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香港 50 岁及以上人群的结直肠癌筛查行为及相关因素 - 一项基于人群的调查。

Colorectal cancer screening behaviour and associated factors among Chinese aged 50 and above in Hong Kong - a population-based survey.

机构信息

The Nethersole School of Nursing, The Chinese University of Hong Kong, China.

出版信息

Eur J Oncol Nurs. 2012 Sep;16(4):413-8. doi: 10.1016/j.ejon.2011.09.006. Epub 2011 Oct 28.

DOI:10.1016/j.ejon.2011.09.006
PMID:22036772
Abstract

PURPOSE

This study reports the uptake rate of colorectal cancer screening among Chinese people aged 50 or above and the identified factors associated with the likelihood of undergoing such screening.

METHODS

A cross-sectional population-based telephone survey was conducted in Hong Kong during the period 2 to 28 May 2007. The survey covered demographics, perceived health status and susceptibility to cancer, utilisation of complementary medicine, family history of cancer and cancer screening behaviour.

RESULTS

The survey was completed by 2004 Hong Kong Chinese residents aged 50 or older (response rate = 66.6%). The uptake rate of a fecal occult blood test and a colonoscopy was 12% and 19% respectively. Factors associated with colorectal cancer screening behaviour included: male participants, ex-smokers, with cancer or other serious disease, a family history of cancer, perceived health status fair or poor, regular visits to a doctor to look after health, and utilisation of complementary medicine.

CONCLUSIONS

The uptake rate of this study population was low though an increasing trend did appear. Heath education and promotion programmes may focus on these identified factors to facilitate colorectal cancer screening in a Chinese population.

摘要

目的

本研究报告了 50 岁及以上中国人群进行结直肠癌筛查的参与率,以及与接受此类筛查可能性相关的确定因素。

方法

2007 年 5 月 2 日至 28 日,在香港进行了一项基于人群的横断面电话调查。该调查涵盖了人口统计学、对健康状况和癌症易感性的认知、对补充医学的利用、癌症家族史以及癌症筛查行为。

结果

共有 2004 名年龄在 50 岁及以上的香港华人居民完成了调查(应答率=66.6%)。粪便潜血试验和结肠镜检查的参与率分别为 12%和 19%。与结直肠癌筛查行为相关的因素包括:男性参与者、已戒烟者、患有癌症或其他严重疾病者、有癌症家族史者、对健康状况的认知为一般或较差者、定期看医生进行健康检查者、以及利用补充医学者。

结论

尽管本研究人群的参与率呈上升趋势,但仍处于较低水平。健康教育和促进计划可以针对这些已确定的因素,以促进中国人群进行结直肠癌筛查。

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