Colorectal Cancer Screening in Saudi Arabia: Sociodemographic Influences and Beliefs

Introduction: colorectal cancer (CRC), the most common cancer among Saudi men, is a significant health concern. This study explored how beliefs and sociodemographic factors influenced screening behaviors in individuals aged 45–74 in Al-Kharj. Method: this descriptive cross-sectional study, conducted in Al-Kharj in May and June 2024, used a web-based survey to assess cancer awareness and prevention beliefs among men aged 45–74. A purposeful sampling strategy with targeted advertising ensured demographic representation. Data were analyzed using chisquare tests and logistic regression to examine the influence of sociodemographic factors on CRC screening behaviors. Results: of the 70 participants, 70 % had previously undergone colorectal cancer (CRC) screening, with most expressing positive views about cancer outcomes and care. Those who had never been screened were more likely to believe that screening is only necessary when symptoms are present (X² = 16,045, p < 0,01), view screening as having a high risk of leading to unnecessary surgery (X² = 12,934, p = 0,024), and feel deterred by concerns about potential findings (X² = 14,27, p = 0,014). Regression analysis indicated that men, except those aged 45–54, were significantly more likely to have undergone screening than women (OR = 3,76, 95 % CI = 1,104–12,801). No significant associations were found with other sociodemographic variables. Conclusion: cancer screening behavior is influenced by beliefs about cancer screening, but the impact is minimal, suggesting a broad reach across various socioeconomic backgrounds.