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Table 3 Medical student-reported barriers related to patients and healthcare systems, with regards to CRC risk factors and screening (N = 581)

From: Knowledge, attitude, and perceived barriers regarding colorectal cancer screening practices and risk factors among medical students in Saudi Arabia

Barrier statementMajor Barrier
N (%)
Minor Barrier
N (%)
Not a Barrier
N (%)
Patient-related
 Fear of finding cancer329 (56.72)186 (32.07)65 (11.21)
 Belief that screening is not effective230 (39.66)244 (42.07)106 (18.28)
 Embarrassment /anxiety308 (53.10)194 (33.45)78 (13.45)
 Colorectal cancer not a serious health threat225 (38.79)224 (38.62)131 (22.58)
 No symptoms of a health problem297 (51.21)176 (30.34)107 (18.45)
 lack of knowledge about colorectal cancer306 (52.76)209 (36.03)65 (11.20)
 Procrastination of the procedure265 (45.69)240 (41.38)75 (12.93)
Healthcare system-related
 High cost and lack of coverage327 (56.38)184 (31.72)69 (11.90)
 No available recommendations in Primary Healthcare261 (45.00)224 (38.62)95 (16.38)
 Shortage of trained providers to conduct screening other than fecal occult blood testing245 (42.24)240 (41.38)95 (16.38)
 Shortage of trained providers to conduct follow-up with invasive endoscopic procedures239 (41.21)268 (46.21)73 (12.59)
 Lack of knowledge about colorectal cancer guidelines335 (57.76)163 (28.10)82 (14.14)