Colorectal Cancer Screening Barriers in the UAE: A Call for Enhanced Public and Physician Education

Colorectal cancer (CRC) is a global health challenge and a major health burden within the United Arab Emirates (UAE). Despite the launch of a national CRC screening program in Abu Dhabi in 2014, a mixed-methods study aimed to understand the persistent issue of low participation and adherence among the adult population in Al-Ain has uncovered major screening barriers.

The research, which utilized a large quantitative survey (n=493) and in-depth interviews (n=16), uncovered significant deficiencies in public awareness and uptake of screening tests. The overall average knowledge score for CRC screening among participants was remarkably low at 16.3%. Correspondingly, participation was poor, with only 12.4% of participants reporting having undergone a colonoscopy or Fecal Occult Blood Test (FOBT).

Discouraging attitudes were common, with many participants holding a negative perception of the tests. Over half of the participants (52.7%) believed that a colonoscopy would be painful, while over 40% agreed that a visit to the doctor for a regular examination could cause unnecessary fear and panic. When asked why they did not participate, the most frequent reasons cited were a perceived lack of symptoms (34.3%) and a fatalistic “belief in destiny,” with 30.4% believing that “what is meant to happen will”.

The interviews categorized the core barriers into three themes: persistent knowledge deficits, the influence of intrinsic cultural beliefs, and the inadequate involvement of healthcare providers (HCPs). Deeply held beliefs such as low-risk perception—believing one is not at risk without current symptoms—were widespread, and a notable element of shame and embarrassment, particularly concerning the colonoscopy procedure, was expressed.

Crucially, the role of medical professionals was highlighted as insufficient. A primary reason for non-attendance was the lack of a direct recommendation from a doctor, who is otherwise regarded as a trusted source.

In conclusion, boosting CRC screening in the UAE requires a multifaceted approach, such as proactive, targeted community awareness and educational campaigns that engage the public across all educational levels. Furthermore, primary care physicians should be encouraged to become active promoters of cancer prevention and early detection.

Reference Source
Elbarazi I, Alam Z, Alshebli M, Alsunaidi L, Al-Bluwi GSM, Faheem F, Abdullahi AS, Ahmed LA and Al-Maskari F (2025) Exploring knowledge, attitude, practices and barriers toward colorectal cancer screening in the United Arab Emirates: a mixed-methods study. Front. Public Health 13:1548258. doi: 10.3389/fpubh.2025.1548258.