Research Article
BibTex RIS Cite

Hastane Polikliniklerine Başvuran Bireylerin Kanser Taramalarına İlişkin Tutumunun İncelenmesi

Year 2024, Volume: 7 Issue: 3, 187 - 197, 30.12.2024
https://doi.org/10.54803/sauhsd.1523181

Abstract

Bu çalışmanın amacı, hastane polikliniklerine başvuran bireylerin kanser taramalarına yönelik tutumlarını ve bunları etkileyen faktörleri araştırmaktır. Bu çalışma kesitsel tanımlayıcı bir çalışmadır. Araştırmanın örneklemini İstanbul'un Anadolu ve Avrupa yakalarında bulunan iki şehir hastanesinin polikliniklerine başvuran 30-70 yaş arası 348 birey oluşturmuştur. Veriler Kişisel Bilgi Formu ve Kanser Taramalarına Yönelik Tutum Ölçeği kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. İstatistiksel analizler SPSS (IBM SPSS Statistics 27) paket programı kullanılarak gerçekleştirilmiştir. Çalışmamıza katılan bireylerin %72'sinin kanser taramalarını bildiği ve %43,9'unun daha önce yaptırdığı tespit edilmiştir. Kanser taraması yaptırmama nedenleri arasında en sık kişinin sağlıklı olduğunu düşünmesi ve bilgi eksikliği yer almaktadır. Kanser taramasına yönelik tutum ölçeği puan ortalaması 94,12± 17,64'tür. Kanser taramalarına yönelik tutumların yaş, kanser öyküsü, ailede/komşuda kanser öyküsü, kanser taramaları hakkında bilgi sahibi olma, düzenli tarama yaptırma ve tarama yaptırmayı isteme durumlarına göre farklılık gösterdiği belirlenmiştir (p<0,05). Araştırmaya katılan bireylerin kanser taramalarına yönelik tutumları ortalamanın üzerindedir. Ancak bireylerin yarısından fazlası hiç kanser taraması yaptırmamıştır. Kanser taramaları konusunda hem bireysel hem de toplumsal düzeyde bilgilendirme ve bilinçlendirme yapılması taramalara katılım sıklığını artırabilir.

Ethical Statement

Bu çalışma için Üsküdar Üniversitesi Girişimsel Olmayan Etik onay alınmıştır. (Tarih: 30.12.2022, Sayı: 61351342/ARALIK2022-72).

