{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:47:41Z","timestamp":1785764861645,"version":"3.56.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,6]]},"abstract":"\n Background:<\/jats:title>\n The prevalence of colorectal cancer has been increasing both globally and in Kuwait. Early identification and treatment are essential to reduce its morbidity and mortality. This study aimed to assess the knowledge, attitudes, and practices toward screening of colorectal cancer among adults in Kuwait.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A cross-sectional study was conducted across six governorates in Kuwait, including patients aged 18 years and above. Data were collected using an interview-administered questionnaire. Descriptive and inferential analyses were performed to evaluate participants\u2019 knowledge, attitudes, and practices regarding colorectal cancer screening.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 367 respondents were included; most were females (59.7%), Kuwaiti (85.4%), and university graduates (63.2%). Regarding the knowledge about colorectal cancer, although 60.8% of participants had heard of colorectal cancer screening, 35.7% of the respondents showed poor knowledge and only 22.6% had good knowledge. Older patients (\n P<\/jats:italic>\n = 0.040), patients with higher educational levels (\n P<\/jats:italic>\n < 0.001), and those with prior awareness of screening (\n P<\/jats:italic>\n < 0.001) showed better knowledge about colorectal cancer. Participants who had heard of screening showed significantly higher behaviors (\n P<\/jats:italic>\n = 0.006) and attitude scores (\n P<\/jats:italic>\n = 0.008). Less than 10% underwent colon cancer screening (9.5%), with embarrassment (37.1%) and perceived cultural constraints (17%) being the most common barriers to colonoscopy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The study demonstrated low levels of knowledge and screening uptake, particularly among younger participants, those with lower educational levels, and individuals who had not undergone screening. Nonetheless, participants showed positive attitudes toward colorectal cancer screening. Enhancing knowledge through awareness campaigns and targeted public health initiatives is essential.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2264_25","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T20:00:10Z","timestamp":1785182410000},"page":"2284-2289","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practices toward screening of colorectal cancer among adults in Kuwait primary health care centers"],"prefix":"10.4103","volume":"15","author":[{"given":"Mahmood","family":"Alawainati","sequence":"first","affiliation":[{"name":"Department of Medicine, Primary Healthcare Centers, Manama, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara N.","family":"Alshtaily","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawan A.","family":"Almutairi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghalla","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Kh.","family":"Alrashidi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salma","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lujain","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eissa","family":"Althefairi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Alsubaiei","sequence":"additional","affiliation":[{"name":"Department of Medicine, Arabian Gulf University, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"R1-20260803","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.3390\/cancers16081530","article-title":"Colorectal cancer: Epidemiology, risk factors, and prevention","volume":"16","author":"Roshandel","year":"2024","journal-title":"Cancers (Basel)"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1136\/gutjnl-2022-327736","article-title":"Global burden of colorectal cancer in 2020 and 2040: Incidence and mortality estimates from GLOBOCAN","volume":"72","author":"Morgan","year":"2023","journal-title":"Gut"},{"key":"R3-20260803","first-page":"7","article-title":"Cancer in Kuwait: Magnitude of the problem","author":"Elbasmi","year":"2010","journal-title":"Gulf J Oncolog"},{"key":"R4-20260803","first-page":"89","article-title":"Epidemiology of colorectal cancer: Incidence, mortality, survival, and risk factors","volume":"14","author":"Rawla","year":"2019","journal-title":"Prz Gastroenterol"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.hoc.2022.02.001","article-title":"Screening for colorectal cancer","volume":"36","author":"Gupta","year":"2022","journal-title":"Hematol Oncol Clin North Am"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1001\/jama.2021.6238","article-title":"Screening for colorectal cancer: US preventive services task force recommendation statement","volume":"325","author":"Davidson","year":"2021","journal-title":"JAMA"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1080\/09603123.2023.2260320","article-title":"Colorectal cancer screening among the public: Knowledge, attitudes, and the perceived barriers","volume":"34","author":"Jarab","year":"2024","journal-title":"Int J Environ Health Res"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"1507563","DOI":"10.3389\/fnut.2025.1507563","article-title":"Knowledge, attitudes, and practices toward colorectal cancer lifestyle risk factors among adults in Saudi Arabia","volume":"12","author":"Alkhaldy","year":"2025","journal-title":"Front Nutr"},{"key":"R9-20260803","doi-asserted-by":"crossref","DOI":"10.1007\/s10620-025-09285-4","article-title":"Knowledge, attitudes, and perceptions around colorectal cancer screening and risk among 20-49 year olds","author":"Yen","year":"2025","journal-title":"Dig Dis Sci"},{"key":"R10-20260803","first-page":"e62323","article-title":"Knowledge, attitudes, and practices related to colorectal cancer\u2019s prevention and early detection among older adults in Kuwait: A cross-sectional study","volume":"16","author":"Alharran","year":"2024","journal-title":"Cureus"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"4100","DOI":"10.3390\/ijerph18084100","article-title":"Factors associated with knowledge, attitudes, and practice towards colorectal cancer and its screening among people aged 50-75 years","volume":"18","author":"Wong","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1186\/1471-2458-12-528","article-title":"Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians","volume":"12","author":"Christou","year":"2012","journal-title":"BMC Public Health"},{"key":"R13-20260803","doi-asserted-by":"crossref","first-page":"1548258","DOI":"10.3389\/fpubh.2025.1548258","article-title":"Exploring knowledge, attitude, practices and barriers toward colorectal cancer screening in the United Arab Emirates: A mixed-methods study","volume":"13","author":"Elbarazi","year":"2025","journal-title":"Front Public Health"},{"key":"R14-20260803","doi-asserted-by":"crossref","first-page":"34","DOI":"10.5604\/01.3001.0013.8160","article-title":"Knowledge and awareness of colorectal cancer","volume":"92","author":"Lewandowski","year":"2020","journal-title":"Pol Przegl Chir"},{"key":"R15-20260803","doi-asserted-by":"crossref","first-page":"71","DOI":"10.4103\/1319-3767.153814","article-title":"Effect of public knowledge, attitudes, and behavior on willingness to undergo colorectal cancer screening using the health belief model","volume":"21","author":"Almadi","year":"2015","journal-title":"Saudi J Gastroenterol"},{"key":"R16-20260803","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1136\/emermed-2023-213761","article-title":"Intervention to increase colorectal cancer screening among emergency department patients: Results from a randomised pilot study","volume":"41","author":"Abar","year":"2024","journal-title":"Emerg Med J"},{"key":"R17-20260803","doi-asserted-by":"crossref","first-page":"E44","DOI":"10.5888\/pcd22.250025","article-title":"Interventions to increase colorectal cancer screening uptake in rural settings: A scoping review","volume":"22","author":"Kava","year":"2025","journal-title":"Prev Chronic Dis"},{"key":"R18-20260803","doi-asserted-by":"crossref","first-page":"840","DOI":"10.3122\/jabfm.2022.04.210399","article-title":"Interventions to increase colorectal cancer screening uptake in primary care: A systematic review","volume":"35","author":"Adhikari","year":"2022","journal-title":"J Am Board Fam Med"},{"key":"R19-20260803","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.7314\/APJCP.2013.14.3.1969","article-title":"Knowledge of colorectal cancer screening among young Malaysians","volume":"14","author":"Al-Naggar","year":"2013","journal-title":"Asian Pac J Cancer Prev"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2264_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:05:55Z","timestamp":1785762355000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2264_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2264_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2025-12-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}