Cancer symptom experience and help-seeking behaviour during the COVID-19 pandemic in the UK: a cross-sectional population survey.
Cancer symptom experience and help-seeking behaviour during the COVID-19 pandemic in the UK: a cross-sectional population survey.
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DOI：
10.1136/bmjopen-2021-053095
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发表时间：
2021-09-16
期刊：
影响因子：
2.9
通讯作者：
Brain K
中科院分区：
文献类型：
--
作者：
Quinn-Scoggins HD;Cannings-John R;Moriarty Y;Whitelock V;Whitaker KL;Grozeva D;Hughes J;Townson J;Osborne K;Goddard M;McCutchan GM;Waller J;Robling M;Hepburn J;Moore G;Gjini A;Brain K
了解在英国COVID-19大流行的前6个月（2020年3月至8月）自我报告的潜在癌症症状求助行为和态度。2020年8月和9月进行的英国人口调查。在过去6个月内报告潜在癌症症状的参与者中，使用逻辑回归对寻求帮助行为的相关性进行建模。定性电话访谈与有目的的子样本的参与者，按主题分析。英国在线调查。通过英国癌症研究在线小组提供商（Dynata）和HealthWise Wales（“研究就绪”参与者的国家登记册）招募了7543名成年人，并辅以社交媒体（Facebook和Twitter）招募。还采访了30名参与者。调查指标包括15种潜在癌症症状的经历、求助行为、求助的障碍和提示。在3025名（40.1%）经历潜在癌症症状的参与者中，44.8%（1355/3025）没有联系他们的全科医生（GP）。残疾（调整后OR（aOR）=1.38，95%CI 1.11至1.71）和经历更多症状（aOR=1.68，95%CI 1.56至1.82）的参与者寻求帮助的几率较高，而将COVID-19视为症状原因的参与者则较低（aOR=0.36，95%CI 0.25至0.52）。障碍包括担心浪费医生的时间（1158/7543，15.4%），给医疗服务带来压力（945，12.6%）和不想大惊小怪（907，12.0%）。受访者报告说，由于担心COVID-19和害怕去医院，他们不愿意联系全科医生，并描述了他们对健康的担忧。尽管在COVID-19大流行期间出现了潜在的癌症症状，但许多人仍避免接受医疗服务。除了目前的寻求帮助运动，适时和适当的全国协调运动应该表明，服务是安全的，为那些不寻常的或持续的症状。ISRCTN17782018。
To understand self-reported potential cancer symptom help-seeking behaviours and attitudes during the first 6 months (March–August 2020) of the UK COVID-19 pandemic. UK population-based survey conducted during August and September 2020. Correlates of help-seeking behaviour were modelled using logistic regression in participants reporting potential cancer symptoms during the previous 6 months. Qualitative telephone interviews with a purposeful subsample of participants, analysed thematically. Online UK wide survey. 7543 adults recruited via Cancer Research UK online panel provider (Dynata) and HealthWise Wales (a national register of ‘research ready’ participants) supplemented with social media (Facebook and Twitter) recruitment. 30 participants were also interviewed. Survey measures included experiences of 15 potential cancer symptoms, help-seeking behaviour, barriers and prompts to help-seeking. Of 3025 (40.1%) participants who experienced a potential cancer symptom, 44.8% (1355/3025) had not contacted their general practitioner (GP). Odds of help-seeking were higher among participants with disability (adjusted OR (aOR)=1.38, 95% CI 1.11 to 1.71) and who experienced more symptoms (aOR=1.68, 95% CI 1.56 to 1.82), and lower among those who perceived COVID-19 as the cause of symptom(s) (aOR=0.36, 95% CI 0.25 to 0.52). Barriers included worries about wasting the doctor’s time (1158/7543, 15.4%), putting strain on healthcare services (945, 12.6%) and not wanting to make a fuss (907, 12.0%). Interviewees reported reluctance to contact the GP due to concerns about COVID-19 and fear of attending hospitals, and described putting their health concerns on hold. Many people avoided healthcare services despite experiencing potential cancer symptoms during the COVID-19 pandemic. Alongside current help-seeking campaigns, well-timed and appropriate nationally coordinated campaigns should signal that services are open safely for those with unusual or persistent symptoms. ISRCTN17782018.
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