{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:15:01Z","timestamp":1783577701829,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":188,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lung cancer remains a leading cause of cancer\u2010related mortality worldwide, including in Saudi Arabia. Public awareness of lung cancer symptoms and risk factors is essential for early detection and improved outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess awareness of lung cancer symptoms, risk factors, and confidence in symptom recognition among Saudi adults in Riyadh using the Lung Cancer Awareness Measure (CAM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted among 400 Saudi adults in Riyadh between August and September 2024 using an Arabic\u2010translated and validated Lung CAM questionnaire. Descriptive statistics, chi\u2010square tests, and multivariable logistic regression were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High awareness of lung cancer symptoms was observed in 36.3% of participants, and 25.5% demonstrated high awareness of risk factors. Smoking (79.3%) and exposure to secondhand smoke (74.0%) were the most recognized risk factors. Fair confidence of noticing a cancer symptom was reported by 42.8% of the participants, while only 5% reported high confidence. Higher knowledge and awareness of signs and symptoms were significantly associated with having higher knowledge of risk factors, current occupation, and having a close friend with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although less than half of the study\u2019s participants showed high awareness of lung cancer symptoms or risk factors, smoking and secondhand smoke exposure were well\u2010identified by them as key risk factors. Confidence in symptom recognition was remarkably low, with only 5% reporting high confidence. Higher knowledge of signs and symptoms was significantly associated with increased awareness of risk factors, current occupation, and having a close friend with cancer. These findings highlight the need for targeted health education campaigns, mainly for less\u2010identified lung cancer risk factors and symptoms, to improve early detection and reduce morbidity and mortality, wherein medical\u2010surgical nurses play a crucial role in bridging this knowledge gap through clinical patient education and symptom\u2010awareness promotion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/nrp\/1059331","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T05:28:51Z","timestamp":1783574931000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung Cancer Awareness Among Adults in Riyadh, Saudi Arabia: A Cross\u2010Sectional Study Using the Lung Cancer Awareness Measure (CAM)"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6978-6783","authenticated-orcid":false,"given":"Samah Saad","family":"Salem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5828-9853","authenticated-orcid":false,"given":"Raghib","family":"Abu-Saris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8204-8600","authenticated-orcid":false,"given":"Moudi","family":"Albargawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7227-7193","authenticated-orcid":false,"given":"Shaykhah","family":"Albashir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5846-3441","authenticated-orcid":false,"given":"Rana Abdulwahab","family":"Alqarni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1761-7473","authenticated-orcid":false,"given":"Ruyuf Abdullah","family":"Altuwayjiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4929-5371","authenticated-orcid":false,"given":"Renad Naif","family":"Alanazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3188-3873","authenticated-orcid":false,"given":"Shaimaa Mohamed","family":"Elhadary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6539-2664","authenticated-orcid":false,"given":"Mona","family":"Alanazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2020.01.002"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/GO.21.00415"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_202210_29891"},{"key":"e_1_2_15_4_2","first-page":"25","article-title":"Cancer Initiation, Promotion, and Progression and the Acquisition of Key Behavioral Traits","author":"Compton C.","year":"2020","journal-title":"Cancer: The Enemy from Within"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2024.1295847"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S435129"},{"key":"e_1_2_15_7_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ccm.2019.10.001","article-title":"Lung Cancer 2020: Epidemiology, Etiology, and Prevention","volume":"41","author":"Bade B. 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