预期和经历过的结肠镜检查和结肠囊内镜检查之间的不一致性中的社会经济差异
Ulrik Deding1,2, Henrik Bøggild3, Lasse Kaalby1,2
1Department of Clinical Research, University of Southern Denmark, Denmark.
Heliyon
|August 5, 2024
概括
结肠直肠癌查的不适,包括结肠镜和结肠囊内镜 (CCE),根据教育而异,但不是收入. 肠道准备是主要的不适来源,预期和经历不适之间的差异在较低的社会经济群体中没有扩大.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医疗技术 医疗技术 医学技术
背景情况:
- 社会不平等影响着结直肠癌查参与.
- 对诊断程序的不适是查的一个障碍.
- 这项研究检查了社会经济地位的结肠镜和结肠囊内镜 (CCE) 的不适.
研究的目的:
- 描述在结肠镜检查和CCE过程中经历的不适.
- 调查预期和经历的不适之间的差异.
- 通过社会经济地位 (SES) 来分层不适和差异.
主要方法:
- 一项随机对照试验在便免疫化学测试阳性后提供了CCE或结肠镜检查.
- 接受CCE的参与者通过电子问卷报告了不适.
- 使用视觉模拟尺度测量不适,并在教育和收入水平之间进行比较.
主要成果:
- 经历的不适因教育水平而异,但不因收入而异.
- 肠道准备是CCE和结肠镜检查的主要不适之处.
- 预期和经历的不适之间的差异随着高等教育和收入的增加而增加.
结论:
- 在较低的社会经济小组中没有发现更高的不适.
- 肠道准备是造成不适的主要原因,不管是什么方式.
- 不适的差异并不是在较低的SES群体中查吸收的重大障碍.
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