Authors
H H Sein, S M Tay, P S Chong, M C Y Lee, R K Naliena, M N I F Sonakshi, F Z Zainal, S Elhariri, M M Theingi
Published in
The Medical journal of Malaysia. Volume 81. Issue 5. Pages 714-721.
Abstract
Colorectal cancer (CRC) is the second most common cancer in Malaysia, with most cases diagnosed at late stages, leading to poor survival. Stool-based screening methods, like the immunological faecal occult blood test (iFOBT), can reduce CRC mortality, but national uptake remains below 3%. This study explores barriers to CRC screening and their association with sociodemographic factors among adults aged 50 and above attending Seremban Health Clinic.
A cross-sectional study was conducted in March 2025 at Seremban Health Clinic, Negeri Sembilan, involving 400 adults aged 50 and above. Participants were selected through purposive sampling and completed a self-administered questionnaire adapted from the Scottish Bowel Screening Programme. Data analysis was performed using IBM SPSS version 28.0, with statistical methods including multiple linear regression.
The most frequently reported barriers included low self-efficacy, unfamiliarity with screening procedures, emotional concerns, and negative perceptions of screening. Age, gender, education level, employment status, and previous experience on cancer screening were found to have significant associations with barriers to cancer screening. Respondent's belief in early detection, a sense of health responsibility, and encouragement from healthcare providers and family were identified as facilitators to cancer screening. Prior screening experience was linked to fewer barriers.
Findings indicate the need for targeted interventions to improve awareness, confidence, and attitudes toward screening.
PMID:
42813485
Bibliographic data and abstract were imported from PubMed on 30 Sep 2026.
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