Oliver JoAnn S, Worley Courtney B, DeCoster Jamie, Palardy Leslie, Kim Giyeon, Reddy Adisesha, Allen Rebecca S
Capstone College of Nursing and Center for Mental Health and Aging, The University of Alabama, Tuscaloosa, AL 35487, USA. joliver@.ua.edu
Gastroenterol Nurs. 2012 Mar-Apr;35(2):93-8. doi: 10.1097/SGA.0b013e31824e2d7a.
Guidelines published by the American College of Gastroenterologists suggest that African Americans (AA) begin preventive screening at the age of 45 years due to increased risk of colorectal cancer. This study examines characteristics associated with having fecal occult blood tests (FOBT), sigmoidoscopy, and colonoscopy among adults aged 45-75 years. Using cross-sectional data from the 2007 Health Information National Trends Survey, the sample included 3,725 participants (mean age = 59.01 ± 8.41), with 59.8% female, 88.8% Caucasian, and 11.2% AA. Binary logistic regression with interactions between race, gender, and age entered in block 2 revealed that odds of having FOBT, colonoscopy, or sigmoidoscopy were increased among older individuals with higher education. Fecal occult blood test was higher among women and those with insurance. Colonoscopy was higher among those with insurance and higher income. Having a sigmoidoscopy was more likely among those with higher income but was lower among AA men. Understanding the characteristics of individuals who participate in colorectal cancer screenings may contribute to the development of interventions geared toward those who do not, particularly AA men who are at greatest risk for colorectal morbidity and mortality.
美国胃肠病学会发布的指南建议，非裔美国人（AA）由于患结直肠癌的风险增加，应在45岁开始进行预防性筛查。本研究调查了45至75岁成年人中进行粪便潜血试验（FOBT）、乙状结肠镜检查和结肠镜检查的相关特征。利用2007年健康信息国家趋势调查的横断面数据，样本包括3725名参与者（平均年龄=59.01±8.41），其中59.8%为女性，88.8%为白种人，11.2%为非裔美国人。在第2组中纳入种族、性别和年龄之间相互作用的二元逻辑回归显示，在受教育程度较高的老年人中，进行FOBT、结肠镜检查或乙状结肠镜检查的几率增加。女性和有保险的人进行粪便潜血试验的比例较高。有保险和高收入者进行结肠镜检查的比例较高。高收入者进行乙状结肠镜检查的可能性更大，但在非裔美国男性中比例较低。了解参与结直肠癌筛查的个体特征可能有助于制定针对未参与筛查者的干预措施，特别是那些结直肠癌发病率和死亡率风险最高的非裔美国男性。
