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Article ; Online: Current situation and future directions of lung cancer risk factor awareness in Palestine

Ahmad Mansour / Bettina Böttcher / Nasser Abu-El-Noor / Ibrahim Al-Slaibi / Mohamedraed Elshami / Mohammed Alser / Hanan Abukmail / Hanan Shurrab / Shahd Qassem / Faten Darwish Usrof / Malik Alruzayqat / Wafa Aqel / Roba Nairoukh / Rahaf Kittaneh / Nawras Sawafta / Yousef M N Habes / Obaida Ghanim / Wesam Almajd Aabed / Ola Omar /

Motaz Daraghmeh / Jomana Aljbour / Razan E M Elian / Areen Zhor / Haneen Habes / Mohammed Al-Dadah

BMJ Open, Vol 13, Iss

a cross-sectional study

2023 Volume 1

Abstract: Objectives To evaluate lung cancer (LC) risk factor awareness among Palestinians and identify factors associated with good awareness.Design Cross-sectional study.Settings Participants were recruited using convenience sampling from hospitals, primary ... ...

Abstract	Objectives To evaluate lung cancer (LC) risk factor awareness among Palestinians and identify factors associated with good awareness.Design Cross-sectional study.Settings Participants were recruited using convenience sampling from hospitals, primary healthcare centres (PHCs) and public spaces located at 11 governorates in Palestine.Participants Of 5174 approached, 4817 participants completed the questionnaire (response rate=93.1%). A total of 4762 questionnaires were included: 2742 from the West Bank and Jerusalem (WBJ) and 2020 from the Gaza Strip. Exclusion criteria were working or studying in a health-related field, having a nationality other than Palestinian and visiting oncology departments or clinics at the time of data collection.Tool A modified version of the validated LC Awareness Measure was used for data collection.Primary and secondary outcomes The primary outcome was LC risk factor awareness level as determined by the number of factors recognised: poor (0–3), fair (4–7) and good (8–10). Secondary outcomes include the recognition of each LC risk factor.Results Smoking-related risk factors were more often recognised than other LC risk factors. The most recognised risk factors were ‘smoking cigarettes’ (n=4466, 93.8%) and ‘smoking shisha (waterpipes)’ (n=4337, 91.1%). The least recognised risk factors were ‘having a close relative with LC’ (n=2084, 43.8%) and ‘having had treatment for any cancer in the past’ (n=2368, 49.7%).A total of 2381 participants (50.0%) displayed good awareness of LC risk factors. Participants from the WBJ and the Gaza Strip had similar likelihood to display good awareness (50.6% vs 49.1%). Being≥45 years, having higher education and monthly income, knowing someone with cancer and visiting hospitals and PHCs seemed to have a positive impact on displaying good awareness.Conclusion Half of study participants displayed good awareness of LC risk factors. Educational interventions are warranted to further improve public awareness of LC risk factors, especially those unrelated to ...
Keywords	Medicine ; R
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Awareness of ovarian cancer risk and protective factors

Mohamedraed Elshami / Aya Tuffaha / Areej Yaseen / Mohammed Alser / Ibrahim Al-Slaibi / Hadeel Jabr / Sara Ubaiat / Salma Khader / Reem Khraishi / Inas Jaber / Zeina Abu Arafeh / Sondos Al-Madhoun / Aya Alqattaa / Asmaa Abd El Hadi / Ola Barhoush / Maysun Hijazy / Tamara Eleyan / Amany Alser / Amal Abu Hziema /

Amany Shatat / Falasteen Almakhtoob / Balqees Mohamad / Walaa Farhat / Yasmeen Abuamra / Hanaa Mousa / Reem Adawi / Alaa Musallam / Nasser Abu-El-Noor / Bettina Bottcher

PLoS ONE, Vol 17, Iss 3, p e

A national cross-sectional study from Palestine.

2022 Volume 0265452

Abstract: Introduction Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women's awareness about OC risk and protective factors and to identify the factors associated ...

