Honda Keiko
Department of Epidemiology, Columbia University, 722 E. 168th Street, Room 719, New York City, NY 10032, USA.
Am J Public Health. 2004 May;94(5):815-22. doi: 10.2105/ajph.94.5.815.
The author examined the prevalence and predictors of colorectal cancer screening among the urban Japanese population of the United States.
A sample of Japanese residents of major US metropolitan areas completed a self-administered mailed survey.
Physician recommendation, acculturation, and perceived psychological costs were consistent predictors of screening for colorectal cancer. Gender and marital status were related to screening via fecal occult blood testing; age, susceptibility, and health insurance were related to sigmoidoscopy/colonoscopy screening.
Colorectal cancer screening among the urban Japanese population could be increased with interventions seeking to promote physician recommendations for screening, alleviate perceived psychological costs among patients, and improve physician-patient communication.
作者调查了美国城市日本人群中结直肠癌筛查的普及率及其预测因素。
对美国主要大都市地区的日本居民样本进行了一项自行邮寄的调查。
医生建议、文化适应程度和感知到的心理成本是结直肠癌筛查的一致预测因素。性别和婚姻状况与粪便潜血检测筛查有关;年龄、易感性和医疗保险与乙状结肠镜检查/结肠镜检查筛查有关。
通过采取干预措施,促进医生对筛查的建议,减轻患者感知到的心理成本,并改善医患沟通,可以提高美国城市日本人群的结直肠癌筛查率。