结直肠癌筛查的个体因素：个体健康行为结构与筛查行为关系的文献综述。
Individual-level factors in colorectal cancer screening: a review of the literature on the relation of individual-level health behavior constructs and screening behavior.
机构信息
Department of Health Behavior, University at Buffalo, New York 14124, USA.
出版信息
Psychooncology. 2011 Oct;20(10):1023-33. doi: 10.1002/pon.1865. Epub 2010 Oct 27.
OBJECTIVE
Compliance with colorectal cancer screening recommendations requires considerable conscious effort on the part of the individual patient, making an individual's decisions about engagement in screening an important contributor to compliance or noncompliance. The objective of this paper was to examine the effectiveness of individual-level behavior theories and their associated constructs in accounting for engagement in colorectal cancer screening behavior.
METHODS
We reviewed the literature examining constructs from formal models of individual-level health behavior as factors associated with compliance with screening for colorectal cancer. All published studies examining one or more constructs from the health belief model, theory of planned behavior, transtheoretical model, or social cognitive theory and their relation to screening behavior or behavioral intentions were included in the analysis.
RESULTS
By and large, results of studies supported the theory-based predictions for the influence of constructs on cancer screening behavior. However, the evidence base for many of these relations, especially for models other than the health belief model, is quite limited.
CONCLUSIONS
Suggestions are made for future research on individual-level determinants of colorectal cancer screening.
目的
遵守结直肠癌筛查建议需要患者个体付出相当大的自觉努力，因此个体对参与筛查的决策是影响其是否遵守筛查建议的一个重要因素。本文的目的是检验个体层面行为理论及其相关构念在解释结直肠癌筛查行为方面的有效性。
方法
我们回顾了文献，其中探讨了来自个体层面健康行为的正式模型中的构念，这些构念被认为是与结直肠癌筛查的遵从性相关的因素。我们纳入了所有发表的研究，这些研究检查了健康信念模型、计划行为理论、跨理论模型或社会认知理论中的一个或多个构念，以及它们与筛查行为或行为意向的关系。
结果
总的来说，这些研究结果支持了理论预测，即构念对癌症筛查行为的影响。然而，这些关系的证据基础，特别是对于健康信念模型以外的模型，相当有限。
结论
对结直肠癌筛查的个体层面决定因素的未来研究提出了建议。
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