Abstract	Introduction Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women's awareness about OC risk and protective factors and to identify the factors associated with having good awareness. Methods A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem (WBJ) and the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure was utilized. Adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates were invited to participate. The awareness level was categorized based on the number of factors recognized: poor (0 to 5), fair (6 to 10) and good (11 to 15). Results Of the 6095 women approached, 5618 agreed and completed the questionnaire (response rate = 92.1%). The final analysis included 5411 questionnaires. The most identified modifiable OC risk factor was 'being a smoker' (n = 4024, 74.4%), whereas the least identified was 'having in vitro fertilization treatment' (n = 1652, 30.5%). The most identified non-modifiable OC risk factor was 'having ovarian cysts' (n = 3136, 58.0%), whereas the least identified was 'having endometriosis' (n = 1880, 34.7%). The most identified OC protective factor was 'breastfeeding' (n = 4770, 88.2%), whereas the least identified was 'using the pill for a long time' (n = 930, 17.2%). Only 820 women (15.2%) displayed good awareness of OC risk and protective factors. Women from the Gaza Strip were slightly more likely than women from the WBJ to have good awareness (16.4% vs. 14.2%). In contrast, post-secondary education, higher monthly income, being married, and knowing someone with cancer were associated with an increase in the likelihood of displaying good awareness. Conclusion The overall awareness of OC risk and protective factors in this study was low. Educational interventions are needed to improve Palestinian women's awareness.
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Awareness of ovarian cancer risk and protective factors

Amany Shatat / Falasteen Almakhtoob / Balqees Mohamad / Walaa Farhat / Yasmeen Abuamra / Hanaa Mousa / Reem Adawi / Alaa Musallam / Nasser Abu-El-Noor / Bettina Bottcher

PLoS ONE, Vol 17, Iss

A national cross-sectional study from Palestine

2022 Volume 3

Abstract: Introduction Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated ...

Abstract	Introduction Having a good awareness of ovarian cancer (OC) risk and protective factors could facilitate early diagnosis. This study aimed to assess Palestinian women’s awareness about OC risk and protective factors and to identify the factors associated with having good awareness. Methods A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem (WBJ) and the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure was utilized. Adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates were invited to participate. The awareness level was categorized based on the number of factors recognized: poor (0 to 5), fair (6 to 10) and good (11 to 15). Results Of the 6095 women approached, 5618 agreed and completed the questionnaire (response rate = 92.1%). The final analysis included 5411 questionnaires. The most identified modifiable OC risk factor was ‘being a smoker’ (n = 4024, 74.4%), whereas the least identified was ‘having in vitro fertilization treatment’ (n = 1652, 30.5%). The most identified non-modifiable OC risk factor was ‘having ovarian cysts’ (n = 3136, 58.0%), whereas the least identified was ‘having endometriosis’ (n = 1880, 34.7%). The most identified OC protective factor was ‘breastfeeding’ (n = 4770, 88.2%), whereas the least identified was ‘using the pill for a long time’ (n = 930, 17.2%). Only 820 women (15.2%) displayed good awareness of OC risk and protective factors. Women from the Gaza Strip were slightly more likely than women from the WBJ to have good awareness (16.4% vs. 14.2%). In contrast, post-secondary education, higher monthly income, being married, and knowing someone with cancer were associated with an increase in the likelihood of displaying good awareness. Conclusion The overall awareness of OC risk and protective factors in this study was low. Educational interventions are needed to improve Palestinian women’s awareness.
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians

Mohamedraed Elshami / Mohammed Ayyad / Fatma Khader Hamdan / Mohammed Alser / Ibrahim Al-Slaibi / Shoruq Ahmed Naji / Balqees Mustafa Mohamad / Wejdan Sudki Isleem / Adela Shurrab / Bashar Yaghi / Yahya Ayyash Qabaja / Mohammad Fuad Dwikat / Raneen Raed Sweity / Remah Tayseer Jneed / Khayria Ali Assaf / Maram Elena Albandak / Mohammed Madhat Hmaid / Iyas Imad Awwad / Belal Khalil Alhabil /

Marah Naser Alarda / Amani Saleh Alsattari / Moumen Sameer Aboyousef / Omar Abdallah Aljbour / Rinad AlSharif / Christy Teddy Giacaman / Ali Younis Alnaga / Ranin Mufid Abu Nemer / Nada Mahmoud Almadhoun / Sondos Mahmoud Skaik / Nasser Abu-El-Noor / Bettina Bottcher

Scientific Reports, Vol 13, Iss 1, Pp 1-

2023 Volume 11

Abstract: Abstract This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. ...

