Colorectal cancer screening practices and perceptions among the general population of the southwestern region of Saudi Arabia

The 3rd most frequent cancer reported in the world for both sexes is colorectal cancer (CRC). Additionally, the frequency of CRC is rising in younger people, and by 2030, more people aged 20 to 49 years are anticipated to have the disease. This study was undertaken to assess the CRC screening practices and perceptions among southwestern region of Saudi Arabia and to suggest suitable preventive and promotive measures to the study population. This cross-sectional study included individuals who were 18 years of age and older, from the general population of the southwestern region. Three hundred forty participants were recruited using a convenience sampling technique. Data were collected using a self-administered questionnaire. A low screening rate of 4.7% was observed, with no significant differences by age, gender, marital status, or income. Employed individuals had slightly higher rates (5.0%) than the unemployed (3.4%). Those with a family history of CRC showed a higher screening rate (11.1%) compared to those without (3.9%), though this was not statistically significant. Awareness of CRC screening was low, with 58.8% unaware of any tests; among the informed, lower GI endoscopy was the most recognized method. While perceptions of CRC were generally positive, with many believing in its preventability and the importance of early detection, 80.0% had never considered screening, mainly citing cost as a barrier. The study underscores a significant gap in CRC screening uptake and awareness, highlighting the need for targeted educational interventions. There is a need for health education and health promotion activities for the prevention of CRC risk factors. The effective implementation of regular screening program for the early detection of the disease in the community is a necessity.