National University of Singapore, Singapore.
Asia Pac J Public Health. 2012 Jul;24(4):595-609. doi: 10.1177/1010539511399119. Epub 2011 Apr 13.
To assess the awareness and acceptability of colorectal cancer (CRC) screening in noncompliant Singaporeans and to determine if their barriers can be overcome by education. A questionnaire developed from thematic analysis of open-ended interviews with 72 subjects was administered to 580 residents in a local high-rise housing estate. Participants aware of CRC screening were assessed for barriers and acceptability of CRC screening. All participants were subsequently educated about CRC screening and reassessed for barriers and acceptance. Those keen for fecal occult blood testing (FOBT) were offered FOBT kits and followed up. CRC screening awareness was poor. Having no symptoms was the most common barrier. More barriers to FOBT than to colonoscopy were reduced with education. After education, acceptability toward FOBT increased but rejection rates rose even higher. FOBT is probably Singapore's most acceptable screening modality. Education is limited by barriers, which need to be overcome by alternative measures.
为了评估新加坡不依从人群对结直肠癌（CRC）筛查的认知和可接受性，并确定教育是否可以克服他们的障碍。从对 72 名受试者的开放式访谈的主题分析中开发了一份问卷，对当地高层住宅区的 580 名居民进行了问卷调查。对了解 CRC 筛查的参与者评估了 CRC 筛查的障碍和可接受性。所有参与者随后都接受了 CRC 筛查教育，并重新评估了障碍和接受程度。那些对粪便潜血检测（FOBT）感兴趣的人提供了 FOBT 试剂盒并进行了随访。CRC 筛查意识较差。没有症状是最常见的障碍。经过教育，FOBT 的障碍比结肠镜检查的障碍减少。教育后，FOBT 的可接受性增加，但拒绝率甚至更高。FOBT 可能是新加坡最可接受的筛查方式。教育受到障碍的限制，需要通过其他措施来克服。
