KNOWLEDGE, SCREENING HISTORY AND SATISFACTION AMONG ELIGIBLE FOR CANCER SCREENING PEOPLE IN BULGARIA

Cancer screening is one of the instruments for cancer control. The introduction of population-based screening programs can lead to a significant reduction of mortality and morbidity, if quality criteria are met. In Bulgaria, screening is opportunistic, unsystematic and ineffective. Aim:To study the information level, the experience and the attitudes of eligible for cervical, breast and colorectal cancer screening people in Bulgaria. Methods:256 women and 44 men were divided into three groups and interviewed for a particular screening site. The age range of each group was in accordance with the European and national recommendations. The data were collected in May 2018 through standardized interviews at the respondents' home. Results: The knowledge about screening tests among citizens is insufficient and varies in regard to different cancer sites. Information on aims, eligibility, screening intervals and follow-up is not consistent and often insufficient. Positive attitudes to screening prevail, with the recommendation given from a doctor being preferred to the written invitation. Conclusion: Continuous efforts are needed to raise the information level and knowledge about screening, its nature and objectives. Due to the efforts in the last decade, improvement is visible in regard to information and practices of cervical cancer screening. Brest and especially colorectal screening are less popular in the country. It is necessary to develop algorithms and guidelines for medical professionals conducting screening, as well as unified documentation.