西班牙结肠癌查的知识,合规性和不公平:一项探索性研究
Mario López Salas1, Diego De Haro Gázquez1, Belén Fernández Sánchez1
1Asociación Española Contra el Cáncer, Teniente Coronel Noreña, 30, 28045 Madrid, Spain.
Healthcare (Basel, Switzerland)
|September 28, 2023
概括
对结肠直肠癌 (CRC) 查的认识和收到邀请函显著增加了测试采用率. 解决有关症状的误解和改善外展工作对于公平的CRC查参与至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在西班牙,结肠直肠癌 (CRC) 查不平等仍然存在.
- 了解人口对CRC查的认识,态度和看法至关重要.
研究的目的:
- 分析西班牙目标人群对CRC查的认识,态度和看法.
- 为了确定影响便隐性血液检测 (FOBT) 在CRC查计划中的吸收因素.
主要方法:
- 在西班牙,对5313名年龄在50-69岁的成年人进行了代表性的在线调查.
- 进行了描述性,双变量 (Chi-square,Cramer's V) 和后勤回归分析.
主要成果:
- 62.5%完成了FOBT; 72.5%收到了邀请; 86.8%知道FOBT.
- 主要障碍:没有症状 (40%),没有邀请 (39.7%),忘记 (28.5%).
- 主要促进者:接收邀请 (OR 7.35),FOBT知识 (OR 6.32),初级保健访问 (OR 1.71),年龄较大 (OR 1.52).
结论:
- 需要提高对CRC风险因素和查益处的认识.
- 克服错误的观念,即查仅适用于有症状的个体是必不可少的.
- 有针对性的干预措施,以改善邀请发送和知识,可以加强CRC查参与.
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