Camilleri-Brennan J, Steele R J
University Department of Surgery, Ninewells Hospital and Medical School, Dundee, Scotland.
Eur J Surg Oncol. 1999 Dec;25(6):580-3. doi: 10.1053/ejso.1999.0710.
To assess and compare knowledge and awareness of colorectal cancer and breast cancer in a sample of the general population.
Eleven hundred visitors to six different outpatient clinics, in a University Hospital, were given a study-specific questionnaire, based on educational material from the British Association of Cancer United Patients (CancerBACUP). The questionnaire consisted of 12 statements on the incidence, presentation, detection, treatment and prognosis of colorectal and breast cancer.
One thousand and sixty-eight individuals returned the questionnaire. One thousand and four completed questionnaires were analysed. The mean age (SD) of respondents was 50.1 (17.2) years, and the male to female ratio was 2:3. Respondents had read more about breast than about colorectal cancer (60.3%vs 32.4%, P<0.0001, McNemar's test). The proportion of correct answers for each statement on breast cancer was higher than for answers to corresponding items on colorectal cancer. Mean overall scores (95% CI) for breast and colorectal cancer were 88.1 (86.9, 89.2) and 64.4 (62.5, 66.3) respectively, the mean difference (95% CI) being 23.7 (22.0, 25.5). Scores were higher for breast cancer irrespective of age or gender.
There is a low level of understanding of colorectal cancer in the general population when compared to breast cancer. This highlights the importance of public education in this common cancer.
评估并比较普通人群样本中对结直肠癌和乳腺癌的知识与认知。
在一所大学医院的六个不同门诊诊所,向1100名就诊者发放了一份基于英国癌症联合患者协会(CancerBACUP)教育材料的特定研究问卷。该问卷包含12条关于结直肠癌和乳腺癌的发病率、症状表现、检测、治疗及预后的陈述。
1068人返还了问卷。对1004份完整问卷进行了分析。受访者的平均年龄(标准差)为50.1(17.2)岁,男女比例为2:3。受访者阅读有关乳腺癌的内容多于结直肠癌(60.3%对32.4%,P<0.0001,McNemar检验)。关于乳腺癌的每条陈述的正确答案比例高于结直肠癌相应条目的答案比例。乳腺癌和结直肠癌的平均总体得分(95%置信区间)分别为88.1(86.9,89.2)和64.4(62.5,66.3),平均差值(95%置信区间)为23.7(22.0,25.5)。无论年龄或性别,乳腺癌的得分都更高。
与乳腺癌相比,普通人群对结直肠癌的了解程度较低。这凸显了针对这种常见癌症开展公众教育的重要性。