肯塔基州结直肠癌的发病模式、风险因素及筛查情况
Patterns of colorectal cancer incidence, risk factors, and screening in Kentucky.
作者信息
Hopenhayn Claudia, Moore Derek B, Huang Bin, Redmond Jennifer, Tucker Thomas C, Kryscio Richard J, Boissonneault Gilbert A
机构信息
Cancer Control Program, University of Kentucky, Lexington, KY 40504-3381, USA.
出版信息
South Med J. 2004 Mar;97(3):216-23. doi: 10.1097/01.SMJ.0000116041.78617.92.
BACKGROUND
Colorectal cancer incidence rates are higher in Kentucky than in the United States in general, and there are regional variations within the state.
METHODS
This study investigates these variations in relation to lifestyle and health behaviors, combining data from the Kentucky Behavioral Risk Factor Surveillance System (BRFSS), and from the Kentucky Cancer Registry. We used Kentucky's fifteen Area Development Districts (ADDs) as units of analysis across a five-year period from 1993 to 97.
RESULTS
Differences were observed across ADDs. ADDs with a higher prevalence of risk factors, with the exception of chronic alcohol drinking, had lower CRC rates. ADDs with a higher proportion of respondents having had recent routine check-ups had higher CRC incidence rates.
CONCLUSIONS
In general, healthier lifestyles and positive health-related behaviors were associated with increased colorectal cancer incidence. This may be explained by the tendency for healthier individuals to receive regular check-ups and screening, thus increasing the detection rate of colorectal cancer.
背景
总体而言，肯塔基州的结直肠癌发病率高于美国，且该州内部存在地区差异。
方法
本研究结合肯塔基州行为风险因素监测系统（BRFSS）和肯塔基州癌症登记处的数据，调查这些与生活方式和健康行为相关的差异。我们将肯塔基州的15个地区发展区（ADDs）作为分析单位，研究时间跨度为1993年至1997年的五年间。
结果
各地区发展区之间存在差异。除长期饮酒外，风险因素患病率较高的地区发展区结直肠癌发病率较低。近期进行常规检查的受访者比例较高的地区发展区结直肠癌发病率较高。
结论
总体而言，更健康的生活方式和积极的健康相关行为与结直肠癌发病率增加有关。这可能是因为更健康的个体倾向于接受定期检查和筛查，从而提高了结直肠癌的检出率。
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