Knowledge of colorectal cancer and use of screening tests in persons 40-74 years of age.
Knowledge of colorectal cancer and use of screening tests in persons 40-74 years of age.
复制标题
了解结直肠癌以及 40-74 岁人群筛查测试的使用。
DOI：
10.1016/0091-7435(90)90022-c
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发表时间：
1990
影响因子：
5.1
通讯作者：
Polednak,AP
中科院分区：
文献类型：
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作者：
Polednak,AP
1988年，在长岛（纽约）和康涅狄格州两个结直肠癌发病率相对较高的人群中，对40-74岁的随机样本进行了电话调查。关于结直肠癌的警告信号和胃癌的频率的问题的正确回答与年龄无关，但与教育水平呈正相关，女性高于男性。人们对饮食因素在癌症中可能发挥的作用（即腌肉和富含纤维的食物）的认识很高，而每天食用麸皮谷物的情况却很少。报告进行结直肠筛查检查的受访者比例随着年龄的增长而增加，在大学毕业生和每年进行体检的受访者中（特别是大学毕业生）比例更高。在多变量分析中，年龄（即60-74岁vs 40-59岁）、教育程度（即大学毕业生vs其他所有人）以及体检频率是使用结肠直肠筛查试验（粪便隐血和直肠镜检查）的重要独立预测因素，而性别（女性）与直肠镜检查呈负相关。讨论了规划干预方案的意义。
Telephone surveys were conducted in 1988 on random samples of persons ages 40–74 years in two populations with relatively high rates of colorectal cancer, i.e., in Long Island (NY) and in Connecticut. Correct responses to questions concerning warning signs for and the frequency of colorectal cancer relative to stomach cancer were not related to age but were positively associated with educational level and were greater among females than males. Awareness of the possible role of dietary factors in cancer (i.e., regarding both cured meat and fiber-rich foods) was high, while daily consumption of bran cereals was infrequent. Proportions of respondents who reported having colorectal screening tests increased with age and were higher among college graduates and among those having annual medical check-ups (especially for college graduates). In multivariate analyses age (i.e., 60–74 vs 40–59 years) and education (i.e., college graduates vs all others), along with frequency of medical check-ups, were significant independent predictors of use of colorectal screening tests (both fecal occult blood and proctoscopy), while gender (female) was negatively associated with proctoscopy. Implications for planning intervention programs are discussed.