Abstract	Abstract This study explored the anticipated time to seek medical advice for possible colorectal cancer (CRC) signs/symptoms and its association with CRC symptom awareness. In addition, it examined perceived barriers that may delay seeking medical advice. Palestinian adults were recruited from hospitals, primary healthcare centers, and public spaces in 11 governorates. A modified, translated-into-Arabic version of the validated Bowel Cancer Awareness Measure was used. The questionnaire comprised three sections: sociodemographics, assessment of CRC symptom awareness and time to seek medical advice, and barriers to early presentation. A total of 4623 participants were included. The proportion that reported seeking immediate medical advice for possible CRC signs/symptoms with blood or mass ranged from 47.1% for ‘blood in stools’ to 59.5% for ‘bleeding from back passage’. Less than half of the participants reported immediate seeking of medical advice for non-specific symptoms (ranging from 5.4% for ‘loss of appetite’ to 42.0% for ‘anemia’) and other gastrointestinal symptoms (ranging from 7.7% for ‘feeling persistently full’ to 35.7% for ‘change in bowel habits’). Good CRC symptom awareness was associated with higher likelihood of seeking medical advice within a week from recognizing a CRC symptom. About 13.0% reported a delay to visit their doctor after recognizing a CRC symptom. The most reported barriers were practical with ‘would try some herbs first’ (50.9%) as the leading barrier. CRC symptoms with blood or mass prompted earlier help seeking. Participants with good CRC awareness were more likely to seek medical advice within a week.
Keywords	Medicine ; R ; Science ; Q
Subject code	150
Language	English
Publishing date	2023-04-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Common myths and misconceptions about breast cancer causation among Palestinian women

Mohamedraed Elshami / Islam Osama Ismail / Mohammed Alser / Ibrahim Al-Slaibi / Roba Jamal Ghithan / Faten Darwish Usrof / Malak Ayman Mousa Qawasmi / Heba Mahmoud Okshiya / Nouran Ramzi Shaban Shurrab / Ibtisam Ismail Mahfouz / Aseel AbdulQader Fannon / Mona Radi Mohammad Hawa / Narmeen Giacaman / Manar Ahmaro / Rula Khader Zaatreh / Wafa Aqel AbuKhalil / Noor Khairi Melhim / Ruba Jamal Madbouh / Hala Jamal Abu Hziema /

Raghad Abed-Allateef Lahlooh / Sara Nawaf Ubaiat / Nour Ali Jaffal / Reem Khaled Alawna / Salsabeel Naeem Abed / Bessan Nimer Ali Abuzahra / Aya Jawad Abu Kwaik / Mays Hafez Dodin / Raghad Othman Taha / Dina Mohammed Alashqar / Roaa Abd-al-Fattah Mobarak / Tasneem Smerat / Shurouq I. Albarqi / Nasser Abu-El-Noor / Bettina Bottcher

BMC Public Health, Vol 23, Iss 1, Pp 1-

a national cross-sectional study

2023 Volume 16

Abstract: Abstract Background The discussion about breast cancer (BC) causation continues to be surrounded by a number of myths and misbeliefs. If efforts are misdirected towards reducing risk from false mythical causes, individuals might be less likely to ... ...

