Background: Colorectal cancer (CRC) is second in incidence rates in both genders in the Kingdom of Bahrain, with the number of new CRC cases sharply increasing in the last two decades. This study aimed to assess the levels of knowledge regarding CRC among people living in the Kingdom. Methods: A cross-sectional survey design was used to recruit a convenient sample of 505 adults aged 25 years or above. Face to face structured interviews were conducted to supplement data gained from the questionnaire. Results: The mean age of participants was 37 (±10.43) years. Changes in bowel habits were the most commonly identified symptoms (46%) followed by lower abdominal pain (44%). Family history was the most commonly identified risk factor (38%) followed by smoking (28%). The overall score of knowledge of CRC was 56 (±18.4). The scores for symptoms and risk factors were 59 (±26.2) and 53 (±17.5) respectively. It was found that female participants had better knowledge 59 (±17) than males 54 (±19) (P = .001). Participants with high levels of education had better knowledge (63%) compared with other groups, although this was not statistically significant (P = .067). Conclusion: This study indicates poor knowledge among people living in Bahrain regarding CRC symptoms and risk factors. Strategies and educational initiatives need to be implemented to enhance the general public’s awareness in this respect. © 2018 Asian Pacific Organization for Cancer Prevention.

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