Public awareness of cancer in Britain: a population-based survey of adults.
Public awareness of cancer in Britain: a population-based survey of adults.
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DOI：
10.1038/sj.bjc.6605386
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发表时间：
2009-12-03
影响因子：
8.8
通讯作者：
Wardle, J.
中科院分区：
文献类型：
--
作者：
Robb, K.;Stubbings, S.;Ramirez, A.;Macleod, U.;Austoker, J.;Waller, J.;Hiom, S.;Wardle, J.
评估英国人群对癌症警告信号的公众意识、预期延迟和寻求医疗建议的感知障碍。我们进行了一项基于人口的调查，使用面对面的，计算机辅助访谈来管理癌症意识措施（CAM），这是一种新开发的，经过验证的癌症意识措施。样本包括2216名成年人（970名男性和1246名女性），作为国家统计局意见调查的一部分，采用分层概率抽样。当使用开放式（回忆）问题时，对癌症警告信号的认识较低，而使用封闭式（识别）问题时，对癌症警告信号的认识较高;但无论采用哪种方法，男性、年轻人、社会经济地位较低（SES）群体或少数民族的认识较低。最常见的求助障碍是预约困难、担心浪费医生的时间和担心会发现什么。情感障碍在社会经济地位较低的群体中更为突出，而实际障碍（如忙碌）在社会经济地位较高的群体中更为突出。少数民族和社会经济地位较低的群体的预期延迟较低。在多变量分析中，较高的症状意识与较低的预期延迟相关，更多的障碍与更大的预期延迟相关。将有关症状的公共教育和寻求医疗建议的能力以及初级保健水平的支持相结合，可以提高早期表现并改善癌症结果。
To assess public awareness of cancer warning signs, anticipated delay and perceived barriers to seeking medical advice in the British population. We carried out a population-based survey using face-to-face, computer-assisted interviews to administer the cancer awareness measure (CAM), a newly developed, validated measure of cancer awareness. The sample included 2216 adults (970 males and 1246 females) recruited as part of the Office for National Statistics Opinions Survey using stratified probability sampling. Awareness of cancer warning signs was low when open-ended (recall) questions were used and higher with closed (recognition) questions; but on either measure, awareness was lower in those who were male, younger, and from lower socio-economic status (SES) groups or ethnic minorities. The most commonly endorsed barriers to help seeking were difficulty making an appointment, worry about wasting the doctor's time and worry about what would be found. Emotional barriers were more prominent in lower SES groups and practical barriers (e.g. too busy) more prominent in higher SES groups. Anticipated delay was lower in ethnic minority and lower SES groups. In multivariate analysis, higher symptom awareness was associated with lower anticipated delay, and more barriers with greater anticipated delay. A combination of public education about symptoms and empowerment to seek medical advice, as well as support at primary care level, could enhance early presentation and improve cancer outcomes.
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影响因子：
5.4
作者：
ANDERSEN, BL;CACIOPPO, JT;ROBERTS, DC
通讯作者：
ROBERTS, DC
妇女对乳腺癌的知识和信念。
影响因子：
8.8
作者：
Grunfeld, E A;Ramirez, A J;Hunter, M S;Richards, M A
通讯作者：
Richards, M A
影响因子：
5.1
作者：
McCaffery, K;Wardle, J;Waller, J
通讯作者：
Waller, J
对大肠癌诊断前院前延迟的影响：系统评价。
影响因子：
8.8
作者：
Mitchell, E.;Macdonald, S.;Campbell, N. C.;Weller, D.;Macleod, U.
通讯作者：
Macleod, U.
影响因子：
51.1
作者：
Berrino, Franco;De Angelis, Roberta;Santaquilani, Mariano
通讯作者：
Santaquilani, Mariano