居住在西岸和耶路撒冷、经常去医院就医的参与者，显示出良好认识的可能性增加，而认识癌症患者则与良好认识的可能性降低相关。身体创伤是被认为是最常见的结直肠癌成因迷思（59.5%），而食用含添加剂的食物被认为是最低的（9.8%）。