Knowledge, attitude, and behavior among Saudis toward cancer preventive practice

To examine self-reported knowledge, attitude, and preventive practices on cancer among Saudis. Data was collected from Saudis aged 15 years or more, who attended one of the randomly selected 20 Primary Health Centers [PHC] or the four major private hospitals located in the Riyadh region, either as patients or their escorts. The association between the variables was evaluated by the Chi square test. The study population consisted of 618 males and 719 females. Among the female respondents 23.1% reported that they practiced breast self-examination [BSE]; 14.2 and 8.1%, respectively, had clinical breast examination [CBE] and mammography. However, 10.0 and 16.1% of the females, aged 40 years and older, reported having had mammograms and CBE, respectively. The BSE performers were more educated, knew someone with cancer, and had heard of the cancer warning signal. Both educational level and 'heard of cancer warning signal' were significantly related to CBE. Cancer information was received from television / radio by 65.1% and from the physician by 29.4%. Even though 69.4% believed that cancer could be detected early, a vast majority [95.8%] felt early detection of cancer was extremely desirable and 55.1% said their participation was definite in any screening program. A majority of the respondents [92.6%] insisted on the need for physician recommendation to participate and 78.1% expected that any such program should be conducted in the existing hospitals / clinics. Culturally sensitive health education messages should be tailored to fulfill the knowledge gap among all population strata. Saudis will benefit from partnerships between public health educators and media to speed up the dissemination of cancer information

incidence of lung cancer in the Gulf cooperation council countries

Lung cancer is the most common cancer in the world, with an estimated number of 1.3 million new cases as of 2002. This is the first report from the countries that comprise the Gulf Cooperation Council [GCC]. All the primary lung cancer cases registered in the Gulf Center for Cancer Registration during 1998 to 2001 were used to calculate the age-standardized incidence rate [ASR] per 100 000 person-years by the direct standardization method. Overall, there were 1607 [1261 males, 346 females] primary lung cancer cases registered during this period with the male to female ratio of 3.6:1. The highest ASR was in Bahrain [34.3 for males, 12.1 for females] followed by Qatar [18.5 for males, 5.5 for females] and Kuwait [13.8 for males, 4.0 for females]; the lowest rate was in Saudi Arabia [4.8 for males, 1.3 for females]. The mean age at diagnosis for males ranged from 68.7 years in Bahrain to 59.2 years in Oman. For females it ranged from 68.2 years in Bahrain to 58.0 years in Oman. Squamous cell carcinoma in males [except in Qatar] and adenocarcinoma in females were the predominant histological type. Cancer of the lung is one of the common cancers among males in all the GCC countries and ranks second among Bahraini females. Adenocarcinomas were more common in women than men