Abstract	Abstract Background The discussion about breast cancer (BC) causation continues to be surrounded by a number of myths and misbeliefs. If efforts are misdirected towards reducing risk from false mythical causes, individuals might be less likely to consider and adopt risk-reducing behaviors for evidence-based BC causes. This national study aimed to assess the awareness of BC causation myths and misbeliefs among Palestinian women, and examine the factors associated with having good awareness. Methods This national cross-sectional study recruited adult women from government hospitals, primary healthcare centers, and public spaces in 11 governorates in Palestine. A modified version of the Cancer Awareness Measure-Mythical Causes Scale was used to collect data. The level of awareness of BC causation myths was determined based on the number of myths recognized to be incorrect: poor (0–5), fair (6–10), or good (11–15). Results A total of 5,257 questionnaires were included. Only 269 participants (5.1%) demonstrated good awareness (i.e., recognizing more than 10 out of 15 BC mythical causes). There were no notable differences in displaying good awareness between the main areas of Palestine, the Gaza Strip and the West Bank and Jerusalem (5.1% vs. 5.1%). Having chronic disease as well as visiting hospitals and primary healthcare centers were associated with a decrease in the likelihood of displaying good awareness. Myths related to food were less frequently recognized as incorrect than food-unrelated myths. ‘Eating burnt food’ was the most recognized food-related myth (n = 1414, 26.9%), while ‘eating food containing additives’ was the least recognized (n = 599, 11.4%). ‘Having a physical trauma’ was the most recognized food-unrelated myth (n = 2795, 53.2%), whereas the least recognized was ‘wearing tight bra’ (n = 1018, 19.4%). Conclusions A very small proportion of Palestinian women could recognize 10 or more myths around BC causation. There is a substantial need to include clear information about BC causation in future ...
Keywords	Breast cancer ; Causation ; Causes ; Myths ; Misconceptions ; Health promotion ; Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Knowledge of Palestinian women about cervical cancer warning signs

Mohamedraed Elshami / Ibrahim Al-Slaibi / Hanan Abukmail / Mohammed Alser / Afnan Radaydeh / Alaa Alfuqaha / Mariam Thalji / Salma Khader / Lana Khatib / Nour Fannoun / Bisan Ahmad / Lina Kassab / Hiba Khrishi / Deniz Elhussaini / Nour Abed / Aya Nammari / Tumodir Abdallah / Zaina Alqudwa / Shahd Idais /

Ghaid Tanbouz / Ma’alem Hajajreh / Hala Abu Selmiyh / Zakia Abo-Hajouj / Haya Hebi / Manar Zamel / Refqa Skaik / Lama Hammoud / Siba Rjoub / Hadeel Ayesh / Toqa Rjoub / Rawan Zakout / Amany Alser / Nasser Abu-El-Noor / Bettina Bottcher

BMC Public Health, Vol 21, Iss 1, Pp 1-

a national cross- sectional study

2021 Volume 15

Abstract: Abstract Background Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC ... ...

Abstract	Abstract Background Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. Methods This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women’s knowledge of 12 CC warning signs. Results Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was ‘vaginal bleeding after menopause’ (n = 5028, 71.2%) followed by ‘extreme generalized fatigue’ (n = 4601, 65.2%) and ‘unexplained weight loss’ (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. Conclusion The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women’s awareness of CC warning signs.
Keywords	Cervical cancer ; Early detection ; Survival ; Symptom ; Warning sign ; Awareness ; Public aspects of medicine ; RA1-1270
Subject code	300
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Knowledge of cervical cancer risk factors among Palestinian women

Mohamedraed Elshami / Mariam Thalji / Hanan Abukmail / Ibrahim Al-Slaibi / Mohammed Alser / Afnan Radaydeh / Alaa Alfuqaha / Salma Khader / Lana Khatib / Nour Fannoun / Bisan Ahmad / Lina Kassab / Hiba Khrishi / Deniz Elhussaini / Nour Abed / Aya Nammari / Tumodir Abdallah / Zaina Alqudwa / Shahd Idais /

Ghaid Tanbouz / Ma’alem Hajajreh / Hala Abu Selmiyh / Zakia Abo-Hajouj / Haya Hebi / Manar Zamel / Refqa Najeeb Skaik / Lama Hammoud / Saba Rjoub / Hadeel Ayesh / Toqa Rjoub / Rawan Zakout / Amany Alser / Nasser Abu-El-Noor / Bettina Bottcher

BMC Women's Health, Vol 21, Iss 1, Pp 1-

a national cross-sectional study

2021 Volume 14

Abstract: Abstract Background High awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine ... ...

