Personality and Gastric Cancer Screening Attendance: A Cross-Sectional Analysis from the Miyagi Cohort Study
Personality and Gastric Cancer Screening Attendance: A Cross-Sectional Analysis from the Miyagi Cohort Study
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DOI：
10.2188/jea.je20080024
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发表时间：
2009-01-01
影响因子：
4.7
通讯作者：
Tsuji, Ichiro
中科院分区：
文献类型：
--
作者：
Arai, Shizuha;Nakaya, Naoki;Tsuji, Ichiro
目的：探讨人格子量表与参加胃癌筛查的关系。方法：对21911名日本农村居民填写艾森克个性问卷修订版(EPQ-R)和有关参加胃癌筛查次数等不同健康习惯的问卷进行初步分析。我们将胃癌筛查依从性定义为在过去5年内每年参加胃癌筛查；所有其他出席模式被定义为不遵从性。我们将胃癌筛查来访定义为在过去5年中参加过一次或更多的筛查；缺乏就诊被定义为未就诊。根据EPQ-R的4个子量表(外向性、神经质、精神病性、掩饰性)所对应的4个得分水平，用Logistic回归估计胃癌筛查依从性和就诊的优势比(OR)。结果：外倾性与就诊依从性和就诊均呈显著的线性正相关(趋势，P<；0.001)。神经质与依从性呈显著线性负相关(趋势，P=0.047.0 5)，与就诊无关(趋势，P=0.2 1)。精神病素与顺从性和来访均呈显著的线性负相关(趋势，P<；0.001)。结论：外向、神经质、精神质人格特质与胃癌筛查出勤率显著相关。更好地了解个性和出席人数之间的联系可能会导致建立有效的活动，以激励人们参加癌症筛查。
Objective: To determine the associations between personality subscales and attendance at gastric cancer screenings in Japan.Methods: A total of 21,911 residents in rural Japan who completed a short form of the Eysenck Personality Questionnaire-Revised (EPQ-R) and a questionnaire on various health habits including the number of gastric cancer screenings attended were included in the primary analysis. We defined gastric cancer screening compliance as attendance at gastric cancer screening every year for the previous 5 years; all other patterns of attendance were defined as non-compliance. We defined gastric cancer screening visiting as attendance at 1 or more screenings during the previous 5 years; lack of attendance was defined as non-visiting. We used logistic regression to estimate the odds ratios (ORs) of gastric cancer screening compliance and visiting according to 4 score levels that corresponded to the 4 EPQ-R subscales (extraversion, neuroticism, psychoticism, and lie).Result: Extraversion had a significant linear, positive association with both compliance and visiting (trend, P < 0.001 for both). Neuroticism had a significant linear, inverse association with compliance (trend, P = 0.047), but not with visiting (trend, P = 0.21). Psychoticisin had a significant linear, inverse association with both compliance and visiting (trend, P < 0.001 for both). Lie had no association with either compliance or visiting.Conclusion: The personality traits of extraversion, neuroticism, and psychoticism were significantly associated with gastric cancer screening attendance. A better understanding of the association between personality and attendance could lead to the establishment of effective campaigns to motivate people to attend cancer screenings.