Association of marital status and colorectal cancer screening participation in the USA
Association of marital status and colorectal cancer screening participation in the USA
复制标题
DOI：
10.1111/codi.12926
复制
发表时间：
2015-05-01
影响因子：
3.4
通讯作者：
Ablah, E.
中科院分区：
文献类型：
--
作者：
El-Haddad, B.;Dong, F.;Ablah, E.
在美国，无论男性还是女性，结直肠癌（CRC）的发病率排名第三，死亡率排名第二。尽管有证据表明它可以降低死亡率，但在美国，CRC筛查仍未得到充分利用。欧洲的一些研究表明，婚姻状况影响CRC筛查的参与，但在美国，婚姻状况对CRC筛查参与的影响尚不清楚。在这项研究中，目的是比较美国已婚和未婚夫妇、分居、丧偶、未婚和离婚成年人的CRC筛查参与率。方法对2010年行为危险因素监测系统调查数据进行回顾性分析。研究的人口包括239300名参与者，年龄在50-75岁之间，他们完成了2010年的调查。在考虑调查阶层/体重和协变量的情况下，进行了Logistic回归分析，以评估遵守CRC筛查指南与婚姻状况之间的关系。结果：与已婚和未婚夫妇相比，离婚或分居、从未结婚或丧偶的人遵守CRC筛查指南的几率降低。结论：在这项研究中，生活在美国的已婚和未婚夫妇接受结直肠癌筛查的几率高于其他婚姻状况的人群。需要公共卫生干预措施来促进这些其他群体参与CRC筛查。
AimIn the USA, for both men and women, colorectal cancer (CRC) ranks third in incidence and second in mortality. Despite evidence that it decreases mortality, CRC screening in the USA remains under-utilized. Some European studies have suggested that marital status affects participation in CRC screening, but the effect of marital status on CRC screening participation in the USA is unknown. In this study, the aim was to compare CRC screening participation rates among married and unmarried couples, separated, widowed, never married and divorced adults living in the USA.MethodThis was a retrospective data analysis of the 2010 Behavioural Risk Factor Surveillance System survey. The population studied included 239300 participants, aged 50-75years, who completed the 2010 survey. Logistic regression analysis was conducted to assess the association between adherence with CRC screening guidelines and marital status while accounting for survey stratum/weight and covariates.ResultsIndividuals who were divorced or separated, never married or widowed had decreased odds of adherence with CRC screening guidelines compared with individuals who were married and unmarried couples.ConclusionIn this study, individuals living in the USA who were married and unmarried couples had increased odds of undergoing CRC screening compared to individuals in other marital status groups. Public health interventions are needed to promote CRC screening participation in these other groups.