PERCEIVED RISK OF CANCER AND PRACTICE OF CANCER PREVENTION BEHAVIORS AMONG EMPLOYEES IN AN ONCOLOGY CENTER

PERCEIVED RISK OF CANCER AND PRACTICE OF CANCER PREVENTION BEHAVIORS AMONG EMPLOYEES IN AN ONCOLOGY CENTER
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DOI:
10.1006/pmed.1994.1042
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发表时间:
1994-05-01
影响因子:
5.1
通讯作者:
PERRY, H
PERRY, H
中科院分区:
医学2区
文献类型:
--
作者:
HELZLSOUER, KJ;FORD, DE;PERRY, H

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方法.对肿瘤中心员工进行了一项调查,以确定与癌症风险感知和预防护理指南依从性相关的因素。506名员工参加了调查。未来20年患癌症的平均绝对风险为29%。女性的癌症风险高于男性。在男性中,只有目前的吸烟和就业时间,调整年龄,与患癌症的风险显着相关。对于女性来说,除了吸烟之外,家人和朋友中的个人癌症经历以及感知的健康状况与感知的癌症风险显著相关。癌症预防行为的实践与个人风险认知无关。不到四分之一的40岁及以上的参与者在过去3年中进行了乙状结肠镜检查,不到三分之一的人报告说他们的粪便检查了血液。大多数妇女在过去10年中进行了子宫颈抹片检查; 89%在过去3年中进行了子宫颈抹片检查。88%的40岁以上妇女和94%的50岁以上妇女曾经做过乳房X光检查;这些妇女中的大多数在过去两年里做过乳房X光检查。在美国,人们对患癌症的风险的感知明显高于基于癌症发病率的预测概率。尽管人们认为患癌症的风险很高,但结肠癌筛查的实践却很低。除了个人癌症风险的感知之外,其他因素可能在鼓励参与筛查计划方面也很重要。 (C)1994年出版社出版。
Methods. A survey of oncology center employees was conducted to determine those factors associated with perceived risk of cancer and compliance with preventive care guidelines. Five hundred six employees participated in the survey.Results. The average perceived absolute risk of developing cancer in the next 20 years was 29%. Perceived risk for cancer was higher among women than men. Among men, only current smoking and duration of employment, adjusting for age, were significantly associated with the perceived risk of developing cancer. For women, in addition to smoking, personal experience with cancer among family and friends and perceived health status were significantly associated with the perceived risk of cancer. The practice of cancer preventive behaviors was unrelated to personal risk perception. Less than one-fourth of participants age 40 years and older had a sigmoidoscopy in the last 3 years and less than one-third reported having had their stool checked for blood. The majority of women had a pap smear in the past 10 years; 89% had a pap smear in the past 3 years. Eighty-eight percent of women over 40 and 94% of women over 50 had ever had a mammogram; the majority of these women had had mammograms in the past two years.Conclusion. Perceived risk of developing cancer was significantly higher than in projected probabilities based on the incidence of cancer in the United States. Despite the high perceived risk of developing cancer, the practice of colon cancer screening was low. Factors other than perception of personal risk of cancer may be important in encouraging participation in screening programs. (C) 1994 Academic Press, Inc.