从结肠镜检查和结肠囊内镜检查预期的不适的社会经济差异
Ulrik Deding1, Henrik Bøggild2, Gunnar Baatrup1
1Department of Clinical Research, University of Southern Denmark, Denmark; Department of Surgery, Odense University Hospital, Denmark.
Preventive medicine
|June 26, 2023
概括
包括收入和教育在内的更高的社会经济地位与结直肠癌查方法 (如结直肠镜检查) 的更大的预期不适相关. 这表明不适不是查不平等的主要驱动因素.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 结肠直肠癌查参与因收入和教育等社会经济因素而异.
- 结肠直肠癌查的内镜方式包括结肠镜和结肠囊内镜.
- 查期间的不适可能会成为参与的障碍.
研究的目的:
- 调查不同社会经济群体的结肠镜和结肠囊内镜预期的不适.
- 评估预期的不适是否会导致结直肠癌查采用的社会经济差异.
主要方法:
- 在丹麦结肠直肠癌查计划中的随机临床试验.
- 调查问卷给2031个人使用视觉模拟尺度对不适.
- 社会经济地位取决于家庭收入和教育水平.
- 多变量连续顺序回归分析了不适程度.
主要成果:
- 更高的教育水平和收入与两种模式的预期程序和整体不适度显著增加有关.
- 肠道准备是结肠囊内镜的主要不适之处;结肠镜的手术本身.
- 之前的结肠镜经验可以减少预期的整体不适,但不能减少程序性不适.
结论:
- 从结直肠癌查预期的不适是在更高的社会经济群体更高.
- 这一发现表明,预期的不适不太可能成为推动查参与社会经济不平等的重要因素.
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