The Impact of Socioeconomic Status on Perceived Barriers to Colorectal Cancer Testing
The Impact of Socioeconomic Status on Perceived Barriers to Colorectal Cancer Testing
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DOI：
10.4278/ajhp.07041938
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发表时间：
2008-11-01
影响因子：
2.7
通讯作者：
Ahluwalia, Jasjit S.
中科院分区：
文献类型：
--
作者：
James, Aimee S.;Hall, Sandra;Ahluwalia, Jasjit S.
目的。结直肠癌(CRC)筛查是有效的，但只有一半符合年龄的成年人遵守国家指南。社会经济地位(SES)较低的人群不太可能被筛查。一项前瞻性研究的基线数据被用来检验结直肠癌筛查、筛查障碍和SES之间的关系。年龄在40岁及以上的成年人(N=291)的便利样本是从联邦合格的健康中心招募的。问卷内容包括人口统计学、健康状况、健康行为、筛查障碍等。在Logistic回归分析中，拥有医疗保险与筛查的几率更大有关。双变量分析发现，粪便潜血检测(FOBT)障碍的差异不大，但在最低SES组中，几种内窥镜障碍更常见。例如，在低收入和未参保的参与者中，更有可能害怕内窥镜检查造成的伤害。SES对癌症筛查的影响是复杂的，但SES低的参与者比SES高的参与者报告更多的某些障碍。这在内窥镜检查中比在FOBT检查中更明显。针对低SES患者的计划可能需要专注于传统推广工作中没有完全解决的障碍。(我是J心脏促进会。2008年；23[2]：97-100。)
Purpose. Colorectal cancer (CRC) screening is effective, but only one-half of age-eligible adults adhere to national guidelines. Lower socioeconomic status (SES) groups are less likely to be screened.Methods. Baseline data from a prospective study were used to examine the associations among CRC screening, screening barriers, and SES. A convenience sample of adults (N = 291) ages 40 years and older was recruited from a federally qualified health center. Questionnaires were administered orally and included demographics, health, health behavior, and screening barriers.Results. In logistic regression, having health insurance was associated with greater odds of screening. Bivariate analyses detected few differences in fecal occult blood test (FOBT) barriers, but several endoscopy barriers were more common among the lowest SES groups. For a example, fear of injury from endoscopy was more likely among low-income and uninsured participants.Discussion. The impact of SES on cancer screening is complex, but low-SES participants more often reported certain barriers than their higher-SES counterparts. This was more evident for endoscopy than for FOBT. Programs targeted at low-SES patients may need to focus on barriers that are not fully addressed in traditional promotion efforts. (Am J Heart Promot. 2008;23[2]:97-100.)