Supporting Institution

TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı

References

  • Turkish Statistical Institute (TUIK). Death and Cause of Death Statistics, 2022 2022 [Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679. Access date: 05.01.2024
  • Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: An overview. International journal of cancer. 2021;149(4):778-89. https://doi.org/10.1002/ijc.33588
  • Yıldız MS, Önder Y, Çıtıl R, Okan İ. Colorectal Cancer Risk Factors and Colorectal Cancer Screening Awareness Levels in Adults Applying to Family Health Centres: Colorectal Cancer Screening Awareness Levels in Adults. Chronicles of Precision Medical Researchers. 2022;3(2):68-77. https://doi.org/10.5281/zenodo.6965919
  • World Health Organization (WHO). Cancer 2022 [Available from: https://www.who.int/en/news-room/fact-sheets/detail/cancer. Access date: 05.01.2024
  • T.C. Ministry of Health, Directorate of Public Health. Cancer Screenings [Available from: https://hsgm.saglik.gov.tr/tr/kanser-taramalari.html. Access date: 05.01.2024
  • Tekpinar H, Asik Z, Ozen M. Evaluation of the patients who apply to family medicine policlinic. Turkish Journal of Family Practice. 2018;22(1):28-36. Doı: 10.15511/tahd.18.00128
  • Gök Uğur H, Aksoy Derya Y, Yılmaz Yavuz A, ŞILBIR MF, Aylin Ö. Knowledge, attitudes and behaviours of women aged 30-70 years applying to family health centres towards national cancer screening: A provincial example in the Black Sea Region. Journal of Continuing Medical Education. 2019;28(5):340-348. https://doi.org/10.17942/sted.529150
  • Ogunsanya ME, Brown CM, Odedina FT, Barner JC, Adedipe TB, Corbell B. Knowledge of prostate cancer and screening among young multiethnic black men. American journal of men's health. 2017;11(4):1008-18. https://doi.org/10.1177/1557988316689497
  • Morlando M, Pelullo CP, Di Giuseppe G. Prostate cancer screening: Knowledge, attitudes and practices in a sample of men in Italy. A survey. PloS one. 2017;12(10):e0186332. https://doi.org/10.1371/journal.pone.0186332
  • Cullati S, Charvet-Bérard AI, Perneger TV. Cancer screening in a middle-aged general population: Factors associated with practices and attitudes. BMC Public Health. 2009;9:118. doi:10.1186/1471-2458-9-118
  • Karakoyunlu Şen S, Kılıç Öztürk Y. The relationship between health perception and awareness of cancer screening. Turkish Journal of Family Medicine. 2020;24(4):175-83. doi: 10.15511/tahd.20.00475
  • Öztürk ENY, Uyar M, Şahi̇n TK. Development of an attitude scale for cancer screening. Turkish Journal of Oncology. 2020;35(4). doi: 10.5505/tjo.2020.2341
  • Uysal N, Toprak FÜ. Women's health perceptions, attitudes towards cancer screening and determination of affecting factors. Journal of Adnan Menderes University Faculty of Health Sciences. 2022;6(1):65-76. https://doi.org/10.46237/amusbfd.926839
  • Huang J, Choi P, Pang TW, Chen X, Wang J, Ding H, et al. Factors associated with participation in colourectal cancer screening: A population-based study of 7200 individuals. European Journal of Cancer Care. 2021;30(2):e13369. https://doi.org/10.1111/ecc.13369
  • Aytepe UE, Dönmez E. Colorectal Cancer Screening Behaviours in Turkey, Factors Affecting and Reasons for Not Participating in Screening: A Systematic Review. Journal of Public Health Nursing. 2022;4(1):56-76. https://doi.org/10.54061/jphn.980767
  • Babaoğlu A, Büyüközmen E, Can F. Awareness of cancer screening tests in the community in Izmir and factors affecting individuals' participation in cancer screening tests. Western Black Sea Medical Journal. 2021;5(2):173-81. https://doi.org/10.29058/mjwbs.853692
  • Özsöyler M, Güzelöz Çapar ZG, Keser M. Knowledge and Attitudes about Cancer Screening Tests of Patients 35 Years of Age and Older Applying to Family Medicine Outpatient Clinic. Forbes Journal of Medicine. 2023;4(1). Doı: 10.4274/forbes.galenos.2022.44227
  • Al Yahyai T, Al Raisi M, Al Kindi R. Knowledge, attitudes, and practices regarding cervical cancer screening among Omani women attending primary healthcare centres in Oman: A cross-sectional survey. Asian Pacific Journal of Cancer Prevention: APJCP. 2021;22(3):775. doi: 10.31557/APJCP.2021.22.3.775
  • Alshammari SA, Alenazi HA, Alshammari HS. Knowledge, attitude and practice towards early screening of colourectal cancer in Riyadh. Journal of Family Medicine and Primary Care. 2020;9(5):2273-80. Doı: 10.4103/jfmpc.jfmpc_290_20
  • Şen SK, Öztürk YK. The relationship between health perception and awareness of cancer screening. Turkish Journal of Family Medicine. 2020;24(4):175-83. doi: 10.15511/tahd.20.00475
  • Farooqi WA, Alayed MI, Alkhuraisi FY, Alsinan ZA, Alghadeer HA, Aldajam MA. Knowledge, attitude, and perceived barriers regarding cancer screening in Saudi Arabia. International Journal of Surgery and Medicine. 2021;7(2):34-44. Doi:10.5455/ijsm.cancer-screening-Saudi-Arabia-2021
  • Özçelik EK, Seçginli S. Breast cancer screening behaviours in women with a family history of breast cancer. Journal of Continuing Medical Education. 2022;31(3):183-92. https://doi.org/10.17942/sted.897058
  • Ba DM, Ssentongo P, Agbese E, Yang Y, Cisse R, Diakite B, et al. Prevalence and determinants of breast cancer screening in four sub-Saharan African countries: A population-based study. BMJ open. 2020;10(10):e039464. doi:10.1136/bmjopen-2020-039464
  • OECD. Screening 2021 [Available from: https://stats.oecd.org/index.aspx?queryid=30159.
  • Khan E, Bin Khalid A, Anwar A, Safeer N. Knowledge Attitude and Practice Regarding Screening of Breast Cancer Among Women in Karachi, Pakistan. Online Turkish Journal of Health Sciences (OTJHS). 2019;4(3). https://doi.org/10.26453/otjhs.476021
  • Şeker N, Yasin YK, Özaydın E, Çapacı B, Okyay P. Knowledge of cancer screening programmes of nurses in tertiary health care institutions and their status of having screening tests. Duzce Medical Journal. 2017;19(1):14-8.
  • Lemp JM, De Neve J-W, Bussmann H, Chen S, Manne-Goehler J, Theilmann M, et al. Lifetime prevalence of cervical cancer screening in 55 low-and middle-income countries. Jama. 2020;324(15):1532-42. doi:10.1001/jama.2020.16244
  • Cardoso R, Guo F, Heisser T, Hackl M, Ihle P, De Schutter H, et al. Colourectal cancer incidence, mortality, and stage distribution in European countries in the colorectal cancer screening era: An international population-based study. The Lancet Oncology. 2021;22(7):1002-13. https://doi.org/10.1016/S1470-2045(21)00199-6
  • Özkan İ, Taylan S. Barriers to women's breast cancer screening behaviours in several countries: A meta-synthesis study. Health Care for Women International. 2021;42(7-9):1013-43. https://doi.org/10.1080/07399332.2020.1814777
  • Smith J, Dodd RH, Gainey KM, Naganathan V, Cvejic E, Jansen J, et al. Patient-reported factors associated with older adults' cancer screening decision-making: A systematic review. JAMA Network Open. 2021;4(11):e2133406-e. doi:10.1001/jamanetworkopen.2021.33406
  • Jansen EE, Zielonke N, Gini A, Anttila A, Segnan N, Vokó Z, et al. Effect of organised cervical cancer screening on cervical cancer mortality in Europe: A systematic review. European journal of cancer. 2020;127:207-23. https://doi.org/10.1016/j.ejca.2019.12.013
  • Dibden A, Offman J, Duffy SW, Gabe R. Worldwide review and meta-analysis of cohort studies measuring the effect of mammography screening programmes on incidence-based breast cancer mortality. Cancers. 2020;12(4):976. https://doi.org/10.3390/cancers12040976

