Predictors of stage of adoption for colorectal cancer screening
Predictors of stage of adoption for colorectal cancer screening
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DOI：
10.1006/pmed.2000.0729
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发表时间：
2000-10-01
影响因子：
5.1
通讯作者：
Paskett, ED
中科院分区：
文献类型：
--
作者：
Brenes, GA;Paskett, ED
背景虽然结直肠癌是女性第三常见的癌症，但对筛查依从性的预测因子知之甚少。一个随机选择的样本202主要是低收入和非洲裔美国妇女进行了采访。评估患者对乙状结肠镜筛查的知识、态度、信念和实践。大多数参与者处于收养的前期考虑阶段（56%）。有显着差异的阶段采用FS的信念，FS的障碍，患结直肠癌的风险，担心患结直肠癌，和医生的建议，以获得FS。坚持FS指南的预测因素是认为获得FS的障碍较少，并有医生推荐FS。在这项研究中，72%的妇女不遵守FS筛查指南。心理社会因素在结直肠癌筛查中起着重要作用。应探索减少障碍和增加医生建议的方法。(C)2000美国健康基金会和学术出版社。
Background. Although colorectal cancer is the third most common cancer in women, little is known about predictors of adherence to screening.Methods. A randomly selected sample of 202 predominantly low-income and African-American women were interviewed. Knowledge of, attitudes and beliefs about, and practices related to flexible sigmoidoscopy (FS) screening were assessed.Results. The majority of participants were in the precontemplation stage of adoption (56%). There were significant differences by stage of adoption for FS beliefs, FS barriers, risk of developing colorectal cancer, worry about getting colorectal cancer, and physician recommendation to get a FS. Predictors of adherence to FS guidelines were perceiving fewer barriers to getting a FS and having a physician recommend a FS.Conclusion. Seventy-two percent of the women in this study were nonadherent to FS screening guidelines. Psychosocial factors play an important role in screening for colorectal cancer. Ways of reducing barriers and increasing physician recommendations should be explored. (C) 2000 American Health Foundation and Academic Press.