Psychological correlates of free colorectal cancer screening uptake in a Scottish sample: a cross-sectional observational study.
Psychological correlates of free colorectal cancer screening uptake in a Scottish sample: a cross-sectional observational study.
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DOI：
10.1136/bmjopen-2020-042210
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发表时间：
2022-02-01
期刊：
影响因子：
2.9
通讯作者：
Deary IJ
中科院分区：
文献类型：
--
作者：
Fawns-Ritchie C;Miller CB;van der Pol M;Douglas E;Bell D;O'Carroll RE;Deary IJ
苏格兰的结直肠癌（CRC）筛查率为56%。本研究探讨了心理因素是否与CRC筛查摄取相关。横断面观察性研究。这项研究使用了苏格兰健康促进（HAGIS）试点研究的数据，该研究旨在代表50岁及以上的苏格兰成年人。908名（505名女性）苏格兰成年人，年龄在50-80岁之间（平均年龄=65.85，SD=8.23），他们参加了HAGIS研究（2016-2017）。自我报告参与CRC筛查是结果测量。Logistic回归用于检验健康素养、认知能力、风险规避、时间偏好（例如，现在导向或未来导向）和个性的测量分数是否与CRC筛查相关，当这些心理因素单独且同时进入同一模型时。控制年龄、年龄平方、性别、居住安排和性别 * 居住安排，风险厌恶（OR=0.66，95%CI 0.51至0.85）和当前取向（OR=0.86，95%CI 0.80至0.94）增加一个点与筛查几率降低相关。健康素养（OR每增加1分=1.20，95%CI 1.09至1.31），认知能力（OR每SD增加=1.51，95%CI 1.25至1.81）和智力人格特质（OR每增加1分=1.05，95%CI 1.01至1.09）得分较高与筛查几率增加相关。当所有心理变量都进入同一模型时，较高的风险厌恶是与CRC筛查参与相关的唯一心理变量，并且当额外调整剥夺和教育时，仍与CRC筛查相关。后向消除模型保留了两个心理变量作为CRC筛查的相关因素：风险规避和认知能力。风险厌恶的人不太可能参加免费的家庭CRC筛查。
Colorectal cancer (CRC) screening uptake in Scotland is 56%. This study examined whether psychological factors were associated with CRC screening uptake. Cross-sectional observational study. This study used data from the Healthy AGeing In Scotland (HAGIS) pilot study, a study designed to be representative of Scottish adults aged 50 years and older. 908 (505 female) Scottish adults aged 50–80 years (mean age=65.85, SD=8.23), who took part in the HAGIS study (2016–2017). Self-reported participation in CRC screening was the outcome measure. Logistic regression was used to test whether scores on measures of health literacy, cognitive ability, risk aversion, time preference (eg, present oriented or future oriented) and personality were associated with CRC screening when these psychological factors were entered individually and simultaneously in the same model. Controlling for age, age-squared, sex, living arrangement, and sex*living arrangement, a one-point increase in risk aversion (OR=0.66, 95% CI 0.51 to 0.85) and present orientation (OR=0.86, 95% CI 0.80 to 0.94) was associated with reduced odds of screening. Higher scores on health literacy (OR per one-point increase=1.20, 95% CI 1.09 to 1.31), cognitive ability (OR per SD increase=1.51, 95% CI 1.25 to 1.81) and the intellect personality trait (OR per one-point increase=1.05, 95% CI 1.01 to 1.09) were associated with increased odds of screening. Higher risk aversion was the only psychological variable that was associated with CRC screening participation when all psychological variables were entered in the same model and remained associated with CRC screening when additionally adjusting for deprivation and education. A backward elimination model retained two psychological variables as correlates of CRC screening: risk aversion and cognitive ability. Individuals who are more risk averse are less likely to participate in free, home CRC screening.
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