Patterns and predictors of colorectal cancer test use in the adult US population
Patterns and predictors of colorectal cancer test use in the adult US population
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DOI：
10.1002/cncr.20276
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发表时间：
2004-05-15
期刊：
影响因子：
6.2
通讯作者：
Coates, RJ
中科院分区：
文献类型：
--
作者：
Seeff, LC;Nadel, MR;Coates, RJ
背景。筛查可有效降低结直肠癌的发病率和死亡率。结直肠癌检测的使用率仍然很低。方法。作者分析了全国健康访谈调查中有关家庭粪便隐血试验 (FOBT) 和乙状结肠镜检查/结肠镜检查/直肠镜检查使用情况的数据，以估计当前结直肠癌检测的使用率，并确定与使用或不使用检测相关的因素。结果。 2000 年，17.1% 的受访者报告在过去一年内接受过家庭 FORT，33.9% 报告在过去 10 年内接受过内窥镜检查，42.5% 报告在建议的时间间隔内接受过任一检查。结直肠癌检测的使用因性别、种族、民族、年龄、教育程度、收入、医疗保健覆盖范围以及是否有常规护理来源而异。过去一年内看过医生与测试使用的关联性最强。缺乏认识和缺乏医生推荐是接受此类检查最常见的障碍。结论。年龄大于或等于 50 岁的美国人口中不到一半在建议的时间间隔内接受了结直肠癌检测。针对患者和医疗服务提供者开展关于结直肠癌筛查重要性的教育活动、努力减少检测使用差异以及确保所有人都能获得常规初级保健可能有助于提高筛查率。 (C) 2004 年美国癌症协会。
BACKGROUND. Screening is effective in reducing the incidence and mortality of colorectal cancer. Rates of colorectal cancer test use continue to be low. METHODS. The authors analyzed data from the National Health Inter-view Survey concerning the use of the home-administered fecal occult blood test (FOBT) and sigmoidoscopy/colonoscopy/proctoscopy to estimate current rates of colorectal cancer test use and to identify factors associated with the use or nonuse of tests. RESULTS. In 2000, 17.1% of respondents reported undergoing a home FORT within the past year, 33.9% reported undergoing an endoscopy within the previous 10 years, and 42.5% reported undergoing either test within the recommended time intervals. The use of colorectal cancer tests varied by gender, race, ethnicity, age, education, income, health care coverage, and having a usual source of care. Having seen a physician within the past year had the strongest association with test use. Lack of awareness and lack of physician recommendation were the most commonly reported barriers to undergoing such tests. CONCLUSIONS. Less than half of the U.S. population age greater than or equal to 50 years underwent colorectal cancer tests within the recommended time intervals. Educational initiatives for patients and providers regarding the importance of colorectal cancer screening, efforts to reduce disparities in test use, and ensuring that all persons have access to routine primary care may help increase screening rates. (C) 2004 American Cancer Society.