Chen Chia-Ching, Basch Charles E, Yamada Tetsuji
Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College, 95 Grasslands Road, Valhalla, NY 10595, USA.
J Cancer Educ. 2010 Jun;25(2):160-5. doi: 10.1007/s13187-009-0024-y.
In this retrospective study, we examined factors that associated with colonoscopy test use among adults who did not have colorectal cancer (CRC) in the USA. A total of 2,150 non-CRC adults >or=55 were selected from the Health Information National Trends Survey, a random-digit telephone survey that collected data in 2003-2004. Participants were classified based on receiving CRC tests within the recommended time interval. Socio-demographic and cognitive factors that are associated with colonoscopy test use were examined. The results show that adults 55-64 years old were less likely to have a colonoscopy compared with those 65 years and older. Participants with higher levels of knowledge, greater access to care, greater perceived risk, and lower psychological barriers were more likely to report receiving a colonoscopy. The findings indicate a continuous effort to increase awareness and risk perception, and reduce psychological barriers through health education.
在这项回顾性研究中，我们调查了美国未患结直肠癌（CRC）的成年人中与结肠镜检查使用相关的因素。从健康信息国家趋势调查中选取了总共2150名年龄大于或等于55岁的非CRC成年人，该调查是一项随机数字电话调查，于2003 - 2004年收集数据。参与者根据在推荐时间间隔内接受CRC检查的情况进行分类。研究了与结肠镜检查使用相关的社会人口统计学和认知因素。结果显示，与65岁及以上的成年人相比，55 - 64岁的成年人进行结肠镜检查的可能性较小。知识水平较高、获得医疗服务的机会更多、感知风险更大以及心理障碍较低的参与者更有可能报告接受了结肠镜检查。研究结果表明，需要持续努力通过健康教育提高认识和风险感知，并减少心理障碍。