Abstract	Abstract Background High awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine the factors associated with good knowledge. Methods This was a national cross-sectional study. Adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates in Palestine were recruited using a stratified convenience sampling. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess the knowledge about the 11 CC risk factors. For each correctly identified risk factor, the participant was given one point. The total score was calculated and was categorized into three categories: poor knowledge (0–3), fair knowledge (4–7), and good knowledge (8–11). Results A total of 7223 participants completed the Arabic CeCAM (response rate = 89.3%) and 7058 questionnaires were included in the final analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem. Participants recruited from the Gaza Strip were younger, getting lower monthly incomes, and with less chronic diseases than participants recruited from the West Bank and Jerusalem. The most frequently identified risk factor was ‘having a weakened immune system’ (n = 5458, 77.3%) followed by ‘infection with a sexually transmitted infection’ (n = 5388, 76.3%). The least identified risk factor was ‘having many children’ (n = 1597, 22.6%). Only 1670 women (23.7%) had good knowledge of CC risk factors. Women living in the Gaza Strip were more likely than women living in the West Bank and Jerusalem to have good knowledge (25.2% vs 22.7%). Completing a secondary or diploma degree, being employed, and having a monthly income of ≥ 1450 NIS (around $450) were all associated with lower likelihood of having good knowledge of CC risk factors. Conversely, knowing someone with cancer was associated with higher likelihood of having good knowledge. ...
Keywords	Cervical cancer ; Prevention ; Early detection ; Survival ; Risk factor ; Awareness ; Gynecology and obstetrics ; RG1-991 ; Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Knowledge of ovarian cancer symptoms among women in Palestine

Mohamedraed Elshami / Areej Yaseen / Mohammed Alser / Ibrahim Al-Slaibi / Hadeel Jabr / Sara Ubaiat / Aya Tuffaha / Salma Khader / Reem Khraishi / Inas Jaber / Zeina Abu Arafeh / Sondos Al-Madhoun / Aya Alqattaa / Asmaa Abd El Hadi / Ola Barhoush / Maysun Hijazy / Tamara Eleyan / Amany Alser / Amal Abu Hziema /

Amany Shatat / Falasteen Almakhtoob / Balqees Mohamad / Walaa Farhat / Yasmeen Abuamra / Hanaa Mousa / Reem Adawi / Alaa Musallam / Nasser Abu-El-Noor / Bettina Bottcher

BMC Public Health, Vol 21, Iss 1, Pp 1-

a national cross-sectional study

2021 Volume 10

Abstract: Abstract Introduction Ovarian cancer (OC) is often diagnosed at advanced stages. This study aimed to assess the Palestinian women’s knowledge about OC symptoms and determine the factors associated with having good knowledge. Methods A cross-sectional ... ...

Abstract	Abstract Introduction Ovarian cancer (OC) is often diagnosed at advanced stages. This study aimed to assess the Palestinian women’s knowledge about OC symptoms and determine the factors associated with having good knowledge. Methods A cross-sectional study was conducted from July 2019 to March 2020 in the two main areas of Palestine: the West Bank and Jerusalem as well as the Gaza Strip. A translated-into-Arabic version of the validated OC awareness measure (OCAM) was utilized for data collection. Stratified convenience sampling was used to recruit adult women attending hospitals, primary healthcare centers, and public spaces at 11 governorates. The knowledge level was categorized into three categories based on the number of symptoms recognized: poor (0 to 4), fair (5 to 8), and good (9 to 11). Results Of 6095 approached, 5618 participants completed the Arabic OCAM (response rate = 92.1%).A total of 5411 questionnaires were included in the analysis: 2278 from the Gaza Strip and 3133 from the West Bank and Jerusalem. Participants living in the West Bank and Jerusalem were older, of higher monthly income, and with more chronic diseases than those living in the Gaza Strip. The most frequently identified symptoms were ‘extreme generalized fatigue’ (n = 3821, 70.6%), ‘unexplained weight loss’ (n = 3607, 66.7%), and ‘increased abdominal size on most days’ (n = 3252, 60.1%). On the other hand, the least recognized symptoms were ‘feeling full persistently’ (n = 1553, 28.7%) and ‘difficulty eating on most days’ (n = 1971, 36.4%). Only 943 participants (17.4%) displayed good knowledge of OC symptoms. Participants from the Gaza Strip had a higher likelihood than participants from the West Bank and Jerusalem to have a good level of knowledge (21.0% vs. 14.8%). Being married, knowing someone with cancer, and visiting hospitals were all associated with a higher likelihood of having good knowledge level. However, living in the West Bank and Jerusalem was associated with a lower likelihood of having good knowledge. Conclusion ...
Keywords	Ovarian cancer ; Early detection ; Survival ; Symptom ; Awareness ; Knowledge ; Public aspects of medicine ; RA1-1270
Subject code	150
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Impact of malnutrition on early outcomes after cancer surgery

