Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer survival?
Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer survival?
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DOI：
10.1038/bjc.2012.542
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发表时间：
2013-02-05
影响因子：
8.8
通讯作者：
Wardle, J.
中科院分区：
文献类型：
--
作者：
Forbes, L. J. L.;Simon, A. E.;Wardle, J.
背景：癌症1年生存率存在广泛的国际差异。英国和丹麦与其他拥有类似医疗保健系统的高收入国家相比表现不佳：澳大利亚、加拿大和瑞典的癌症存活率较高，挪威的存活率居中。本研究的目的是检查这些国家的癌症意识和信念的差异模式，以确定这些可能有助于生存的模式。方法：我们对澳大利亚、加拿大、丹麦、挪威、瑞典和英国的19079名年龄≥ 50岁的男性和女性进行了基于人口的电话访谈调查，使用了癌症意识和信念测量。结果：英国（14%）、加拿大（13%）和澳大利亚（16%）对癌症风险随年龄增长而增加的认识较低，但丹麦（25%）、挪威（29%）和瑞典（38%）的认识较高。英国和丹麦的症状意识并不低于其他国家。症状表现的感知障碍在英国最高，特别是担心浪费医生的时间（英国34%;加拿大21%;澳大利亚14%;丹麦12%;挪威11%;瑞典9%）。结论：英国对年龄相关风险的认识较低，对症状表现的感知障碍最高，但英国的症状认识与其他国家没有差异。丹麦对年龄相关风险的认识更高，对症状表现的障碍很少。这表明，其他因素必须参与解释丹麦的低存活率。在英国，应制定和评估干预措施，以解决在初级保健中及时就诊的障碍。
Background: There are wide international differences in 1-year cancer survival. The UK and Denmark perform poorly compared with other high-income countries with similar health care systems: Australia, Canada and Sweden have good cancer survival rates, Norway intermediate survival rates. The objective of this study was to examine the pattern of differences in cancer awareness and beliefs across these countries to identify where these might contribute to the pattern of survival.Methods: We carried out a population-based telephone interview survey of 19 079 men and women aged >= 50 years in Australia, Canada, Denmark, Norway, Sweden and the UK using the Awareness and Beliefs about Cancer measure.Results: Awareness that the risk of cancer increased with age was lower in the UK (14%), Canada (13%) and Australia (16%) but was higher in Denmark (25%), Norway (29%) and Sweden (38%). Symptom awareness was no lower in the UK and Denmark than other countries. Perceived barriers to symptomatic presentation were highest in the UK, in particular being worried about wasting the doctor's time (UK 34%; Canada 21%; Australia 14%; Denmark 12%; Norway 11%; Sweden 9%).Conclusion: The UK had low awareness of age-related risk and the highest perceived barriers to symptomatic presentation, but symptom awareness in the UK did not differ from other countries. Denmark had higher awareness of age-related risk and few perceived barriers to symptomatic presentation. This suggests that other factors must be involved in explaining Denmark's poor survival rates. In the UK, interventions that address barriers to prompt presentation in primary care should be developed and evaluated.