Contrasts in Rural and Urban Barriers to Colorectal Cancer Screening
Contrasts in Rural and Urban Barriers to Colorectal Cancer Screening
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DOI：
10.5993/ajhb.37.3.1
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发表时间：
2013-01-01
影响因子：
2.3
通讯作者：
Arnold, Connie L.
中科院分区：
文献类型：
--
作者：
Davis, Terry C.;Rademaker, Alfred;Arnold, Connie L.
目的：比较农村和城市安全网患者结肠癌（CRC）筛查和粪便潜血试验（FOBT）完成障碍。方法：对972例未进行最新筛查的患者进行访谈。结果如下：农村患者更倾向于相信早期发现CRC是有帮助的（89.7% vs 66.1%，p < .0001），但接受筛查建议的可能性较小（36.4%对45.8%，p = .03）或FOBT信息（14.5%对32.3%，p < .0001）或已完成FOBT（22.0%对45.8%，p < .0001）。结论：需要采取干预措施，以增加筛查建议，教育和完成，特别是在农村地区。
Objectives: To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients. Methods: Interviews were administered to 972 patients who were not up-to-date with screening. Results: Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001). Conclusions: Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.