Investigation Of Attitudes Towards Cancer Screening Of Patients Applying To Hospital Outpatient Clinics

Year 2024, Volume: 7 Issue: 3, 187 - 197, 30.12.2024
https://doi.org/10.54803/sauhsd.1523181

Abstract

Objective: This study aimed to investigate the attitudes of individuals applying to hospital outpatient clinics toward cancer screening and the factors affecting them.
Method: This study is a cross-sectional descriptive study. The study sample consisted of 348 individuals aged 30-70 years who applied to the outpatient clinics of two city hospitals located on the Anatolian and European sides of Istanbul. The data were collected by face-to-face interviews using Personal Information Form and Attitudes Towards Cancer Screenings Scale. Statistical analyses were performed using SPSS (IBM SPSS Statistics 27) package programme.
Results: It was determined that 72% of the individuals who participated in our study knew about cancer screening and 43.9% had had it before. The most common reasons for not having cancer screening were thinking that the person was healthy and lack of information. The mean score of the attitude towards cancer screening scale was 94.12± 17.64. It was determined that attitudes towards cancer screening differed according to age, history of cancer, family/neighborhood history of cancer, having information about cancer screening, having regular screening, and wanting to have screening (p<0.05).
Conclusion: The attitude of the individuals participating in the study towards cancer screening is above average. However, more than half of the individuals have never had cancer screening. Informing and raising awareness about cancer screening at both individual and social level may increase the frequency of participation in screening.

Ethical Statement

Uskudar University Non-Interventional Ethics approval was obtained for this study (Date: 30.12.2022, Number: 61351342/ DEC2022-72). The purpose of the study was explained to the individuals participating in the study, and consent was obtained.

