Li Chia-Ming, Shiu Ming-Neng, Chia Shu-Li, Liu Jen-Pei, Chen Tony Hsiu-Hsi, Chie Wei-Chu
Department of Community and Family Medicine, National University Hospital, Bei-Hu Branch, Taipei, Taiwan.
J Med Screen. 2007;14(4):186-90. doi: 10.1258/096914107782912095.
This study investigated factors associated with the referral compliance of positive immunochemical faecal occult blood test (iFOBT).
Data were from a subset of people who received iFOBT at Taipei county of Taiwan in 2005.
All subjects with positive iFOBT were referred to hospital for further diagnostic examinations. In total, 226 such subjects who did not accept referral within 60 days were identified as the non-compliant group from the record of Public Health Bureau. Frequency-matched 219 subjects were sampled from the 599 people who accepted referral within 60 days as the compliant group. Telephone interviews were performed according to questionnaire designed basically under the Health Belief Model. Multiple logistic regression was used to assess effects of possible associated factors for referral compliance.
A total of 145 persons in the compliant group and 115 persons in the non-compliant group completed the interview. Factors including 'perceived susceptibility' and 'cue to action: information' were positively associated with, while 'casual personality' was negatively associated with referral compliance.
Three factors in Health Belief Model were associated with referral compliance after positive FOBT.
本研究调查了与免疫化学法粪便潜血试验（iFOBT）阳性转诊依从性相关的因素。
数据来自2005年在台湾台北县接受iFOBT检查的部分人群。
所有iFOBT呈阳性的受试者均被转诊至医院进行进一步诊断检查。从卫生局记录中确定了226名在60天内未接受转诊的此类受试者作为不依从组。从599名在60天内接受转诊的受试者中频率匹配抽取219名作为依从组。根据基本依据健康信念模型设计的问卷进行电话访谈。采用多元逻辑回归评估转诊依从性可能相关因素的影响。
依从组共有145人，不依从组共有115人完成访谈。“感知易感性”和“行动提示：信息”等因素与转诊依从性呈正相关，而“随性人格”与转诊依从性呈负相关。
健康信念模型中的三个因素与FOBT阳性后的转诊依从性相关。
