Cognitive ability and personality as predictors of participation in a national colorectal cancer screening programme: the English Longitudinal Study of Ageing.
Cognitive ability and personality as predictors of participation in a national colorectal cancer screening programme: the English Longitudinal Study of Ageing.
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DOI：
10.1136/jech-2014-204888
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发表时间：
2015-06
影响因子：
6.3
通讯作者：
Batty GD
中科院分区：
文献类型：
--
作者：
Gale CR;Deary IJ;Wardle J;Zaninotto P;Batty GD
英国 NHS 肠癌筛查计划自 2006 年起每两年为 60-69 岁的人群提供一次粪便潜血检测，自 2010 年起为 60-74 岁的人群提供粪便潜血检测。对首批 260 万份筛查邀请的分析发现，54% 的符合条件的人接受了邀请。这种低吸收率的原因尚不清楚。我们调查了筛查参与是否因认知能力和个性而异。参与者是英国老龄化纵向研究的成员。 2010-2011 年，受访者被问及参与肠癌筛查的情况，并对认知能力和“五大”人格特征进行了评估。使用 Logistic 回归来检查 2681 名 60-75 岁、有资格被邀请参加英国国家肠癌筛查计划的人的认知能力与性格和筛查参与之间的横断面关系。在年龄调整和性别调整的分析中，更好的认知和更高的责任心与癌症筛查参与度的增加相关。每增加一个SD，认知能力的OR（95% CI）为1.10（1.03至1.18），责任心为1.10（1.01至1.19）。在对家庭财富和健康素养进行进一步调整后（之前显示与参与相关），这些关联被减弱（OR 分别为 1.07（1.00 至 1.15）和 1.07（0.97 至 1.18））。我们发现一些迹象表明，更好的认知功能和更强的责任心可能与参与肠癌筛查的可能性略有增加有关。这些关系需要在其他老年人群体中进行调查。
The English NHS Bowel Cancer Screening Programme has offered biennial faecal occult blood testing to people aged 60–69 years since 2006, and to those aged 60–74 years since 2010. Analysis of the first 2.6 million screening invitations found that 54% of eligible people took up the invitation. The reasons for this low uptake are unclear. We investigated whether participation in screening varies according to cognitive ability and personality. Participants were members of The English Longitudinal Study of Ageing. In 2010–2011, respondents were asked about participation in bowel cancer screening, and cognitive ability and the ‘Big Five’ personality traits were assessed. Logistic regression was used to examine the cross-sectional relationships between cognitive ability and personality and screening participation in 2681 people aged 60–75 years who were eligible to have been invited to take part in the UK national screening programme for bowel cancer. In age-adjusted and sex-adjusted analyses, better cognition and higher conscientiousness were associated with increased participation in cancer screening. ORs (95% CIs) per SD increase were 1.10 (1.03 to 1.18) for cognitive ability and 1.10 (1.01 to 1.19) for conscientiousness. After further adjustment for household wealth and health literacy—shown previously to be associated with participation—these associations were attenuated (ORs were 1.07 (1.00 to 1.15) and 1.07 (0.97 to 1.18), respectively). We found some indication that better cognitive function and greater conscientiousness may be linked with a slightly increased likelihood of participation in bowel cancer screening. These relationships need investigation in other cohorts of older people.
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影响因子：
3.8
作者：
Duckworth AL;Weir D;Tsukayama E;Kwok D
通讯作者：
Kwok D
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2.4
作者：
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