预期和实际参与结肠直肠癌查计划
Maren Dreier1, Melanie Brinkmann, Jona Theodor Stahmeyer
1Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Hannover, Germany; Hannover Medical School. Institute for General Practice and Palliative Care, Hannover, Germany; AOK Niedersachsen-Statutory Health Insurance of Lower Saxony, Hannover, Germany.
Deutsches Arzteblatt international
|June 12, 2024
概括
许多人打算进行结肠直肠癌查,但实际上只有更少的人这样做. 预约和偏爱结肠镜会增加参与率,而家族癌症史会减少参与率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 胃肠病学 胃肠病学
背景情况:
- 公众对结直肠癌查的看法通常是积极的.
- 然而,参与率表明,在查普及方面还有改进的余地.
- 识别影响查意图和遵守因素对于加强预防策略至关重要.
研究的目的:
- 确定与意图和实际参与结直肠癌查相关的社会人口统计学和医疗因素.
- 了解选的意图与实际选行为之间的差距.
主要方法:
- 一项前性队列研究对50岁的男性和55岁的女性进行了随机抽样,他们有资格在德国下萨克森州进行首次查结肠镜检查.
- 参与者在接受查邀请后三周后收到了问卷.
- 使用多变量逻辑回归分析来确定与30个月内参与相关的因素.
主要成果:
- 82.7%的受访者打算参与,但只有43.3%的受访者在30个月内实际参与.
- 预约约会是参与率最强的预测因素 (OR = 11.1).
- 生活在一个较小的城镇 (OR = 2.41) 和偏好结肠镜检查 (OR = 2.52) 与参与积极相关,而结肠直肠癌家族病史与参与负相关 (OR = 0.31).
结论:
- 在接受结直肠癌查的意图和实际参与之间存在很大的差距.
- 针对性支持对特定群体可能是有益的,以帮助他们采取行动,以实现他们的查意图.
- 由于方法上的局限性,需要进行进一步的研究来证实这些发现.
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