Exploration of Malaysian Stakeholders View on Barriers to and Facilitators of Colorectal Cancer Screening Among Older Population

Sanpagavalli Doraimuthu, Maznah Dahlui, Victor Chee Wai Hoe, Tin Tin Su

Research output: Contribution to journalArticleResearchpeer-review


According to the Malaysian National Cancer Registry (MNCR), more than 70% of colorectal cancer (CRC) cases in Malaysia are presented in the advanced stages of the disease, leading to poor survival rates while taxing the health care system. This study aims to explore the barriers to and facilitators of CRC screening uptake in the perspectives of the general population, health care providers, and policymakers. In-depth, semi-structured interviews were conducted with 25 purposively sampled respondents comprising general population above the age of 40, health care providers, and policymakers. Commonly reported barriers to CRC screening included psychological, poor knowledge and awareness, lack of physicians’ recommendation, and inadequate implementation of CRC-related campaigns at systemic level. Facilitating factors for CRC screening included family support and family history of CRC. A comprehensive understanding of barriers and facilitators is relevant for designing an effective intervention and policy to increase CRC screening rates in Malaysia.

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalAsia-Pacific Journal of Public Health
Issue number1
Publication statusPublished - Jan 2023


  • barrier
  • colorectal cancer
  • exploration
  • facilitator
  • Malaysia
  • screening

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