Effect of Public Knowledge, Attitudes, and Behavior on Willingness to Undergo Colorectal Cancer Screening Using the Health Belief Model
Effect of Public Knowledge, Attitudes, and Behavior on Willingness to Undergo Colorectal Cancer Screening Using the Health Belief Model
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DOI：
10.4103/1319-3767.153814
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发表时间：
2015-03-01
影响因子：
2.7
通讯作者：
Mandil, Ahmed
中科院分区：
文献类型：
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作者：
Almadi, Majid A.;Mosli, Mahmoud H.;Mandil, Ahmed
背景/目标：结直肠癌 (CRC) 筛查的成功部分取决于目标人群的接受比例。我们本研究的目的是根据健康信念模型 (HBM) 确定与接受 CRC 筛查意愿相关的因素。患者和方法：这是一项针对沙特阿拉伯利雅得公民的横断面研究。收集的人口统计数据包括性别、年龄、教育程度、婚姻状况、就业状况、家庭中的 CRC 病史或认识患有 CRC 的朋友以及收入。根据 HBM 制定了阿拉伯语调查问卷，调查内容包括有关 CRC 症状和风险因素的知识、CRC 筛查测试的类型、感知的 CRC 风险、既往接受过 CRC 筛查、接受 CRC 筛查的意愿、感知的 CRC 筛查障碍、感知的 CRC 严重性以及对 CRC 及其筛查的态度。结果：共纳入 500 名参与者。平均年龄为 41.0 岁 (SD 10.7)。男性占 50%，50 至 55 岁之间的人群中只有 6.7% 接受过 CRC 筛查。在受访者中，70.7%的人愿意接受结直肠癌筛查。此外，70.5% 的人认为结直肠癌是可以治愈的，73.3% 的人认为它是可以预防的，而 56.7% 的人认为这是一种致命的疾病。研究发现，性别、教育水平、职业、收入、婚姻状况以及关于结直肠癌的常识均与接受结直肠癌筛查的意愿无关。认识到结肠镜检查是一项筛查试验（OR 1.55，95% CI；1.04-2.29）与接受 CRC 筛查的强烈愿望相关，而选择基于粪便的检查与不愿意接受 CRC 筛查相关（OR 0.59，95% CI；0.38-0.91）。结论：我们发现大多数受访者愿意接受结直肠癌筛查，并确定了一些障碍以及如果要实施这样的国家计划，可以针对促进结直肠癌筛查普及的潜在领域。
Background/Aims: Success of colorectal cancer (CRC) screening is dependent in part on the proportion of uptake by the targeted population. We aimed in this study to identify factors that were associated with willingness to undergo CRC screening based on the health belief model (HBM). Patients and Methods: This was a cross-sectional study among citizens of Riyadh, Saudi Arabia. Demographic data collected included gender, age, education, marital status, employment status, a history of CRC in the family or knowing a friend with CRC, as well as income. A questionnaire was developed in Arabic based on the HBM and included enquiries on knowledge about CRC symptoms and risk factors, types of CRC screening tests, perceived risk of CRC, previously undergoing CRC screening, intent to undergo CRC screening, perceived barriers to CRC screening, perceived severity of CRC, as well as attitudes toward CRC and its screening. Results: Five hundred participants were included. The mean age was 41.0 years (SD 10.7). Males were 50% and only 6.7% of those between 50 and 55 years of age had undergone CRC screening. Of those surveyed, 70.7% were willing to undergo CRC screening. Also, 70.5% thought that CRC is curable, 73.3% believed it was preventable, whereas 56.7% thought it was a fatal disease. Neither gender, level of education, occupation, income, marital status, nor general knowledge about CRC was found to be associated with the willingness to undergo CRC screening. Recognizing that colonoscopy was a screening test (OR 1.55, 95% CI; 1.04-2.29) was associated with a strong desire to undergo CRC screening while choosing a stool-based test was associated with not willing to undergo CRC screening (OR 0.59, 95% CI; 0.38-0.91). Conclusion: We found that the majority of those interviewed were willing to undergo CRC screening and identified a number of barriers as well as potential areas that could be targeted in the promotion of CRC screening uptake if such a national program were to be implemented.