Manne Sharon, Markowitz Arnold, Winawer Sidney, Meropol Neal J, Haller Daniel, Rakowski William, Babb James, Jandorf Lina
Division of Population Science, Fox Chase Cancer Center, Psycho-Oncology Program, Philadelphia, Pennsylvania 19111, USA.
Health Psychol. 2002 Jan;21(1):3-15.
Concepts from the health belief, transtheoretical, and dual process models were used to examine how siblings of individuals diagnosed with colorectal cancer (CRC) before age 56 made decisions about CRC screening. Siblings (N = 504) were assessed for CRC screening practices and intentions, pros, cons, processes-of-change, perceived risk of CRC, perceived severity of CRC, preventability of CRC, cancer-related distress, and sibling relationship closeness. Physician and family recommendation and knowledge were also assessed. Fifty-seven percent of participants (n = 287) were compliant with CRC screening. Logistic regression indicated that perceived pros and cons, perceived risk, commitment to screening, health care avoidance, and sibling closeness were associated with screening compliance. Physician and family recommendation were also strong correlates. A similar set of factors was associated with stage of adoption of CRC screening.
运用健康信念、跨理论和双过程模型的概念，来考察56岁之前被诊断为结直肠癌（CRC）的个体的兄弟姐妹是如何做出结直肠癌筛查决策的。对504名兄弟姐妹进行了评估，内容包括结直肠癌筛查实践与意向、利弊、改变过程、结直肠癌感知风险、结直肠癌感知严重程度、结直肠癌可预防性、癌症相关困扰以及兄弟姐妹关系亲密度。还评估了医生和家人的建议及知识。57%的参与者（n = 287）符合结直肠癌筛查要求。逻辑回归表明，感知到的利弊、感知风险、筛查承诺、医疗回避以及兄弟姐妹亲密度与筛查依从性相关。医生和家人的建议也是密切相关因素。类似的一组因素与结直肠癌筛查采用阶段相关。
