Despite high cancer awareness, survey reveals gaps in its prevention and screening in Kerala
The survey, which was conducted in October-December 2024, sheds light on the public knowledge, attitudes and practices concerning cancer risk factors, prevention strategies and screening.
The survey engaged 2,443 individuals above 18 years of age, with 2,361 residing in Kerala. They were administered a questionnaire in Malayalam, which was designed by a team of oncologists in the State.
A significant 90% of respondents reported some level of awareness about common cancer symptoms, and approximately 80% felt confident in identifying early signs. About 84% expressed concern about their personal risk of developing cancer. Nearly 57% confidently identified unhealthy lifestyle habits (diet, physical activity, substance abuse) as cancer contributors
Close to 90% recognised smoking as a causative factor for cancer and nearly 73% acknowledged the role of alcohol consumption in aggravating cancer risk. A strong majority (91%) perceived a moderate to strong link between tobacco or alcohol use and cancer risk.
Negative influence
One interesting finding was that 61% of participants believed that the portrayal of tobacco and alcohol use by sportspersons and celebrities in movies and advertisements was a negative influence on youngsters.
To the questions, 'Do you believe that lifestyle plays a role in cancer risk' and 'do you engage in regular check-ups or screening against cancer?', about 80% of respondents reported never having undergone cancer screening, highlighting a significant gap between awareness and preventive action.
Despite high general awareness, several myths persisted. About 18% incorrectly associated mobile phone use with cancer, and 25% mistakenly linked even safe pesticide use to cancer risk.
Financial implications
Regarding cancer treatment, the financial implications were a primary concern for 73% of respondents. While 38% worried about treatment effectiveness, nearly 50% were concerned about the side effects.
Only 15% believed vaccines could prevent certain cancers. Only 29% were aware of the role of genetic testing in prevention and early detection.
Notably, only 17% viewed a cancer diagnosis to be a death sentence and 66% believed there was no stigma associated with cancer in their communities.
About 70% of the participants cited both the internet/social media and healthcare professionals as primary sources of cancer-related information.
Knowledge gap
'The significant gaps in knowledge about specific preventive measures like vaccination and genetic testing, coupled with the alarmingly low screening rates, demand immediate attention,'Aju Mathew, Organising Chairman, AMPOK, said.
The survey results underscores the importance of developing tailored educational interventions to address misconceptions and promote evidence-based preventive behaviours.
Improving access to affordable and accessible cancer screening and treatment services, leveraging digital platforms for widespread dissemination of accurate information are important, Dr. Mathew said.
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