Document Type : Original Article


1 Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman

2 Adult Health Department, Faculty of Nursing, Al-Bayt University, Mafraq, Jordan

3 Community and Mental Health Department, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman

4 Health Services Research Master Programme, Faculty of Graduate Studies, University of New Brunswick, Fredericton- New Brunswick, Canada

5 Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman

6 Department of Nursing, University of Tabuk, Tabuk, KSA

7 Clinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan

8 Community Health Department, Faculty of Nursing, Al Al-Bayt University, Mafraq, Jordan


Background: Public awareness and attitudes toward cancer and cancer patients are highly important in enhancing the effectiveness of cancer screening and early diagnosis programmes. This study aimed to explore the public attitudes toward cancer and cancer patients in Jordan.
Method: A cross-sectional design was used to conduct this online survey study in Jordan between March 20th and April 20th 2020.The sample was conveniently selected, and 1157 participants were included from the public. The Public Attitudes toward Cancer Questionnaire was employed.
Results: Descriptive statistics, unpaired t-test, ANOVA, and multiple linear regression were utilized. The mean age was 44.2 years (SD = 20.1), and 53% were female. The total mean attitude score was 38.2 (SD = 4.3). Based on the results, having a family member or a friend with cancer (P = 0.003), willingness to be informed about cancer diagnosis (P = 0.001), informing a friend about cancer diagnosis (P = 0.021), and willingness to participate in screening and early detection programmes (P < 0.001) were significant predictive positive attitudes towards cancer and cancer patients. In addition, being married predicted more negative attitudes compared with being single (P = 0.001).
Conclusion: This study demonstrated that Jordanians had positive attitudes toward cancer and cancer patients and most were willing to be informed about cancer diagnosis. This calls for healthcare providers to adopt shared decision models when devising health care plans for cancer patients, with more involvement on the parts of both patients and family members rather than adopting a paternal approach. Policy makers and managers should consider positive attitudes when developing healthcare programmes to enhance public participation in early cancer detection and screening programmes so a s to reduce cancer mortality and morbidity rates.


How to cite this article:

Al Qadire M, Khaldoun AM, Alsrayheen E, Al Omari O, Alomari K, Alkhalaileh M, et al. Public attitudes toward cancer and cancer patients: a Jordanian national online survey. Middle East J Cancer. 2022;13(2):352-62. doi: 10. 30476/mejc.2020.86835.1381.

