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Survey of awareness and beliefs about cancer (ABC) in Tehran Province, Iran

Akbari, Paria, Nemati, Saeed, Nahvijou, Azin, Bolourinejad, Paria, Forbes, Lindsay J.L., Zendehdel, Kazem (2024) Survey of awareness and beliefs about cancer (ABC) in Tehran Province, Iran. BMC Cancer, 24 (1). Article Number 579. E-ISSN 1471-2407. (doi:10.1186/s12885-024-12211-y) (KAR id:106015)


Introduction: Knowledge, attitudes, and practices are essential measures for planning and evaluating cancer control programs. Little is known about these in Iran.

Methods: We conducted a population-based interview survey of adults aged 30–70 using the Farsi version of the Awareness and Beliefs about Cancer questionnaire in the capital province of Tehran, Iran, 2019. We calculated weighted estimates of levels of cancer knowledge, attitudes, and practices to allow for different selection probabilities and nonresponse. We used multivariate logistic regression to understand demographic factors associated with bowel, cervix, and breast screening practices.

Results: We interviewed 736 men and 744 women. The mean number of recalled cancer warning signs was less than one; 57.7% could not recall any cancer warning signs. Participants recognized 5.6 out of 11 early cancer warning signs and 8.8 of 13 cancer risk factors. Most (82.7%) did not know that HPV infection was a cancer risk factor. Approximately, half had negative attitudes towards cancer treatment, but over 80% had positive attitudes towards the effectiveness of screening for improving survival. Colorectal, breast, and cervical screening rates were 24%, 42%, and 49%, respectively. Higher socioeconomic status increased the odds of taking up screening for cancer. Women aged 60–70 were less likely to report taking up breast and cervical screening than younger women.

Discussion: The Iranian population has poor awareness and negative attitudes about cancer, and participation in screening programs is low. Public awareness and early detection of cancer should be promoted in Iran.

Item Type: Article
DOI/Identification number: 10.1186/s12885-024-12211-y
Uncontrolled keywords: Middle Aged, Aged, Health Knowledge, Attitudes, Practice, Neoplasms - psychology - epidemiology - diagnosis, Iran - epidemiology, Humans, Early Detection of Cancer - psychology - statistics & numerical data, Surveys and Questionnaires, Male, Female, Adult
Subjects: R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Lindsay Forbes
Date Deposited: 19 May 2024 21:23 UTC
Last Modified: 29 May 2024 14:01 UTC
Resource URI: (The current URI for this page, for reference purposes)

University of Kent Author Information

Forbes, Lindsay J.L..

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