Kremers S P, Mesters I, Pladdet I E, van den Borne B, Stockbrügger R W
Department of Health Education and Promotion, University of Maastricht, the Netherlands.
Cancer Epidemiol Biomarkers Prev. 2000 Oct;9(10):1127-30.
At present, very little is known about the determinants of endoscopic screening participation. This study presents an analysis of the psychosocial associations of participation and nonparticipation in a sigmoidoscopic colorectal cancer screening program. The present pilot study was executed among members of a Dutch target group, ages 50-60 years, who visited an internal medicine outpatient clinic. Individuals who were asked to participate in the program (n = 200) received general information with regard to the screening procedure. The participation rate was 45%. Persons who participated in the screening program as well as those who wanted to participate in the study but did not want to participate in the screening program were asked to fill out a questionnaire. Self-efficacy, i.e., the individual's perception of the difficulty of participating in the screening program, appeared to be the most important association of participation. Furthermore, response efficacy, i.e., the individual's beliefs about the outcome of participation, and social support proved to be concepts that were associated with participation.
目前，对于内镜筛查参与率的决定因素知之甚少。本研究对乙状结肠镜结直肠癌筛查项目中参与和不参与的心理社会关联进行了分析。当前的试点研究是在一个年龄为50至60岁的荷兰目标群体成员中开展的，这些成员前往内科门诊就诊。被邀请参与该项目的个体（n = 200）收到了关于筛查程序的一般信息。参与率为45%。参与筛查项目的人员以及那些想参与研究但不想参与筛查项目的人员被要求填写一份问卷。自我效能感，即个体对参与筛查项目难度的认知，似乎是参与的最重要关联因素。此外，反应效能感，即个体对参与结果的信念，以及社会支持被证明是与参与相关的概念。
