Increasing compliance with colorectal cancer screening: The development of effective health education
Increasing compliance with colorectal cancer screening: The development of effective health education
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DOI：
10.1093/her/12.2.171
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发表时间：
1997-06-01
影响因子：
2.4
通讯作者：
Mayberry, JF
中科院分区：
文献类型：
--
作者：
Hart, AR;Barone, TL;Mayberry, JF
研究了健康教育宣传单提高对结直肠癌发病率及其无症状性质的认识以及增加参与粪便潜血试验（FORT）筛查的意愿的能力。100名受试者在阅读宣传单之前和之后接受了访谈。男性肠癌“非常常见”的人数从20%显著增加到60%（卡方（2）= 16.7，P < 0.0001）和那些了解其无症状性质的人从64%到92%（卡方（2）= 11.4，P < 0.001）。宣传单显著增加了报告肠癌“非常常见”的妇女的百分比，从30%增加到70%（chi（2）= 16.0，P < 0.0001），无症状的妇女的百分比从58%增加到94%（chi（2）= 17.8，P < 0.0001）。在阅读宣传单后，最初拒绝筛查的男性中有55%改变了他们的决定（chi（2）= 16.5，P < 0.0001），50%的女性非依从者改变了他们的决定（chi（2）= 17.3，P < 0.0001），拒绝结直肠癌筛查的最常见原因是感觉良好（77%的受试者拒绝），担心进一步检查（38%），FOBT不愉快（13%）和疾病（6%）。这本小册子成功地教育了人们关于结肠直肠癌的知识，并增加了参加筛查计划的意愿。
The ability of a health education leaflet to raise awareness of the frequency of colorectal cancer and its asymptomatic nature and to increase intention to participate in screening with faecal occult blood testing (FORT) was investigated, One hundred subjects were interviewed before and after reading the leaflet, The number of men stating bowel cancer was 'very common' increased significantly from 20 to 60% (chi(2) = 16.7, P < 0.0001) and those understanding its asymptomatic nature from 64 to 92% (chi(2) = 11.4, P < 0.001). The leaflet significantly increased the percentage of women reporting bowel cancer as 'very common' from 30 to 70% (chi(2) = 16.0, P < 0.0001) and as being asymptomatic from 58 to 94% (chi(2) = 17.8, P < 0.0001), After reading the leaflet, 55% of men who initially declined screening reversed their decision (chi(2) = 16.5, P < 0.0001) and 50% of female non-adherers reversed their decision (chi(2) = 17.3, P < 0.0001), Reasons most frequently given for declining colorectal cancer screening were feeling well (77% of subjects declining), concern about further tests (38%), unpleasantness of FOBT (13%) and illness (6%). This leaflet successfully educates people about colorectal cancer and increased intention to participate in screening programmes.