Uchechukwu, Ofodile FrancisMathew, Chidera UgwuanyiUche, Ikechukwu EmmanuelArinze, Queen UchechiUchechukwu, Michael ChinonsoChiazor, Adim KessienaEnemuo, Vincent ChidiUyor, Miracle2025-08-132025-08-132025-04Uchechukwu Ofodile Francis, Mathew Chidera Ugwuanyi, Uche Ikechukwu Emmanuel, Arinze Queen Uchechi, Uchechukwu Michael Chinonso, Chiazor Adim Kessiena, Enemuo Vincent Chidi, Uyor Miracle. Spatial Awareness of Colonoscopy for Colon Cancer Screening among the Elderly Population in Enugu North LGA, Enugu State, Nigeria. International Journal of TROPICAL DISEASE & Health. 2025 Apr; 46(5): 1-132278-1005https://imsear.searo.who.int/handle/123456789/251269Colon cancer is one of the major health concerns globally. In Enugu North LGA of Nigeria, elderly residents have low awareness and uptake of colonoscopy. This study examines factors influencing screening awareness and accessibility, to reduce colorectal cancer mortality. A cross-sectional survey of 300 elderly residents was conducted using purposive stratified sampling. Data on demographics, awareness, and perceived barriers were collected via questionnaires, while GIS was employed to map screening centres and travel time. For data analysis, logistic regression was used to identify factors associated with colonoscopy awareness. With a total of 300 distributed questionnaires, 244 were filled up completely and returned, giving a response rate of 78.3%. Among the respondents, the largest number (58.6%) were 60–64 years old and slightly more than half (58.6%) were female. Additionally, 20.5% of the participants, had prior knowledge of colonoscopy, with 46.2% stating hospitals as the main source of their orientation. While 79.5% of the participants had no prior knowledge of colonoscopy. Targeted interventions, including education campaigns, cost subsidies, and expanded screening services, are needed to improve colonoscopy uptake. Engaging healthcare providers, community leaders, and media can enhance outreach and reduce colorectal cancer mortality.Colorectal cancercolonoscopy screeningspatial awarenesselderly populationJournal ArticleIndiaCollege of Medicine, University of Nigeria Teaching Hospital, NigeriaDepartment of Geography, University of Wisconsin-Milwaukee, United StatesCollege of Medicine, University of Nigeria Teaching Hospital, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, NigeriaCollege of Medicine, University of Nigeria Teaching Hospital, NigeriaCentral Hospital, Warri, NigeriaDepartment of General Surgery, University of Nigeria Teaching Hospital, NigeriaDepartment of Geography, University of Nigeria, Nsukka, Nigeria.