社会支持在美国查结肠镜/半导体镜吸收中的作用 大人的成年人
Benjamin E Ansa1,2, Biplab Datta1,2, Samah Ibrahim1,3
1Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA.
Healthcare (Basel, Switzerland)
|February 10, 2024
概括
强有力的社会支持显著增加了结直肠癌查率. 通过政策和干预措施加强社会支持,可以改善对结肠镜和体镜的查采用率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康差异 在健康上的差异
背景情况:
- 结肠直肠癌 (CRC) 是一个重大的公共卫生挑战.
- 查方法,如结肠镜和半导体镜是有效的预防CRC.
- 美国成年人目前的CRC查率低于推水平.
研究的目的:
- 调查社会支持水平与美国成年人CRC查 (结肠镜/体镜) 吸收之间的关联.
- 研究社会经济因素如何影响社会支持与CRC查之间的关系.
- 确定干预措施的潜在目标,以提高CRC查遵守率.
主要方法:
- 采用2021年国家卫生访谈调查 (NHIS) 数据进行的横截面研究.
- 分析包括20008名美国成年人,按社会支持强度 (强,有,弱) 分类.
- 权重二元物流回归模型评估了基于社会支持和社会经济地位的选几率.
主要成果:
- 具有强烈社会支持的成年人报告了较高的查结肠镜或细肠镜率 (58.0%) 与一些或很弱的支持 (52.0%) 相比.
- 与支持较弱的人相比,具有强烈社会支持的个人接受查的几率高出1.3倍 (aOR=1.3,p<0.001).
- 在查采用方面,社会经济差异显而易见,特别是在具有强大的社会支持的人群中.
结论:
- 强有力的社会支持是与查结肠镜或西格莫镜镜的增加相关的关键因素.
- 旨在加强社会支持网络的干预措施可以提高CRC查遵守率.
- 公共卫生政策应该考虑社会支持机制,以解决CRC预防差距.
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