影响结肠直肠癌查遵守的多层次因素:一个系统的文献审查
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Updated: Feb 5, 2026

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Orthotopic Mouse Model of Colorectal Cancer
Published on: December 4, 2007
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Nur Fadhilah Zubair1, Azmawati Mohammed Nawi1, Mohd Rohaizat Hassan1,2,3
1Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
PloS one
|February 3, 2026
概括
改善结肠直肠癌 (CRC) 查依从性需要解决个人,社会和结构因素. 多层次干预是增加参与CRC查计划的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 预防癌症 预防癌症
背景情况:
- 结肠直肠癌 (CRC) 仍然是全球癌症死亡的主要原因.
- 对CRC查指导方针的非最佳遵守有助于预防可预防的死亡.
- 通过查及早检测可显著降低CRC发病率和死亡率.
研究的目的:
- 系统地审查影响结肠直肠癌查依从性的多层次因素.
- 用社会生态模型分析这些决定因素.
- 为 CRC 查制定有针对性的干预措施提供信息.
主要方法:
- 在PubMed,Scopus和Web of Science (2000-2024) 的系统文献搜索.
- 包括使用多级建模用于平均风险成年人CRC查行为的研究.
- 个人,人际,社区,机构和政策层面的决定因素的叙事综合.
主要成果:
- 个人因素 (年龄,性别,SES,保险) 和社区因素 (邻里SES,医疗保健准入) 影响查遵守.
- 机构因素 (系统结构,服务可用性) 和政策因素 (国家指导方针,保险) 也起到作用.
- 社会生态模型框架强调了决定因素的相互联系,需要多层次的干预.
结论:
- 多层次的方法对于改善结肠直肠癌查依从性至关重要.
- 未来的研究应该专注于低收入和中等收入环境.
- 综合的多层次干预措施有望提高CRC查率.
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