Aya Riad / Stephen R Knight / Dhruv Ghosh / Pamela A Kingsley / Marie Carmela Lapitan / Marie Dione Parreno-Sacdalan / Sudha Sundar / Ahmad Uzair Qureshi / Apple P Valparaiso / Riinu Pius / Catherine A Shaw / Thomas M Drake / Lisa Norman / Adesoji O Ademuyiwa / Adewale O Adisa / Maria Lorena Aguilera / Sara W Al-Saqqa / Ibrahim Al-Slaibi / Aneel Bhangu /

Bruce M Biccard / Peter Brocklehurst / Sorrel Burden / Kathryn Chu / Ainhoa Costas-Chavarri / Anna J Dare / Muhammed Elhadi / Cameron J Fairfield / J Edward Fitzgerald / James Glasbey / Mark I. van Berge Henegouwen / J.C. Allen Ingabire / T Peter Kingham / Ismaïl Lawani / Bettina Lieske / Richard Lilford / Laura Magill / Mayaba Maimbo / Janet Martin / Sonia Mathai / Kenneth A McLean / Rachel Moore / Dion Morton / Dmitri Nepogodiev / John Norrie / Faustin Ntirenganya / Francesco Pata / Thomas Pinkney / Rajkumar Kottayasamy Seenivasagam / Antonio Ramos-De la Medina / Tracey E Roberts

The Lancet Global Health, Vol 11, Iss 3, Pp e341-e

an international, multicentre, prospective cohort study

2023 Volume 349

Abstract: Summary: Background: Malnutrition represents a key priority for global health policy, yet the impact of nutritional state on cancer surgery worldwide remains poorly described. We aimed to analyse the effect of malnutrition on early postoperative outcomes ...

Abstract	Summary: Background: Malnutrition represents a key priority for global health policy, yet the impact of nutritional state on cancer surgery worldwide remains poorly described. We aimed to analyse the effect of malnutrition on early postoperative outcomes following elective surgery for colorectal or gastric cancer. Methods: We did an international, multicentre, prospective cohort study of patients undergoing elective surgery for colorectal or gastric cancer between April 1, 2018, and Jan 31, 2019. Patients were excluded if the primary pathology was benign, they presented with cancer recurrence, or if they underwent emergency surgery (within 72 h of hospital admission). Malnutrition was defined with the Global Leadership Initiative on Malnutrition criteria. The primary outcome was death or a major complication within 30 days of surgery. Multilevel logistic regression and a three-way mediation analysis were done to establish the relationship between country income group, nutritional status, and 30-day postoperative outcomes. Findings: This study included 5709 patients (4593 with colorectal cancer and 1116 with gastric cancer) from 381 hospitals in 75 countries. The mean age was 64·8 years (SD 13·5) and 2432 (42·6%) patients were female . Severe malnutrition was present in 1899 (33·3%) of 5709 patients, with a disproportionate burden in upper-middle-income countries (504 [44·4%] of 1135) and low-income and lower-middle-income countries (601 [62·5%] of 962). After adjustment for patient and hospital risk factors, severe malnutrition was associated with an increased risk of 30-day mortality across all country income groups (high income: adjusted odds ratio [aOR] 1·96 [95% CI 1·14–3·37], p=0·015; upper-middle income: 3·05 [1·45–6·42], p=0·003; low income and lower-middle income: 11·57 [5·87–22·80], p<0·0001). Severe malnutrition mediated an estimated 32% of early deaths in low-income and lower-middle-income countries (aOR 1·41 [95% CI 1·22–1·64]) and an estimated 40% of early deaths in upper-middle-income countries ...
Keywords	Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Women’s awareness of breast cancer symptoms

