避开结肠直肠癌信息与查遵守有关
Heather Orom1, Nolan E Ramer2,3, Natasha C Allard4
1Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY, USA. horom@buffalo.edu.
Journal of behavioral medicine
|March 9, 2024
概括
避免结肠直肠癌 (CRC) 信息的个人不太可能遵守查指南,也不太可能打算接受查. 这种信息回避影响了超出已知的因素的CRC查遵守.
科学领域:
- 在瘤学瘤学.
- 健康 行为 健康行为
- 公共卫生 公共卫生
背景情况:
- 大肠直肠癌 (CRC) 是美国癌症死亡的主要原因.
- 查CRC的遵守率低于最佳,不到三分之二的美国成年人遵循指南.
- 了解CRC查的障碍对于改善早期检测和预防至关重要.
研究的目的:
- 调查是否防御性避免CRC信息与较低的查遵守和意图有关.
- 为了确定CRC信息回避是否预测了超出已确定的决定因素的选行为.
- 找出潜在的策略来吸引那些避免CRC信息的个人.
主要方法:
- 对887名成年人 (45至75岁) 的调查,评估CRC查行为,意图和信息回避倾向.
- 包括已知的查结构决定因素:医疗保健覆盖率,利用率和提供者建议.
- 使用多变量回归和结构方程建模 (SEM) 评估关系的分析.
主要成果:
- 较高的CRC信息回避与较低的查遵守率 (OR=0.55) 有关.
- 在不坚持的个人中,更大的避开预测了被选的意图较弱 (b=-0.50).
- 信息回避与结构性决定因素负相关,并在SEM模型中选遵守,在包含时改进模型合适性.
结论:
- 防御性避免CRC信息是选遵守和意图的重要障碍.
- 信息回避独立地预测选行为,并与已知的结构因素相互作用.
- 需要新的健康沟通和外部干预措施来接触和吸引CRC信息回避者.
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