德克萨斯州初级保健医生进行的结直肠癌筛查：城乡比较
Colorectal cancer screening by primary care physicians in Texas: a rural-urban comparison.
作者信息
Hawley S T, Foxhall L, Vernon S W, Levin B, Young J E
机构信息
Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA.
出版信息
J Cancer Educ. 2001 Winter;16(4):199-204. doi: 10.1080/08858190109528773.
BACKGROUND
Little is known about colorectal cancer (CRC) screening practices of primary care physicians (PCPs) in rural versus urban locations.
METHODS
The authors surveyed 3,380 PCP members of the Texas Medical Association (TMA), stratified by specialty and rural/urban status. Factors associated with PCPs' self-reported practices of CRC screening by fecal occult blood test (FOBT) and/or flexible sigmoidoscopy (SIG) were examined using chi-square tests and multivariate regression.
RESULTS
Over 80% of both rural and urban PCPs reported CRC screening with the FOBT, while 70% reported screening with SIG. Many reported doing FOBTs in the office versus using the take-home kit. Variations were found in recommended ages and screening intervals among all respondents.
CONCLUSIONS
Geographic location was less important than knowledge and attitudes in predicting PCPs' CRC screening practices. More specific education regarding CRC screening guidelines needs to be directed towards all PCPs.
背景
关于农村和城市地区基层医疗医生（PCP）的结直肠癌（CRC）筛查实践，人们了解甚少。
方法
作者对德克萨斯医学协会（TMA）的3380名PCP成员进行了调查，按专业和农村/城市状况分层。使用卡方检验和多变量回归分析与PCP自我报告的粪便潜血试验（FOBT）和/或乙状结肠镜检查（SIG）进行CRC筛查实践相关的因素。
结果
超过80%的农村和城市PCP报告使用FOBT进行CRC筛查，而70%报告使用SIG进行筛查。许多人报告在办公室进行FOBT检查，而不是使用带回家的试剂盒。在所有受访者中，推荐年龄和筛查间隔存在差异。
结论
在预测PCP的CRC筛查实践方面，地理位置不如知识和态度重要。需要针对所有PCP开展关于CRC筛查指南的更具体教育。
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