Risk and reluctance: understanding impediments to colorectal cancer screening.
Risk and reluctance: understanding impediments to colorectal cancer screening.
复制标题
风险和不情愿：了解结直肠癌筛查的障碍。
DOI：
10.1006/pmed.2001.0838
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Goins,KV
中科院分区：
文献类型：
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作者：
Weitzman,ER;Zapka,J;Estabrook,B;Goins,KV
目的检测和预防结直肠癌(CRC)的筛查远远低于最佳水平，导致不必要的结直肠癌相关发病率和死亡率。几乎没有详细的信息来解释为什么筛查技术没有得到充分利用，为什么筛查依从率很低。在设计干预研究之前，我们评估了成年女性和成年男性对结直肠癌的了解。我们还调查了结直肠癌的认知风险模式，筛查的障碍和促进者，以及在粪便潜血检测和柔性乙状结肠镜检查方面的经验和意图。方法我们分析了半结构化焦点小组访谈的数据，调查对象是年龄在50岁到和65岁以上的社区成年男性和女性(n=39)。提供商的做法强化了低水平的感知风险。筛查存在多个障碍，其中许多障碍是可以补救的。结论我们还处于传播有关结直肠癌的信息的早期阶段。可通过开展适当的公共卫生宣传运动和解决服务因素来提高筛查利用率。最后给出了一些建议。
PurposeScreening to detect and prevent colorectal cancer (CRC) is well below optimal, contributing to needless CRC-related morbidity and mortality. Little detailed information exists explaining why screening technologies are underutilized and why screening adherence rates are low. Prior to the design of an intervention study, we assessed knowledge about CRC among adult women and men with access to health care. We also investigated patterns of perceived risk for CRC, barriers and facilitators to screening, and experience and intentions with regard to both fecal occult blood testing and flexible sigmoidoscopy.MethodsWe analyzed data from semistructured focus group interviews with a small, nonrepresentative sample (n = 39) of community-dwelling adult men and women ages 50 to 64 and 65 plus.ResultsCRC-related knowledge is low, and misperceptions are common. Provider practices reinforce low levels of perceived risk. Multiple barriers to screening exist, of which many are remediable.ConclusionsWe are at an early stage in the diffusion of information about CRC. Screening utilization may be improved through development of appropriate public health awareness campaigns and by addressing service factors. Recommendations are provided.