在肠癌查中实施风险分层:一项社区陪审团研究,探讨公众的接受度和沟通需求
Lily C Taylor1, Rebecca A Dennison2, Simon J Griffin2,3
1Primary Care Unit, Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge, UK. lct46@medschl.cam.ac.uk.
BMC public health
|September 15, 2023
概括
公众对风险分层肠癌查的接受度很高. 实施当前基于数据的策略是可行的,未来对生活方式和遗传风险因素的潜在影响,强调清晰的沟通.
科学领域:
- 公共卫生 公共卫生
- 遗传学 是一个遗传学.
- 癌症研究 癌症研究
背景情况:
- 基于人口的癌症查正在从年龄/性别标准过渡到风险分层.
- 有效的公众沟通和接受对于实施这些变化至关重要.
研究的目的:
- 探索肠癌查中的风险分层的社会和伦理考虑.
- 了解公众对风险分层查沟通的要求.
主要方法:
- 两个社区陪审团讨论了查资格,转诊门和查间隔的风险分层.
- 参与者获悉了风险分层原则,并就其可接受性和沟通需求进行了审议.
主要成果:
- 通知公众发现风险分层的肠癌查是可以接受的.
- 使用现有数据 (年龄,性别,查结果) 优先于基于年龄的查;生活方式/遗传数据也可接受.
- 担忧包括低风险的个人,公众的误解和系统的复杂性;清晰的沟通至关重要.
结论:
- 使用当前数据进行风险分层,由于公众的接受性,可以立即实施.
- 纳入生活方式/遗传数据是可以接受的,但需要仔细考虑数据收集和沟通策略.
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