一项关于结直肠癌筛查技术个人偏好的调查。
A survey of individual preference for colorectal cancer screening technique.
作者信息
Nelson Richard L, Schwartz Alan
机构信息
Department of Surgery, University of Illinois College of Medicine at Chicago, Chicago, Illinois 60612, USA.
出版信息
BMC Cancer. 2004 Nov 8;4:76. doi: 10.1186/1471-2407-4-76.
BACKGROUND
Due to the low participation in colorectal cancer screening, public preference for colorectal cancer screening modality was determined.
METHODS
A cross-sectional survey was performed of healthy ambulatory adults in a pediatrics primary care office and neighboring church. Overall preference was ranked for each of four colorectal cancer screening modalities: Faecal Occult Blood, Fiberoptic Sigmoidoscopy, Barium Enema and Colonoscopy. Four additional domains of preference also were ranked: suspected discomfort, embarrassment, inconvenience and danger of each exam.
RESULTS
80 surveys were analyzed, 57 of which were received from participants who had experienced none of the screening tests. Fecal Occult Blood Testing is significantly preferred over each other screening modality in overall preference and every domain of preference, among all subjects and those who had experienced none of the tests.
CONCLUSIONS
Efforts to increase public participation in colorectal cancer screening may be more effective if undertaken in the context of public perceptions of screening choices.
背景
由于结直肠癌筛查的参与率较低，因此确定了公众对结直肠癌筛查方式的偏好。
方法
在一家儿科初级保健诊所和附近的教堂对健康的非卧床成年人进行了一项横断面调查。对四种结直肠癌筛查方式中的每一种进行总体偏好排名：粪便潜血检查、纤维结肠镜检查、钡灌肠和结肠镜检查。还对偏好的另外四个领域进行了排名：每种检查的疑似不适、尴尬、不便和危险。
结果
分析了80份调查问卷，其中57份来自未进行过任何筛查测试的参与者。在总体偏好以及所有受试者和未进行过任何测试的受试者的每个偏好领域中，粪便潜血检查明显比其他每种筛查方式更受青睐。
结论
如果在公众对筛查选择的认知背景下开展提高公众参与结直肠癌筛查的工作，可能会更有效。
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