Mohamedraed Elshami / Ibrahim Al-Slaibi / Roba Jamal Ghithan / Mohammed Alser / Nouran Ramzi Shurrab / Islam Osama Ismail / Ibtisam Ismail Mahfouz / Aseel AbdulQader Fannon / Malak Ayman Qawasmi / Mona Radi Hawa / Narmeen Giacaman / Manar Ahmaro / Heba Mahmoud Okshiya / Rula Khader Zaatreh / Wafa Aqel AbuKhalil / Faten Darwish Usrof / Noor Khairi Melhim / Ruba Jamal Madbouh / Hala Jamal Abu Hziema /

Raghad Abed-Allateef Lahlooh / Sara Nawaf Ubaiat / Nour Ali Jaffal / Reem Khaled Alawna / Salsabeel Naeem Abed / Bessan Nimer Abuzahra / Aya Jawad Abu Kwaik / Mays Hafez Dodin / Raghad Othman Taha / Dina Mohammed Alashqar / Roaa Abd-alfattah Mobarak / Tasneem Smerat / Nasser Abu-El-Noor / Bettina Bottcher

BMC Public Health, Vol 22, Iss 1, Pp 1-

a national cross-sectional study from Palestine

2022 Volume 13

Abstract: Abstract Background Early diagnosis is crucial to reduce the morbidity and mortality associated with breast cancer (BC). Awareness of BC symptoms plays a key role in this. This study aimed to evaluate the Palestinian women’s awareness of BC symptoms and ... ...

Abstract	Abstract Background Early diagnosis is crucial to reduce the morbidity and mortality associated with breast cancer (BC). Awareness of BC symptoms plays a key role in this. This study aimed to evaluate the Palestinian women’s awareness of BC symptoms and determine factors associated with good awareness. Methods This was a national cross-sectional study conducted from July 2019 to March 2020 in Palestine. Convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces located in 11 governorates. A translated-into-Arabic version of the validated BC awareness measure was utilized for data collection. The awareness level was categorized based on the number of symptoms recognized into: poor (0 to 4), fair (5 to 9), and good (10 to 13). Results Of 6269 approached, 5434 participants completed the questionnaire (response rate = 86.7%). A total of 5257 questionnaires were included in the analysis: 2551 from the Gaza Strip and 2706 from the West Bank and Jerusalem (WBJ). Participants living in the WBJ were more likely to be older, have higher monthly income, and suffer from more chronic diseases than participants living in the Gaza Strip. The most frequently identified BC symptom was ‘lump or thickening in the breast’ (n = 4887, 92.9%) followed by ‘lump or thickening under the armpit’ (n = 4394, 83.6%). The least frequently identified symptoms were ‘pulling in of the nipple’ (n = 2665, 50.7%) and ‘change in the position of the nipple’ (n = 2710, 51.6%). A total of 2191 participants (41.7%) demonstrated good awareness of BC symptoms. Participants from the Gaza Strip were more likely than participants from the WBJ to have good awareness (47.0.0% vs. 36.7%). On the multivariable analysis, being ≥ 40 years, completing a post-secondary education, knowing someone with cancer, and visiting hospitals and primary healthcare centers were all associated with an increase in the likelihood of having good awareness. However, living in the WBJ was associated with a decrease in the ...
Keywords	Breast cancer ; Early detection ; Survival ; Symptom ; Awareness ; Early presentation ; Public aspects of medicine ; RA1-1270
Subject code	150
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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