References

  • Turkish Statistical Institute (TUIK). Death and Cause of Death Statistics, 2022 2022 [Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679. Access date: 05.01.2024
  • Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, et al. Cancer statistics for the year 2020: An overview. International journal of cancer. 2021;149(4):778-89. https://doi.org/10.1002/ijc.33588
  • Yıldız MS, Önder Y, Çıtıl R, Okan İ. Colorectal Cancer Risk Factors and Colorectal Cancer Screening Awareness Levels in Adults Applying to Family Health Centres: Colorectal Cancer Screening Awareness Levels in Adults. Chronicles of Precision Medical Researchers. 2022;3(2):68-77. https://doi.org/10.5281/zenodo.6965919
  • World Health Organization (WHO). Cancer 2022 [Available from: https://www.who.int/en/news-room/fact-sheets/detail/cancer. Access date: 05.01.2024
  • T.C. Ministry of Health, Directorate of Public Health. Cancer Screenings [Available from: https://hsgm.saglik.gov.tr/tr/kanser-taramalari.html. Access date: 05.01.2024
  • Tekpinar H, Asik Z, Ozen M. Evaluation of the patients who apply to family medicine policlinic. Turkish Journal of Family Practice. 2018;22(1):28-36. Doı: 10.15511/tahd.18.00128
  • Gök Uğur H, Aksoy Derya Y, Yılmaz Yavuz A, ŞILBIR MF, Aylin Ö. Knowledge, attitudes and behaviours of women aged 30-70 years applying to family health centres towards national cancer screening: A provincial example in the Black Sea Region. Journal of Continuing Medical Education. 2019;28(5):340-348. https://doi.org/10.17942/sted.529150
  • Ogunsanya ME, Brown CM, Odedina FT, Barner JC, Adedipe TB, Corbell B. Knowledge of prostate cancer and screening among young multiethnic black men. American journal of men's health. 2017;11(4):1008-18. https://doi.org/10.1177/1557988316689497
  • Morlando M, Pelullo CP, Di Giuseppe G. Prostate cancer screening: Knowledge, attitudes and practices in a sample of men in Italy. A survey. PloS one. 2017;12(10):e0186332. https://doi.org/10.1371/journal.pone.0186332
  • Cullati S, Charvet-Bérard AI, Perneger TV. Cancer screening in a middle-aged general population: Factors associated with practices and attitudes. BMC Public Health. 2009;9:118. doi:10.1186/1471-2458-9-118
  • Karakoyunlu Şen S, Kılıç Öztürk Y. The relationship between health perception and awareness of cancer screening. Turkish Journal of Family Medicine. 2020;24(4):175-83. doi: 10.15511/tahd.20.00475
  • Öztürk ENY, Uyar M, Şahi̇n TK. Development of an attitude scale for cancer screening. Turkish Journal of Oncology. 2020;35(4). doi: 10.5505/tjo.2020.2341
  • Uysal N, Toprak FÜ. Women's health perceptions, attitudes towards cancer screening and determination of affecting factors. Journal of Adnan Menderes University Faculty of Health Sciences. 2022;6(1):65-76. https://doi.org/10.46237/amusbfd.926839
  • Huang J, Choi P, Pang TW, Chen X, Wang J, Ding H, et al. Factors associated with participation in colourectal cancer screening: A population-based study of 7200 individuals. European Journal of Cancer Care. 2021;30(2):e13369. https://doi.org/10.1111/ecc.13369
  • Aytepe UE, Dönmez E. Colorectal Cancer Screening Behaviours in Turkey, Factors Affecting and Reasons for Not Participating in Screening: A Systematic Review. Journal of Public Health Nursing. 2022;4(1):56-76. https://doi.org/10.54061/jphn.980767
  • Babaoğlu A, Büyüközmen E, Can F. Awareness of cancer screening tests in the community in Izmir and factors affecting individuals' participation in cancer screening tests. Western Black Sea Medical Journal. 2021;5(2):173-81. https://doi.org/10.29058/mjwbs.853692
  • Özsöyler M, Güzelöz Çapar ZG, Keser M. Knowledge and Attitudes about Cancer Screening Tests of Patients 35 Years of Age and Older Applying to Family Medicine Outpatient Clinic. Forbes Journal of Medicine. 2023;4(1). Doı: 10.4274/forbes.galenos.2022.44227
  • Al Yahyai T, Al Raisi M, Al Kindi R. Knowledge, attitudes, and practices regarding cervical cancer screening among Omani women attending primary healthcare centres in Oman: A cross-sectional survey. Asian Pacific Journal of Cancer Prevention: APJCP. 2021;22(3):775. doi: 10.31557/APJCP.2021.22.3.775
