Determinants of participation in colorectal cancer screening among community-dwelling Chinese older people: Testing a comprehensive model using a descriptive correlational study
Determinants of participation in colorectal cancer screening among community-dwelling Chinese older people: Testing a comprehensive model using a descriptive correlational study
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DOI：
10.1016/j.ejon.2015.11.004
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发表时间：
2016-04-01
影响因子：
2.8
通讯作者：
Chan, Carmen W. H.
中科院分区：
文献类型：
--
作者：
Leung, Doris Y. P.;Wong, Eliza M. L.;Chan, Carmen W. H.
目的：老年人结直肠癌（CRC）的患病率较高。CRC筛查是一种具有成本效益的二级预防和控制策略，可显著降低死亡率。本研究采用健康信念模型和扩展平行加工模型相结合的综合模型，描述中国社区老年人结直肠癌筛查的流行情况，并探讨其危险因素。于2012年5月至7月在香港招募了240名年龄>= 60岁的社区居住成年人的便利样本。参与者被要求完成一份调查问卷，收集有关人口统计学变量，CRC相关的心理社会变量，以及他们是否有一个CRC screening在过去10 years.Results：在参与者中，25.4%的报告有一个CRC筛查测试的信息。Logistic回归分析结果表明，具有较高的行动线索水平，较低的感知知识障碍和严重性恐惧的参与者与CRC筛查的参与显着相关。但没有显着的宿命论和癌症恐惧与screening.Conclusions：CRC筛查的患病率在香港华人社区居住的老人低。确定了一些与CRC筛查相关的可改变因素，这些因素为干预提供了具体目标。本研究还增加了关于宿命论和恐惧与中国老年人CRC筛查行为之间关系的知识。(C)2015爱思唯尔有限公司版权所有。
Purpose: The prevalence of colorectal cancer (CRC) among older people is high. Screening for CRC presents a cost-effective secondary prevention and control strategy which results in a significant reduction in mortality. This study aims to describe the prevalence of CRC screening and examine its risk factors among Chinese community-dwelling older people guided by a comprehensive model combining Health Belief Model and Extended Parallel Processing Model.Methods: A descriptive correlational study was conducted. A convenience sample of 240 community dwelling adults aged >= 60 was recruited in May July in 2012 in Hong Kong. Participants were asked to complete a questionnaire which collected information on demographic variables, CRC-related psychosocial variables and whether they had a CRC screening in the past 10 years.Results: Among the participants, 25.4% reported having a CRC screening test. Results of logistic regression analyses indicated that participants with a higher level in cue to action, and lower perceived knowledge barriers and severity-fear were significantly associated with participation in CRC screening. But there were no significant associations between fatalism and cancer fear with screening.Conclusions: The prevalence of CRC screening was low in Hong Kong Chinese community-dwelling elders. A number of modifiable factors associated with CRC screening were identified which provides specific targets for interventions. This study also adds to the knowledge regarding the associations between fatalism and fear with CRC screening behaviors among Chinese older people. (C) 2015 Elsevier Ltd. All rights reserved.