Health beliefs of first-degree relatives of individuals with colorectal cancer and participation in health maintenance visits: A population-based survey
Health beliefs of first-degree relatives of individuals with colorectal cancer and participation in health maintenance visits: A population-based survey
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DOI：
10.1097/00002820-200208000-00001
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发表时间：
2002-08-01
期刊：
影响因子：
2.6
通讯作者：
Jacobs, LA
中科院分区：
文献类型：
--
作者：
Jacobs, LA
偶然发生在两个或两个以上近亲中的结直肠癌是比较常见的，结直肠癌家族史被认为是结直肠癌的危险因素。这项研究的目的是确定与被诊断为结直肠癌患者的一级亲属(FDR)参与医疗保健提供者的健康维护访问相关的变量。数据来自邮寄给宾夕法尼亚州癌症登记处确认的60岁以下结直肠癌患者(n=1081)的调查。他们的FDR的邮寄中还包括一个附文。在联系的1081人中，174名登记患者和90名FDR同意参与这项研究。建立Logistic回归模型，选取年龄、性别、文化程度等社会人口学变量作为因变量，构建健康信念模型。分析显示，2个健康信念模型变量(感知障碍和感知严重性)和1个社会人口统计变量(教育水平)预测FDR参与健康维护访问。这项研究的结果表明，尽管有家族病史，但患有结直肠癌的个体的FDR并不认为他们有患结直肠癌的风险。这些数据还为今后旨在制定干预措施的研究奠定了基础，以提高人们对筛查结直肠癌患者亲属的重要性和益处的认识。
The occurrence of colorectal cancer (CRC) in two or more close relatives by chance is relatively common, and a family history of CRC is recognized as a risk factor for CRC. The purpose of this study was to identify variables associated with participation of first-degree relatives (FDRs) of individuals diagnosed with CRC in health maintenance visits with healthcare providers. Data were collected from a survey mailed to patients (n = 1081) diagnosed with CRC under age 60 years who were identified by the Pennsylvania Cancer Registry. An enclosure was also included in the mailing for their FDRs. Of the 1,081 people contacted, 174 registry patients and 90 FDRs agreed to participate in this study. A logistic regression model was built, and constructs of the Health Belief Model and selected sociodemographic variables (age, gender, level of education) were entered with participation in health maintenance visits as the dependent variable. The analysis revealed 2 Health Belief Model variables (perceived barriers and perceived seriousness) and 1 sociodemographic variable (level of education) as predictive of an FDR's participation in health maintenance visits. The findings from this study suggest that FDRs of individuals with CRC do not perceive that they are at risk for CRC, despite their family history. These data also provide the foundation for future studies aimed at the development of interventions to increase awareness of the importance and benefits of screening for relatives of individuals with CRC.