Colorectal cancer screening participation by older women.
Colorectal cancer screening participation by older women.
复制标题
老年妇女参与结直肠癌筛查。
DOI：
10.1016/s0749-3797(00)00193-8
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发表时间：
2000
影响因子：
5.5
通讯作者：
LaCroix,AZ
中科院分区：
文献类型：
--
作者：
Mandelson,MT;Curry,SJ;Anderson,LA;Nadel,MR;Lee,NC;Rutter,CM;LaCroix,AZ
虽然最近的筛查指南建议每年对≥50岁的成年人进行粪便潜血试验（FOBT），但许多研究报告称这些试验未得到充分利用。有系统的努力，以提高认识的结直肠癌（CRC），并促进筛查参与需要满足国家目标CRC control.MethodsThis研究审查CRC筛查的做法和评估有关因素，最近参与筛选FOBT在一个样本的妇女年龄在50至80岁的人进行了调查，他们使用的临床预防服务，在集团健康合作社，一个管理式护理组织在西部华盛顿State.ResultsOf的931名妇女有资格进行分析，75%的报告曾经被筛选过FOBT和48%的报告有筛选前2年内的调查。参与筛查并不因人口统计学特征或感知或实际CRC风险而异。对CRC筛查持积极态度的女性最近接受FOBT筛查的几率高7倍（比值比=7.1; 95%可信区间为4.4 ~ 11.6）。只有58%的研究妇女报告说，他们的医生鼓励CRC筛查，但这个因素是密切相关的参与（比值比=12.7; 95%的置信区间，6.6至24.4）。总的来说，这些研究结果表明，控制CRC的有效策略可能包括努力提高风险和预防知识，但也必须直接呼吁初级保健医生识别和解决他们的筛查建议的障碍。
ObjectiveAlthough recent screening guidelines recommend annual fecal occult blood testing (FOBT) for adults aged ≥50, a number of studies report that these tests are underused. Systematic efforts to increase awareness of colorectal cancer (CRC) and to promote screening participation are needed to meet national objectives for CRC control.MethodsThis study examined CRC-screening practices and evaluated factors related to recent participation in screening by FOBT in a sample of women aged 50 to 80 who were surveyed about their use of clinical preventive services at Group Health Cooperative, a managed care organization in western Washington State.ResultsOf the 931 women eligible for analysis, 75% reported ever having been screened by FOBT and 48% reported having been screened within 2 years before the survey. Participation in screening did not vary by demographic characteristics or by perceived or actual risk of CRC. Women with a positive attitudes toward CRC screening had sevenfold greater odds of recent screening by FOBT (odds ratio=7.1; 95% confidence interval, 4.4 to 11.6). Only 58% of study women reported that their physicians encouraged CRC screening, but this factor was strongly related to participation (odds ratio=12.7; 95% confidence interval, 6.6 to 24.4).ConclusionsWe identified several areas in which understanding of CRC risk may be low. As a whole, these findings suggest that effective strategies to control CRC may include efforts to improve knowledge of risk and prevention, but must also appeal directly to primary care physicians to identify and address their barriers to screening recommendations.