影响遵守全国结肠直肠癌查的因素:一项为期12年的纵向研究,使用韩国的多机构数据
Dae Sung Kim1, Jeeyoung Hong2, Kihyun Ryu1
1Division of Gastroenterology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Journal of Korean medical science
|January 30, 2024
概括
持续的结直肠癌 (CRC) 查对于降低死亡率至关重要. 高收入,某些工作和家族史等因素显著增加了韩国成年人对CRC查的遵守性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防癌症 预防癌症
背景情况:
- 持续的结肠直肠癌 (CRC) 查对于减少晚期CRC发病率和死亡率至关重要.
- 通过查进行早期检测可以显著提高患者的生存率.
研究的目的:
- 确定影响韩国成年人CRC查遵守的社会经济,家庭和医疗因素.
- 分析纵向数据,以全面了解查坚持模式.
主要方法:
- 这是一项为期12年的纵向研究 (2007-2018),对3464名年龄在50-79岁的韩国成年人进行了研究.
- 利用来自国家健康调查和保险服务的链接数据.
- 采用顺序逻辑回归来分析坚持水平 (不坚持,间歇坚持,始终坚持).
主要成果:
- 一致的CRC查与收入 (100-150%类别),文职/销售/服务工作和中型城市居住有积极联系.
- 高等教育 (高中毕业),婚姻状况,以及基于就业/私人保险的使用与查遵守率的增加相关.
- 没有残疾,家族史有CRC,以及先前的结直肠瘤史也显著预测了持续的查吸收.
结论:
- 韩国的CRC查定期参与率低,需要有针对性的干预措施.
- 政策应优先考虑加强教育和公共关系努力,以提高查率.
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