Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study

ObjectiveTo assess the awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China.DesignA cross-sectional study was employed.SettingThis study was conducted in nine hospitals in Hunan province, China.ParticipantsIndividuals with a high-risk for colorectal cancer were interviewed using a pretested structured questionnaire.Primary and secondary outcome measuresKnowledge, attitude towards colorectal cancer screening, sociodemographic factors associated with screening knowledge and behaviour and barriers of colorectal cancer screening.ResultsThis study included 684 participants. The mean knowledge score was 11.86/24 (SD 4.84). But over 70% of them held a positive attitude towards screening. Only 13.3% had undergone colorectal cancer screening. Independent factors related to knowledge were education level of college or above, working as a white collar, higher income, having health insurance, having seen a doctor in the past year and with a high perceived risk (p