Screening practices in cancer survivors.
Screening practices in cancer survivors.
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DOI：
10.1007/s11764-007-0007-0
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发表时间：
2007-03-01
期刊：
影响因子：
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通讯作者：
Mooney, Kathleen H
中科院分区：
文献类型：
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作者：
Mayer, Deborah K;Terrin, Norma C;Mooney, Kathleen H
所有新癌症的10%是在癌症幸存者中诊断出来的，第二种癌症是癌症死亡的第六大原因。然而，关于幸存者对其他癌症的筛查实践知之甚少。本研究的目的是检查与那些没有癌症史的人相比，癌症诊断对幸存者筛查信念和实践的影响。材料和方法：本研究调查了癌症幸存者（n = 619）的筛查信念和实践，并与非癌症幸存者进行了比较（n = 2，141）使用国家癌症研究所的2003年健康信息全国趋势调查（HINTS）。典型的参与者是白人，就业，已婚，女性，至少有高中教育，有定期的医疗保健提供者和健康保险。癌症幸存者与结直肠癌筛查显著相关，但与乳腺癌或前列腺癌筛查无关。筛查依从性超过了美国癌症协会的建议，国家患病率数据和2010年健康人群的个人测试目标。医生的建议与更高水平的筛查，但建议不同（最高的乳腺癌和最低的结直肠癌筛查）。结论：癌症幸存者有不同的健康信念和风险认知的筛查相比，无癌症组。虽然幸存者筛查乳腺癌和前列腺癌之间没有差异，但幸存者比对照组更有可能筛查结直肠癌。筛查依从性达到或超过了癌症幸存者和对照组的个体检测建议。对癌症幸存者的影响：癌症幸存者应继续与他们的医疗保健提供者合作，接受适合年龄和性别的多种癌症筛查。其他癌症的筛查也应该包括在癌症生存护理计划中。
INTRODUCTION: Ten percent of all new cancers are diagnosed in cancer survivors and second cancers are the sixth leading cause of cancer deaths. Little is known, however, about survivors' screening practices for other cancers. The purpose of this study was to examine the impact of a cancer diagnosis on survivors' screening beliefs and practices compared to those without a cancer history.MATERIALS AND METHODS: This study examined cancer survivors' (n = 619) screening beliefs and practices compared to those without cancer (n = 2,141) using the National Cancer Institute's 2003 Health Information National Trends Survey (HINTS).RESULTS: The typical participant was Caucasian, employed, married, and female with at least a high school education, having a regular health care provider and health insurance. Being a cancer survivor was significantly associated with screening for colorectal cancer but not for breast or prostate cancer screening. Screening adherence exceeded American Cancer Society recommendations, national prevalence data, and Healthy People 2010 goals for individual tests for both groups. Physician recommendations were associated with a higher level of screening but recommendations varied (highest for breast cancer and lowest for colorectal cancer screening).CONCLUSIONS: Cancer survivors had different health beliefs and risk perceptions for screening compared to the NoCancer group. While there were no differences between survivors' screening for breast and prostate cancer, survivors were more likely to screen for colorectal cancer than the comparison group. Screening adherence met or exceeded recommendations for individual tests for both cancer survivors and the comparison group.IMPLICATIONS FOR CANCER SURVIVORS: Cancer survivors should continue to work with their health care providers to receive age and gender appropriate screening for many types of cancers. Screening for other cancers should also be included in cancer survivorship care plans.