J Community Health. 2013 Feb;38(1):23-30. doi: 10.1007/s10900-012-9574-8.
This study examined (a) differences in rates of initiating colorectal cancer screening across age groups, and (b) factors associated with initiation of colorectal cancer screening among persons age 50-75. Data from 1,699 adults age 50-75 were analyzed from a random sample of households in an eight-county region surrounding the Brazos Valley in Texas. Bivariate descriptive analyses were performed. Logistic regression was employed to assess relationships between demographic, health status, and healthcare utilization variables and having initiated colorectal cancer examination. Having more than a high school education (OR = 1.48, p = 0.002), having insurance (OR = 1.76, p = 0.007), being obese (OR = 1.58, p = 0.015), and having a routine health check-up within the past 2 years (OR = 3.39, p < 0.001) were associated with an increased likelihood of having a colorectal cancer examination. The findings suggest that routine interactions with health care providers may encourage persons to initiate colorectal cancer screening according to guidelines.
本研究考察了（a）不同年龄组开始结直肠癌筛查的比率，以及（b）50-75 岁人群开始结直肠癌筛查的相关因素。该数据来自德克萨斯州布拉佐斯河谷周边八个县的随机家庭抽样调查，共有 1699 名 50-75 岁的成年人。进行了双变量描述性分析。采用逻辑回归评估了人口统计学、健康状况和医疗保健利用变量与开始结直肠癌检查之间的关系。接受过高中以上教育（OR=1.48，p=0.002）、有保险（OR=1.76，p=0.007）、肥胖（OR=1.58，p=0.015）以及过去 2 年内有常规健康检查（OR=3.39，p<0.001）与增加结直肠癌检查的可能性相关。研究结果表明，与医疗保健提供者的常规互动可能会鼓励人们根据指南开始结直肠癌筛查。