1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre
LA, Jemal A. Global cancer statistics 2018:
GLOBOCAN estimates of incidence and mortality
worldwide for 36 cancers in 185 countries. CA: CA
Cancer J Clin. 2018;68(6):394-424. doi:10.3322/
2. WHO report on cancer: Setting priorities, investing
wisely, and providing care for all [internet]. Geneva:
World Health Organization; [cited 2020 Apr 15].
Available from:
3. Cancer Incidence in Jordan 2016 [Internet]. Jordan:
Ministry of Health; [cited 2020 Apr 15]. Available
4. Espina C, Soerjomataram I, Forman D, Martín-Moreno
JM. Cancer prevention policy in the EU: Best practices
are now well recognised; no reason for countries to
lag behind. J Cancer Policy. 2018;18: 40-51. doi:
5. Abdel-Razeq H, Attiga F, Mansour A. Cancer care in
Jordan. Hematol Oncol Stem Cell Ther. 2015;8(2):64-
70. doi: 10.1016/j.hemonc.2015.02.001.
6. Forbes LJL, Simon AE, Warburton F, Boniface D,
Brain KE, Dessaix A, et al. Differences in cancer
awareness and beliefs between Australia, Canada,
Denmark, Norway, Sweden and the UK (the
International Cancer Benchmarking Partnership): do
they contribute to differences in cancer survival? Br
J Cancer. 2013;108(2):292-300. doi:10.1038/
7. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park
HY, et al. Public attitudes toward cancer and cancer
patients: a national survey in Korea. Psychooncology.
2013;22(3):605-13. doi:10.1002/pon.3041.
8. Kye SY, Lee HJ, Lee Y, Kim YA. Public attitudes
towards cancer survivors among Korean adults. Cancer
Res Treat. 2020;52(3):722. doi: 10.4143/crt.2019.265.
9. Shim HY, Shin JY, Kim JH, Kim SY, Yang HK, Park
JH. Negative public attitudes towards cancer survivors
returning to work: A nationwide survey in Korea.
Cancer Res Treat. 2016;48(2):815.
10. The Lancet Oncology. Turning taboos into action.
Lancet Oncol. 2017;18(9):1137. doi:10.1016/S1470-
11. Badihian S, Choi EK, Kim IR, Parnia A, Manouchehri
N, Badihian N, et al. Attitudes toward cancer and
cancer patients in an urban Iranian population. Oncologist. 2017;22(8):944-50. doi:10.1634/
12. Robb KA, Simon AE, Miles A, Wardle J. Public
perceptions of cancer: a qualitative study of the balance
of positive and negative beliefs. BMJ Open.
2014;4(7):e005434. doi:10.1136/bmjopen-2014-
13. Mohieldin A, Eldali A, Aljubran A. Knowledge,
perception, and attitudes of cancer patients towards
cancer and cancer care: local perspective from Saudi
Arabia. J Cancer Educ. 2017;32(2):314-9.doi:
14. Luberto CM, Hyland KA, Streck JM, Temel B, Park
ER. Stigmatic and sympathetic attitudes toward cancer
patients who smoke: a qualitative analysis of an online
discussion board forum. Nicotine Tob Res.
2016;18(12):2194-201.doi: 10.1093/ntr/ntw166.
15. Min HS, Park J, Kim YA, Yang HK, Park K. Income
difference in attitudes towards cancer in general
population: Findings from a national survey. J Korean
Med Sci. 2018;33(33):e215. doi:10.3346/jkms.
16. Yýldýrým I. High school students’ knowledge level
of, attitudes toward and interest in cancer [dissertation].
Turky: Bilkent University; 2017 May. 128 p. Available
from: http://repository.bilkent.
17. Kobayashi LC, Smith SG. Cancer fatalism, literacy,
and cancer information seeking in the American public.
Health Educ Behav. 2016;43(4):461-70. doi:10.1177/
18. Freij M, Al Qadire M, Khadra M, ALBashtawy M,
Tuqan W, Al Faqih M, et al. Awareness and knowledge
of ovarian cancer symptoms and risk factors: A survey
of Jordanian women. Clin Nurs Res. 2018;27(7):826-
40. doi:10.1177/1054773817704749.
19. Al-Azri M, Al-Hamedi I, Al-Awisi H, Al-Hinai M,
Davidson R. Public awareness of warning signs and
symptoms of cancer in oman: a community-based
survey of adults. Asian Pac J Cancer Prev.
2015;16(7):2731-7. doi:10.7314/apjcp.2015.16.7.2731.
20. Liu Q, Zeng X, Wang W, Huang Rl, Liu S, Huang
Yh, et al. Awareness of risk factors and warning
symptoms and attitude towards gastric cancer screening
among the general public in China: a cross-sectional
study. BMJ Open. 2019;9(7):e029638.
21. Tfaily MA, Naamani D, Kassir A, Sleiman S, Ouattara
M, Moacdieh MP, et al. Awareness of colorectal cancer
and attitudes towards its screening guidelines in
Lebanon. Ann Glob Health. 2019;85(1). doi: 10.5334/
22. Rajupet S, Doshi D, Wisnivesky JP, Lin JJ. Attitudes
about lung cancer screening: primary care providers
versus specialists. Clin Lung Cancer. 2017;18(6):e417-
e423. doi: 10.1016/j.cllc.2017.05.003.
