Awareness of risk factors amongst first degree relative patients with colorectal cancer

Awareness of risk factors amongst first degree relative patients with colorectal cancer
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DOI:
10.1111/j.1463-1318.2008.01502.x
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发表时间:
2008-11-01
期刊:
影响因子:
3.4
通讯作者:
Burke, D.
Burke, D.
中科院分区:
医学3区
文献类型:
--
作者:
Akhtar, S.;Sinha, S.;Burke, D.

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背景:一级亲属中结直肠癌(CRC)家族史与结直肠癌发病风险之间的相关性已得到很好的证实。然而,很少有人知道的程度CRC的风险因素之间的FDR的认识。本研究探讨了认识家庭,饮食和生活方式的风险之间FDRs.Method同意接近亲属从CRC患者谁参加门诊手术后CRC。研究特定问卷通过邮寄方式发送给其FDR。问卷中的饮食和生活方式的危险因素进行了测试,在CRC的教育material.Results104调查问卷发出的137(76%)。59%(n = 61)的FDR意识到他们的风险增加。55%(n = 57)的人知道CRC与吸烟之间的联系;然而,CRC与过度饮酒(32%)和缺乏锻炼(40%)的相关知识不太受重视。具有大学教育程度的人获得更高的意识得分(P < 0.001)。百分之九十四的人认为,CRC患者的亲属没有提供足够的信息,他们处于危险之中,风险factors.Conclusion这项研究提供了一个初步评估的认识CRC的危险因素在人群中的风险增加。这表明他们的知识水平很差。改善教育策略,使FDR的饮食和生活方式的改变,可以减少他们的一生中发生CRC的风险是必要的。
Background The association between family history of colorectal cancer (CRC) in first degree relatives (FDRs) and the risk of developing the disease has been well established. However, little is known about the degree of awareness of CRC risk factors amongst FDRs. This study examined awareness of familial, dietary and lifestyle risk amongst FDRs.Method Consent to approach relatives was obtained from CRC patients who attended outpatients following surgery for CRC. A study specific questionnaire was sent by post to their FDRs. The dietary and lifestyle risk factors tested in the questionnaire were those promoted in CRC educational material.Results One hundred and four questionnaires were returned out of 137 sent (76%). Fifty-nine per cent (n = 61) of FDRs were aware of their increased risk. Fifty-five per cent (n = 57) were aware of the link between CRC and smoking; however, knowledge of association of CRC with excessive alcohol consumption (32%) and lack of exercise (40%) was less well appreciated. Higher awareness scores were obtained by those with a university education (P < 0.001). Ninety four per cent believed that relatives of CRC patients were not provided with enough information as to their being at risk and risk factors.Conclusion This study provides an initial assessment of the awareness of CRC risk factors in a population at increased risk. It demonstrates a poor level of knowledge. Improved education strategies allowing FDRs to make dietary and lifestyle modifications that could reduce their lifetime risk of developing CRC are necessary.