确定菲律宾人对结肠直肠癌查测试的偏好:基于选择的联合分析的见解
Austin Crochetiere1, Marie Lauzon2, Antwon Chaplin3
1Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
AJPM focus
|January 15, 2025
概括
三分之二的菲律宾人更喜欢便免疫化学测试 (FIT),而不是结肠镜检查结肠直肠癌. 这一发现可以为文化定制的干预措施提供信息,以提高菲律宾社区的查率和结果.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 美国的菲律宾人与非西班牙裔白人相比,结直肠癌查率较低,结果较差.
- 这种差异仍然存在,尽管在菲律宾人口中存在诸如高英语水平,保险费率,教育和收入等有利的社会经济因素.
研究的目的:
- 调查菲律宾人关于结直肠癌查测试选项的偏好.
- 了解影响不同查方法之间的选择的决策因素.
主要方法:
- 使用联合分析来评估查测试属性的相对重要性 (例如,模式,有效性,肠道准备).
- 在105名未接受查的40岁及以上的菲律宾人中进行了一项调查,他们平均有患结直肠癌的风险.
- 进行了模拟,以估计每年便免疫化学测试与每10年进行一次结肠镜检查的偏好.
主要成果:
- 测试模式成为查决策中最重要的因素.
- 结果表明,66.7%的参与者更喜欢每年一次便免疫化学测试,而33.3%的人更喜欢每10年进行一次结肠镜检查.
结论:
- 大多数菲律宾人 (三分之二) 赞成用于结直肠癌查的便免疫化学测试.
- 建议针对文化定制的干预措施,重点是教育和获得FIT,以解决菲律宾社区的结直肠癌差异.
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