Breast and Colorectal Cancer Screening and Associated Correlates among Chinese Older Women
Breast and Colorectal Cancer Screening and Associated Correlates among Chinese Older Women
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DOI：
10.7314/apjcp.2012.13.1.283
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发表时间：
2012-01-01
影响因子：
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通讯作者：
Chi, Iris
中科院分区：
文献类型：
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作者：
Leung, Doris Y. P.;Leung, Angela Y. M.;Chi, Iris
目的：探讨老年妇女乳腺癌和结直肠癌筛查的参与率及其相关因素。研究方法：本研究以2006年收集的1，533名60岁或以上的长者女性为研究对象，进行逻辑回归分析。这些长者在首次申请长期护理服务时，均已完成一项筛选工具“最低数据集-家居照顾”。结果：中国老年妇女乳腺癌和结直肠癌筛查的参与率分别为3.7%和10.8%。认知状态与参与筛查的可能性呈负相关（乳腺：OR = 0.66，95%CI = 0.47-0.94;结肠：OR = 0.81，95%CI = 0.66-0.99），受教育程度与参与乳腺癌筛查的可能性有关（未受过正规教育：OR = 0.20，95% CI = 0.06-0.61;受过一定程度小学教育：OR = 0.31，95% CI = 0.10-1.00）。结论：癌症预防保健服务的提供给体弱的老年妇女是不理想的。认知状况和受教育程度是影响癌症筛查行为的重要因素。需要针对认知状况和教育水平较低的老年妇女制定量身定制的战略宣传方案，以提高这一弱势群体的认识和接受程度。
Objective: To explore the participation rates for breast and colorectal cancer screening and identify associated correlates among elderly women. Methods: Logistic regressions were conducted using data collected in 2006 from 1,533 elderly women aged 60 years or above who had completed a screening instrument, the Minimum Data Set-Home Care, while applying for long-term care services at the first time in Hong Kong. Results: The participation rates for breast and colorectal cancer screening among frail older Chinese women were 3.7% and 10.8% respectively. Cognitive status was inversely associated with the likelihood of participation in screening (breast: OR = 0.66, 95% CI = 0.47-0.94; colon: OR = 0.81, 95% CI = 0.66-0.99), as was educational level with the likelihood of participation in breast cancer screening (no formal education: OR = 0.20, 95% CI = 0.06-0.61, some primary education: OR = 0.31, 95% CI = 0.10-1.00). Conclusion: The delivery of cancer preventive health services to frail older women is less than ideal. Cognitive status and educational level were important factors in cancer screening behaviour. Tailor-made strategic promotion programmes targeting older women with low cognitive status and educational levels are needed to enhance awareness and acceptance within this vulnerable group.