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希腊癌症筛查服务的使用情况及相关社会因素:全国性的希腊健康I调查结果

Use of cancer screening services in Greece and associated social factors: results from the nation-wide Hellas Health I survey.

作者信息

Dimitrakaki Christine, Boulamatsis Dimitris, Mariolis Anargiros, Kontodimopoulos Nick, Niakas Dimitris, Tountas Yannis

机构信息

Center for Health Services Research, Medical School, University of Athens, Athens, Greece.

出版信息

Eur J Cancer Prev. 2009 Jun;18(3):248-57. doi: 10.1097/CEJ.0b013e32832405d6.

Abstract

This study estimated the rates of age-appropriate screening practices for breast, cervical, colon and prostate cancer within the general population in Greece and explored the influences of social factors on their use. Data were based on the cross-sectional Hellas Health I survey (2006) conducted on a representative sample of 1005 adults, aged 18-69 years. The percentage of women aged 21-69 years having received the papanicolaou smear test within the past 3 years was 59.4%, and the percentage of women aged 50-69 years having received mammography and the faecal occult blood test (FOBT) within the past 3 years was 53.8 and 8.3%, respectively. There were significant effects of age, education and marital status on carrying out the papanicolaou smear test, age on carrying out mammography, and existence of a family doctor on carrying out the FOBT. In men aged 50-69 years, 40.6% had received the prostate-specific antigen test and 10.9% of men had received the FOBT during the past 3 years. The percentage of men aged 50-69 years who had undergone digital rectal examination within the past 5 years was 20.3%. Multivariate analyses showed significant effects of age, social class, smoking status and type of insurance on carrying out the prostate-specific antigen test and of age on carrying out the digital rectal examination. No effects were revealed for the FOBT in men. The percentage of the population in Greece receiving screening services recommended by the European Council is low and seriously affected by social factors. Public health policies should direct their efforts towards introducing good-quality universal cancer screening and find culturally sensitive ways of addressing the barriers that prevent Greek people from adopting poor-quality cancer screening practices.

摘要

本研究估计了希腊普通人群中乳腺癌、宫颈癌、结肠癌和前列腺癌的适龄筛查率,并探讨了社会因素对这些筛查方法使用情况的影响。数据基于对1005名年龄在18至69岁之间的成年人进行的具有代表性的横断面希腊健康I调查(2006年)。在过去3年中接受巴氏涂片检查的21至69岁女性的比例为59.4%,在过去3年中接受乳房X光检查和粪便潜血试验(FOBT)的50至69岁女性的比例分别为53.8%和8.3%。年龄、教育程度和婚姻状况对进行巴氏涂片检查有显著影响,年龄对进行乳房X光检查有影响,而家庭医生的存在对进行粪便潜血试验有影响。在50至69岁的男性中,40.6%在过去3年中接受了前列腺特异性抗原检测,10.9%的男性接受了粪便潜血试验。在过去5年中接受直肠指检的50至69岁男性的比例为20.3%。多变量分析显示,年龄、社会阶层、吸烟状况和保险类型对进行前列腺特异性抗原检测有显著影响,年龄对进行直肠指检有影响。未发现社会因素对男性粪便潜血试验有影响。希腊接受欧洲理事会推荐的筛查服务的人口比例较低,且受到社会因素的严重影响。公共卫生政策应致力于引入高质量的全民癌症筛查,并找到具有文化敏感性的方法来解决阻碍希腊人采用低质量癌症筛查方法的障碍。

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