加拿大老年人拒绝结直肠癌筛查的原因：一项试点研究。
Reasons for declining colorectal cancer screening by older Canadians: a pilot study.
作者信息
Hoffman-Goetz Laurie, Thomson Maria D, Donelle Lorie
机构信息
Department of Health Studies and Gerontology, Faculty of Applied Health Sciences, University of Waterloo, Ontario, Canada.
出版信息
J Cancer Educ. 2008 Jan-Mar;23(1):32-6. doi: 10.1080/08858190701821188.
BACKGROUND
Although colorectal cancer (CRC) is the second leading cause of cancer death in Canada, only 4% to 14% of eligible adults follow screening recommendations. In this pilot study, we explored older Canadians' perception of the barriers and enabling factors associated with CRC screening participation.
METHODS
Interviews from 100 participants, age 50 through 90 years, were analyzed using a mixed qualitative and quantitative methods approach. We used constant comparative analysis, Pearson chi2, and Fisher's exact probability tests.
RESULTS
Themes impacting screening participation included physician screening recommendations, reasons for declining screening, surprise at CRC information, and barriers to understanding cancer information.
CONCLUSION
Education emphasizing the importance of early detection through screening is needed.
背景
尽管结直肠癌（CRC）是加拿大癌症死亡的第二大主要原因，但只有4%至14%符合条件的成年人遵循筛查建议。在这项试点研究中，我们探讨了加拿大老年人对参与CRC筛查的障碍和促成因素的看法。
方法
采用定性和定量相结合的方法，对100名年龄在50至90岁之间的参与者进行了访谈分析。我们使用了持续比较分析、Pearson卡方检验和Fisher精确概率检验。
结果
影响筛查参与的主题包括医生的筛查建议、拒绝筛查的原因、对CRC信息的惊讶以及理解癌症信息的障碍。
结论
需要开展强调通过筛查进行早期检测重要性的教育。
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