The health belief model and colorectal cancer screening in the general population: A systematic review.
The health belief model and colorectal cancer screening in the general population: A systematic review.
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DOI：
10.1016/j.pmedr.2020.101223
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发表时间：
2020-12
影响因子：
2.8
通讯作者：
Tan KK
中科院分区：
文献类型：
--
作者：
Lau J;Lim TZ;Jianlin Wong G;Tan KK
结直肠癌筛查可以挽救生命，而且具有成本效益。它可以早期发现病理，并使早期医疗干预成为可能。尽管临床实践指南提倡对平均风险个体进行筛查，但在许多人群中，摄取仍然是次优的。在行为改变理论（如健康信念模型）的背景下，很少有研究调查社会行为因素如何影响筛查吸收。因此，本系统综述探讨了健康信念模型的结构是如何与结直肠癌筛查相关的。从成立到2019年9月，系统检索了四个数据库。使用健康信念模型检查结直肠筛查史、意图或行为的定量观察研究被纳入。共有30项研究符合审查标准；均为横断面设计。感知易感性、益处和行动线索与筛查史或意图直接相关。感知障碍与筛查史或意向呈负相关。这些研究还发现了其他调节因素，包括社会人口和文化规范。筛查史、意向或行为的自我报告、便捷性抽样和因素之间缺乏时间性是所有研究中常见的局限性。健康信念模型与结肠直肠癌筛查摄取的关联与一般的预防性健康行为一致。未来的研究应该检查如何调整基于理论的行为干预，以解释社会生态因素的影响。
Colorectal cancer screening saves lives and is cost-effective. It allows early detection of the pathology, and enables earlier medical intervention. Despite clinical practice guidelines promoting screening for average risk individuals, uptake remains suboptimal in many populations. Few studies have examined how sociobehavioural factors influence screening uptake in the context of behaviour change theories such as the health belief model. This systematic review therefore examines how the health belief model’s constructs are associated with colorectal cancer screening. Four databases were systematically searched from inception to September 2019. Quantitative observational studies that used the health belief model to examine colorectal screening history, intention or behaviour were included. A total of 30 studies met the criteria for review; all were of cross-sectional design. Perceived susceptibility, benefits and cues to action were directly associated with screening history or intention. Perceived barriers inversely associated with screening history or intention. The studies included also found other modifying factors including sociodemographic and cultural norms. Self-report of screening history, intention or behaviour, convenience sampling and lack of temporality among factors were common limitations across studies. The health belief model’s associations with colorectal cancer screening uptake was consistent with preventive health behaviours in general. Future studies should examine how theory-based behavioural interventions can be tailored to account for the influence of socioecological factors.
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影响因子：
3.1
作者：
Hay, JL;Ford, JS;Ostroff, JS
通讯作者：
Ostroff, JS
影响因子：
3.2
作者：
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Maraj M
影响因子：
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作者：
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通讯作者：
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影响因子：
2.5
作者：
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通讯作者：
Kim MT
DOI：
10.3889/oamjms.2018.183
发表时间：
2018-05-20
影响因子：
--
作者：
Darvishpour, Azar;Vajari, Soheila Mazloum;Noroozi, Sara
通讯作者：
Noroozi, Sara