Leung Doris Y P, Leung Angela Y M, Chi Iris
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
Asian Pac J Cancer Prev. 2012;13(1):283-7. doi: 10.7314/apjcp.2012.13.1.283.
To explore the participation rates for breast and colorectal cancer screening and identify associated correlates among elderly women.
Logistic regressions were conducted using data collected in 2006 from 1,533 elderly women aged 60 years or above who had completed a screening instrument, the Minimum Data Set-Home Care, while applying for long-term care services at the first time in Hong Kong.
The participation rates for breast and colorectal cancer screening among frail older Chinese women were 3.7% and 10.8% respectively. Cognitive status was inversely associated with the likelihood of participation in screening (breast: OR = 0.66, 95%CI = 0.47-0.94; colon: OR = 0.81, 95%CI = 0.66-0.99), as was educational level with the likelihood of participation in breast cancer screening (no formal education: OR = 0.20, 95%CI = 0.06-0.61, some primary education: OR = 0.31, 95%CI = 0.10-1.00).
The delivery of cancer preventive health services to frail older women is less than ideal. Cognitive status and educational level were important factors in cancer screening behaviour. Tailor-made strategic promotion programmes targeting older women with low cognitive status and educational levels are needed to enhance awareness and acceptance within this vulnerable group.
探讨老年女性乳腺癌和结直肠癌筛查的参与率，并确定相关的影响因素。
采用2006年收集的数据进行逻辑回归分析，这些数据来自1533名60岁及以上的老年女性，她们在香港首次申请长期护理服务时完成了一份筛查工具——《最小数据集-家庭护理》。
体弱的中国老年女性中，乳腺癌和结直肠癌筛查的参与率分别为3.7%和10.8%。认知状态与参与筛查的可能性呈负相关（乳腺癌：比值比=0.66，95%置信区间=0.47-0.94；结肠癌：比值比=0.81，95%置信区间=0.66-0.99），教育水平与参与乳腺癌筛查的可能性也呈负相关（未接受正规教育：比值比=0.20，95%置信区间=0.06-0.61；接受过一些小学教育：比值比=0.31，95%置信区间=0.10-1.00）。
向体弱的老年女性提供癌症预防保健服务的情况不太理想。认知状态和教育水平是癌症筛查行为的重要因素。需要针对认知状态和教育水平较低的老年女性制定有针对性的战略推广计划，以提高这一弱势群体的意识和接受度。
