Factors affecting uptakes of colorectal polyp screening of colorectal cancer among people aged 40 years and above in Imo state
Kenechukwu-Dozie Q O
Colorectal polpys prevalence has recently attracted the attention of public health experts all over the world because large number of people especially adults from fourty years and above are being diagnosed on daily basis and also the significant burden of colorectal cancer morbidity and mortality associated with it. This work was carried out to investigate factors affecting uptake of colorectal polyps screening for early detection of colorectal cancer among adults aged fourty years and above in Imo state, South Eastern Nigeria. The study was a population based and adopted a descriptive study design. The study adopted a sample size of 400 adults both male and female of 40 years and above. The study considered d independent variables such as gender, age,marital status, occupation, family history of colorectal cancer, levels of physical activities, cigarette smoking habits and alcohol consumption habit, monthly income, Local Government Area of residence, family size and diabetic status The study followed WHO stepwise approach for survey of non-communicable disease (i.e structured questionnaire and physical measurements). Data were analyzed using IBM-SPSS statistics version 23 and Microsoft Excel 2010 was used in drawing charts. Measured variables were summarized using descriptive statistics of mean and standard deviation. Graphical representations such as bar chart and pie charts were used to represent some of the results. Significant factors in the model were tested using Wald test. The level of significance was placed at 5% for the factors. Confidence interval was placed at 95% and odds ratio was calculated as a measure of the strength of the association between factors affecting uptake and colon cancer of interest in the study. The result showed higher number of participants among females as well as 50 -59 age group having the highest level of participation respectively. Alchol intake (p=0.03) and o smoking (p=0.05) were found to be insignificant in the study for colorectal polyps screening. Regression analysis showed that age had a significant role to play in the uptake of colorectal cancer as well as level of income among the participants. The study found secondary education to be significant in the adjusted analysis (p=0.011, 95%CI= 0.071 – 0.0708).