影响参与结直肠癌查计划的因素:一个横截面人口研究
Alexandra Romanová1, Michala Lustigová2,3, Jana Urbanová4
1Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
Journal of cancer research and clinical oncology
|June 22, 2023
概括
参与结肠直肠癌 (CRC) 查的人群中,健康的生活方式和最近与医疗保健接触的人群的参与率更高. 患有CRC风险因素的个体没有增加查参与率,这表明需要针对性干预.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 结肠直肠癌 (CRC) 查对于早期检测和预防至关重要.
- 捷克共和国为年龄在50岁及以上的个人提供每年便免疫化学测试 (FIT) 或每十年一次的结肠镜检查CRC查.
- 了解参与模式是优化查计划有效性的关键.
研究的目的:
- 分析捷克CRC查计划的参与率.
- 为了确定与更高的查吸收相关的因素.
- 为改善CRC查覆盖率的战略提供信息.
主要方法:
- 一项观察性,横截面研究,涉及捷克共和国50岁以上的4044名个人.
- 通过调查问卷收集的数据,评估在特定时间范围内参与FIT或结肠镜检查.
- 统计分析,包括后勤回归,以确定影响参与的因素.
主要成果:
- 非吸烟者,前吸烟者,食用烟肉较少的人以及经常运动的人的参与率更高.
- 最近与医疗保健系统的接触,特别是全科医生访问和住院治疗,显著增加了查参与率.
- 已知CRC危险因素 (肥胖,吸烟,糖尿病等) 的个人. 没有显示出更高的查参与率.
结论:
- 采用更健康的生活方式的人和最近与医疗保健互动的人更有可能参加CRC查.
- 查计划似乎无法有效地接触基于生活方式因素的CRC风险较高的个体.
- 需要有针对性的宣传和干预措施,以提高高风险人群的查普及率.
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