Effect of physician recommendation and patient adherence on rates of colorectal cancer testing
Effect of physician recommendation and patient adherence on rates of colorectal cancer testing
复制标题
DOI：
10.1016/j.cdp.2004.04.006
复制
发表时间：
2004-01-01
影响因子：
--
通讯作者：
Wood, PA
中科院分区：
文献类型：
--
作者：
Brawarsky, P;Brooks, DR;Wood, PA
这项研究探讨了：（1）与医生建议的结直肠癌（CRC）筛查相关的患者特征和患者对建议的依从性，以及（2）建议和依从性对CRC检测的综合影响，广义上。数据来自1999年MA BRFSS和对869名年龄在50岁及以上的BRFSS参与者的电话回访调查。逻辑回归用于确定推荐、依从性和测试的相关性。患者-医生因素与推荐、依从性和检测呈正相关。健康保险不足与推荐（OR = 0.45，95%CI = 0.27-0.78）和测试（OR = 0.64，95%CI = 0.38-1.1）呈负相关。男性不太可能被推荐（OR = 1.1，95% CI = 0.78-1.5），但更可能坚持（OR = 1.9，95% CI = 1.2-2.0）和接受测试（OR = 1.4，95% CI = 1.0-1.9）。在考虑健康和风险因素措施时，建议存在性别差异。需要进行研究，以了解建议和遵守的差异。对于不太可能坚持的群体，可能需要更大的鼓励和坚持。(C)2004年国际预防肿瘤学会。由爱思唯尔有限公司出版。保留所有权利。
This study explored: (1) patient characteristics associated with physician recommendation for colorectal cancer (CRC) screening and patient adherence to recommendation, and (2) the combined effect of recommendation and adherence on CRC testing, broadly defined. Data were from the 1999 MA BRFSS and a call-back survey of 869 BRFSS participants, age 50 and older. Logistic regression was used to identify correlates of recommendation, adherence, and testing. Patient-physician factors were positively associated with recommendation, adherence and testing. Inadequate health insurance was negatively associated with recommendation (OR = 0.45, 95% CI = 0.27-0.78) and testing (OR = 0.64, 95% CI = 0.38-1.1). Men were not more likely to be recommended (OR = 1.1, 95% CI = 0.78-1.5), but were more likely to adhere (OR = 1.9, 95% CI = 1.2-2.0) and to be tested (OR = 1.4, 95% CI = 1.0-1.9). There were gender differences in recommendation when considering health and risk factor measures. Research is needed to understand differences in recommendation and adherence. Greater encouragement and follow-through may be needed for groups less likely to adhere. (C) 2004 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.