美国男性和女性的结直肠癌筛查
Colorectal cancer screening among men and women in the United States.
作者信息
Peterson Neeraja B, Murff Harvey J, Ness Reid M, Dittus Robert S
机构信息
Center for Health Services Research, Division of General Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-8300, USA.
出版信息
J Womens Health (Larchmt). 2007 Jan-Feb;16(1):57-65. doi: 10.1089/jwh.2006.0131.
BACKGROUND
A few previous studies have shown that men were more likely than women to be screened for colorectal cancer (CRC).
METHODS
The 2000 National Health Interview Survey (NHIS) was administered to 32,374 adults > or = 18 years of age. Participants were asked if they ever had a sigmoidoscopy or colonoscopy and if they ever had a home fecal occult blood test (FOBT). Men and women > or = 50 years were eligible for analysis. Participants were considered to be current in testing if they reported sigmoidoscopy in the last 5 years, colonoscopy in the last 10 years, or home FOBT in the last 1 year.
RESULTS
Overall, 62.9% of adults had ever had CRC testing, and 37.1% were current for testing. Compared to older men, a greater proportion of older women were not current for testing (62.6% for women vs. 56.7% for men > 75 years). In multivariate analysis, women were not less likely than men to be current in CRC testing (OR 0.98, 95% CI 0.88-1.08). When compared with white women, black women were less likely to be current for CRC screening (OR 0.79, 95% CI 0.65-0.95).
CONCLUSIONS
CRC screening is underused. Targeting interventions to improve CRC screening for all appropriate patients will be important.
背景
先前的一些研究表明，男性接受结直肠癌（CRC）筛查的可能性高于女性。
方法
对32374名年龄≥18岁的成年人进行了2000年国家健康访谈调查（NHIS）。询问参与者是否曾接受过乙状结肠镜检查或结肠镜检查，以及是否曾进行过家庭粪便潜血试验（FOBT）。年龄≥50岁的男性和女性符合分析条件。如果参与者报告在过去5年内进行过乙状结肠镜检查、在过去10年内进行过结肠镜检查或在过去1年内进行过家庭FOBT，则被视为当前正在接受检查。
结果
总体而言，62.9%的成年人曾接受过CRC检测，37.1%的人当前正在接受检测。与老年男性相比，老年女性中当前未接受检测的比例更高（75岁以上女性为62.6%，男性为56.7%）。在多变量分析中，女性当前接受CRC检测的可能性并不低于男性（比值比0.98，95%置信区间0.88 - 1.08）。与白人女性相比，黑人女性接受CRC筛查的可能性较小（比值比0.79，95%置信区间0.65 - 0.95）。
结论
CRC筛查未得到充分利用。针对所有合适患者开展旨在改善CRC筛查的干预措施将很重要。
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