  • Alshammari SA, Alenazi HA, Alshammari HS. Knowledge, attitude and practice towards early screening of colourectal cancer in Riyadh. Journal of Family Medicine and Primary Care. 2020;9(5):2273-80. Doı: 10.4103/jfmpc.jfmpc_290_20
  • Şen SK, Öztürk YK. The relationship between health perception and awareness of cancer screening. Turkish Journal of Family Medicine. 2020;24(4):175-83. doi: 10.15511/tahd.20.00475
  • Farooqi WA, Alayed MI, Alkhuraisi FY, Alsinan ZA, Alghadeer HA, Aldajam MA. Knowledge, attitude, and perceived barriers regarding cancer screening in Saudi Arabia. International Journal of Surgery and Medicine. 2021;7(2):34-44. Doi:10.5455/ijsm.cancer-screening-Saudi-Arabia-2021
  • Özçelik EK, Seçginli S. Breast cancer screening behaviours in women with a family history of breast cancer. Journal of Continuing Medical Education. 2022;31(3):183-92. https://doi.org/10.17942/sted.897058
  • Ba DM, Ssentongo P, Agbese E, Yang Y, Cisse R, Diakite B, et al. Prevalence and determinants of breast cancer screening in four sub-Saharan African countries: A population-based study. BMJ open. 2020;10(10):e039464. doi:10.1136/bmjopen-2020-039464
  • OECD. Screening 2021 [Available from: https://stats.oecd.org/index.aspx?queryid=30159.
  • Khan E, Bin Khalid A, Anwar A, Safeer N. Knowledge Attitude and Practice Regarding Screening of Breast Cancer Among Women in Karachi, Pakistan. Online Turkish Journal of Health Sciences (OTJHS). 2019;4(3). https://doi.org/10.26453/otjhs.476021
  • Şeker N, Yasin YK, Özaydın E, Çapacı B, Okyay P. Knowledge of cancer screening programmes of nurses in tertiary health care institutions and their status of having screening tests. Duzce Medical Journal. 2017;19(1):14-8.
  • Lemp JM, De Neve J-W, Bussmann H, Chen S, Manne-Goehler J, Theilmann M, et al. Lifetime prevalence of cervical cancer screening in 55 low-and middle-income countries. Jama. 2020;324(15):1532-42. doi:10.1001/jama.2020.16244
  • Cardoso R, Guo F, Heisser T, Hackl M, Ihle P, De Schutter H, et al. Colourectal cancer incidence, mortality, and stage distribution in European countries in the colorectal cancer screening era: An international population-based study. The Lancet Oncology. 2021;22(7):1002-13. https://doi.org/10.1016/S1470-2045(21)00199-6
  • Özkan İ, Taylan S. Barriers to women's breast cancer screening behaviours in several countries: A meta-synthesis study. Health Care for Women International. 2021;42(7-9):1013-43. https://doi.org/10.1080/07399332.2020.1814777
  • Smith J, Dodd RH, Gainey KM, Naganathan V, Cvejic E, Jansen J, et al. Patient-reported factors associated with older adults' cancer screening decision-making: A systematic review. JAMA Network Open. 2021;4(11):e2133406-e. doi:10.1001/jamanetworkopen.2021.33406
  • Jansen EE, Zielonke N, Gini A, Anttila A, Segnan N, Vokó Z, et al. Effect of organised cervical cancer screening on cervical cancer mortality in Europe: A systematic review. European journal of cancer. 2020;127:207-23. https://doi.org/10.1016/j.ejca.2019.12.013
  • Dibden A, Offman J, Duffy SW, Gabe R. Worldwide review and meta-analysis of cohort studies measuring the effect of mammography screening programmes on incidence-based breast cancer mortality. Cancers. 2020;12(4):976. https://doi.org/10.3390/cancers12040976
There are 32 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​, Public Health Nursing
Journal Section Research Article
Authors

Hatice Demirdağ 0000-0002-6512-7497

Meftun Akgün 0000-0002-9839-2203

Bilge Macit 0009-0000-5555-7154

Şevval İrem Dalcalı 0009-0001-5532-2950

Şule Can 0009-0005-5551-2438

Early Pub Date December 30, 2024
Publication Date December 30, 2024
Submission Date July 29, 2024
Acceptance Date November 30, 2024
Published in Issue Year 2024 Volume: 7 Issue: 3

Cite

APA Demirdağ, H., Akgün, M., Macit, B., Dalcalı, Ş. İ., et al. (2024). Investigation Of Attitudes Towards Cancer Screening Of Patients Applying To Hospital Outpatient Clinics. Sakarya University Journal of Holistic Health, 7(3), 187-197. https://doi.org/10.54803/sauhsd.1523181