Prevalence and predictors of multiple behavioral risk factors for colon cancer
Prevalence and predictors of multiple behavioral risk factors for colon cancer
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DOI：
10.1016/j.ypmed.2004.10.001
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发表时间：
2005-05-01
影响因子：
5.1
通讯作者：
Fletcher, R
中科院分区：
文献类型：
--
作者：
Emmons, KM;McBride, CM;Fletcher, R
目标。本文探讨了结直肠癌 (CRC) 行为危险因素（例如红肉摄入、水果和蔬菜摄入、多种维生素摄入、酒精、吸烟和缺乏身体活动）的患病率、这些行为的共存情况以及高风险患者的改变动机。方法。研究样本包括 1,247 名最近诊断为腺瘤性结直肠息肉的患者。息肉切除术后 4 周内，参与者通过电话完成了基线调查。结果。百分之六十六的参与者之前从未被诊断出患有息肉。 58% 的样本将红肉作为危险因素，63% 的人将食用不良水果和蔬菜作为危险因素，54% 的人没有每日服用多种维生素，44% 的人将体力活动作为危险因素。相比之下，只有 9% 的样本将饮酒作为危险因素，并且只有 14% 的人目前吸烟。六个单独危险因素的患病率被合并为总体多重危险因素评分（MRF）。危险因素的平均数量为2.43。男性、高中及以下文化程度、健康状况一般或较差、对危险因素变化的自我效能感较低的人存在更多的危险因素。结论。需要对多种风险因素进行干预，利用维持这些风险因素的内部和人际因素之间的自然交叉。 (c) 2004 年癌症预防研究所和 Elsevier Inc. 保留所有权利。
Objectives. This paper examines the prevalence of behavioral risk factors for colorectal cancer (CRC) (e.g., red meat consumption, fruit and vegetable intake, multivitamin intake, alcohol, smoking, and physical inactivity), co-occurrence among these behaviors, and motivation for change among patients at increased risk.Methods. The study sample included 1,247 patients with recent diagnosis of adenomatous colorectal polyps. Within 4 weeks following the polypectomy, participants completed a baseline survey by telephone.Results. Sixty-six percent of participants had not been diagnosed with polyps before. Fifty-eight percent of the sample had red meat as a risk factor, 63% bad fruit and vegetable consumption as a risk factor, 54% did not take a daily multivitamin, and 44% had physical activity as a risk factor. In contrast, only 9% of the sample had alcohol consumption as a risk factor and only 14% were current smokers. The prevalence of the six individual risk factors was combined into an overall multiple risk factor score (MRF). The average number of risk factors was 2.43. Men, those with a high school education or below, those reporting fair or poor health status, and those with less self-efficacy about risk factor change had more risk factors.Conclusions. There is a need for multiple risk factor interventions that capitalize on natural intersections among intra- and interpersonal factors that maintain them. (c) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.