23. Alnafisah RA, Alsuhaibani R, Alharbi MA, Alsohaibani
AA, Ismail AA. Saudi women's knowledge and attitude
toward cervical cancer screening, treatment, and
prevention: A cross-sectional study in Qassim region
(2018-2019). Asian Pac J Cancer Prev.
2019;20(10):2965-9. doi:10.31557/APJCP.2019.
24. Dedeli Ö, Daban UK, Pakyuz SC. Turkish Nurses’
attitudes towards patients with cancer. Int J Nurs Sci.
2016;6(1):1-6. doi:10.5923/j.nursing.20160601.01.
25. Nassar Jr AP, Dettino ALA, Amendola CP, dos Santos
RA, Forte DN, Caruso P. Oncologists’ and intensivists’
attitudes toward the care of critically Ill patients with
cancer. J Intensive Care Med. 2019;34(10):811-7. doi:
26. Woodmansee R, Turnage D, Loerzel V. Nurse
practitioner student knowledge and attitudes toward
skin cancer assessments. J Dermatol Nurses Assoc.
2018;10(2):115-9. doi: 10.1097/JDN.0000000000
27. Alsubaie L, Alswaid A, Abdulaty O, Alfares A, Gilvary
S. Knowledge and attitude of physicians, cancer
patients, and the public concerning cancer-related
genetic tests in Saudi Arabia. JBC Genetics. 2019;
2(2): 107-15. doi:10.24911/JBCGenetics/183-
28. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park
HY, et al. Public attitudes toward cancer and cancer
patients: a national survey in Korea. Psychonocology.
2013;22(3):605-13. doi: 10.1002/pon.3041.
29. Schernhammer E, Haidinger G, Waldhör T, Vargas R,
Vutuc C. A study of trends in beliefs and attitudes
toward cancer. J Cancer Educ. 2010;25(2):211-
30. Berrenberg JL. The cancer attitude inventory:
development and validation. J Psychosoc Oncol.
1991;9(2):35-44.doi: 10.1300/J077v09n02_03.
31. Al-Azri M, Al-Rubaie K, Al-Ghafri S, Al-Hinai M,
Murthi Panchatcharam S. Barriers and attitudes toward
breast cancer screening among Omani women. Asian
Pac J Cancer Prev. 2020;21(5):1339-47. doi:10.31557/
32. Al Qadire M. Awareness of cancer signs and barriers
to help seeking: a national survey. J Cancer Educ.
2018;33(6):1206-12. doi: 10.1007/s13187-017-1232-
33. Al Qadire M. Disclosure of cancer diagnosis: an
individualized and non-paternalistic approach is
preferred. J Cancer Educ. 2018;33(5):996-1001.
34. Al Qadire M. Jordanian cancer patients' information
needs and information-seeking behaviour: A descriptive
study. Eur J Oncol Nurs. 2014;18(1):46-51.doi:
35. Al Qadire M, Aljezawi Me, Al-Shdayfat N. Cancer
awareness and barriers to seeking medical help among Syrian refugees in Jordan: a baseline study. J Cancer
Educ. 2019;34(1):19-25.doi: 10.1007/s13187-017-
36. Estimated Population of the Kingdom [internet].
Jordan: Department of Statistics; [cited 2020 Apr 15]
Published 2019. [Accessed April 20, 2020]. Available
from: /Population_
37. Badihian S, Choi EK, Kim IR, Parnia A, Manouchehri
N, Badihian N, et al. Attitudes toward cancer and
cancer patients in an urban Iranian population.
Oncologist. 2017;22(8):944.doi: 10.1634/theoncologist.
38. Rigney M, Rapsomaniki E, King JC. Lung cancer
stigma: A ten year look at public attitudes about lung
cancer. American Association for Cancer Research
Annual Meeting; 2019; March 29-April 3, Atlanta,
GA. doi: 10.1158/1538-7445.AM2019-3340
39. Tang PL, Mayer DK, Chou FH, Hsiao KY. The
experience of cancer stigma in Taiwan: a qualitative
study of female cancer patients. Arch Psychiatr Nurs.
2016;30(2):204-9. 10.1016/j.apnu.2015.08.015.
40. Kregting LM, van Ravesteyn NT, Spijker W, Dierks
T, Aitken CA , Geuzinge HA, et al. Effects of a leaflet
on breast cancer screening knowledge, explicit
attitudes, and implicit associations. Patient Educ
Couns. 2020;S0738-3991(20)30350-5. doi:10.
41. Muliira JK, Al-Saidi HS, Al-Yahyai AN. Determinants
of behavioral intentions to screen for prostate cancer
in Omani men. Asia Pac J Oncol Nurs. 2017;4(4):348–
55. doi: 10.4103/apjon.apjon_34_17.
42. Yun YH, Kim KN, Sim JA, Kang E, Lee J, Choo J, et
al. Priorities of a "good death" according to cancer
patients, their family caregivers, physicians, and the
general population: a nationwide survey. Support Care
Cancer. 2018;26(10):3479-88. doi:10.1007/s00520-
43. LeSeure P, Chongkham-Ang S. The experience of
caregivers living with cancer patients: A systematic
review and meta-synthesis. J Pers Med. 2015;5(4):406-
44. Arabiat DH, Al Jabery M, Abdelkader RH, Mahadeen
A. Jordanian mothers’ beliefs about the causes of
cancer in their children and their impact on the maternal
role. J Transcult Nurs. 2013;24(3): 246-53.doi: