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Perceptions of Malaysian Colorectal Cancer Patients Regarding Dietary Intake: A Qualitative Exploration

  • Yusof, Afzaninawati Suria (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre) ;
  • Isa, Zaleha Md. (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre) ;
  • Shah, Shamsul Azhar (Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre)
  • Published : 2013.02.28

Abstract

Background: Changes in dietary practices are known to be associated with changes in the health and disease pattern of a population. This study aimed to qualitatively explore the perception of colorectal cancer patients regarding causes of colorectal cancer and the influence of diet. Materials and Methods: Twelve respondents from three major ethnicities in Malaysia were selected from the quantitative study on dietary pattern and colorectal cancer carried out earlier in this study. In-depth interviews (IDI), conducted from April until June 2012, were mainly in the Malay language with additional use of English and continued until the saturation point was reached. All interviews were autorecorded so that verbatim transcriptions could be created. Results: Causes of colorectal cancer were categorized into internal and external factors. The majority of respondents agreed that there is an association between Western foods and colorectal cancer. Malaysian traditional diet was not related to colorectal cancer as less preservative agents were used. Malaysian diet preparation consisting of taste of cooking (spicy, salty and sour foods) plus type of cooking (fry, grilled and smoked) were considered causes of colorectal cancer. All respondents changed their dietary pattern to healthy food after being diagnosed with colorectal cancer. Advice from doctors regarding suitable food for colorectal cancer was useful in this regard. Conclusions: Eating outside, use of food flavoring ingredients and preservative agents were considered to be the main factors causing colorectal cancer. All respondents admitted that they changed to a healthy diet after being diagnosed with colorectal cancer.

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References

  1. Dyer KJ, Fearon KCH, Buckner K, et al (2004). Diet and colorectal cancer risk: Baseline dietary knowledge of colorectal cancer. Hlth Educ J, 63, 242
  2. Elmubarak E, Bromfield E, Adelia C, Bovell-Benjamin AC (2005). Focused interviews with Sudanese Americans: perceptions about diet, nutrition, and cancer. Prev Med. 40, 502-9 https://doi.org/10.1016/j.ypmed.2004.09.021
  3. Farooqui M, Hassali MA, Aishah K Shatar AK, et al (2011). A qualitative exploration of Malaysian cancer patients' perspectives on cancer and itstreatment. BMC Public Hlth, 11, 525. https://doi.org/10.1186/1471-2458-11-525
  4. GCC Lim, S Rampal, Y Halimah (Eds). Cancer Incidence in Peninsular Malaysia, 2003-2005. National Cancer Registry. Kuala Lumpur 2008.
  5. Khor GL, Nasir MT, Kandiah M, et al (1998). Appraising the current food and nutrition situation with policy implications. Mal J Nutr, 4, 91-106.
  6. McWhirter JE, Todd LE, Hoffman-Goetz L ( 2011). Beliefs about causes of colon cancer by English-as-a-second-Language Chinese Immigrant women to Canada. J Canc Educ, 26, 734-9. https://doi.org/10.1007/s13187-011-0258-3
  7. Mohandas KM (2011). Colorectal cancer in India: controversies, enigmas and primary prevention. Indian J Gastroenterol, 30, 3-6 https://doi.org/10.1007/s12664-010-0076-2
  8. Reedy J, Haines PS, Steckler A, et al (2005). Qualitative comparison of dietary choices and dietary supplement use among older adults with and without a history of colorectal cancer. J Nutr Educ Behav,37, 252-8. https://doi.org/10.1016/S1499-4046(06)60280-7
  9. Satia JA, Patterson RE, Taylor VM, et al (2000). Use of qualitative methods to study diet, acculturation, and Health in Chinese-American Women. J Am Dietitic Assoc, 100, 8.
  10. Shokar NK, Vernon SW, Weller SC. (2005). Cancer and colorectal cancer: knowledge, beliefs, and screening preferences of a diverse patient population. Fam Med, 37, 341-7.

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