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矛盾心理及其对参与结直肠癌筛查的影响。

Ambivalence and its influence on participation in screening for colorectal cancer.

机构信息

University of Adelaide, Adelaide, South Australia, Australia.

出版信息

Qual Health Res. 2013 Sep;23(9):1188-201. doi: 10.1177/1049732313501890. Epub 2013 Aug 5.

DOI:10.1177/1049732313501890
PMID:23917801
Abstract

Colorectal cancer (CRC) is one of the most prevalent cancers worldwide, and an ideal target for early detection and prevention through cancer screening. Unfortunately, rates of participation in screening are less than adequate. In this article we explore why people who were offered a fecal immunochemical test for CRC decided to participate or not, and for those who did participate, what influenced them to take action and complete the test. We conducted four focus groups and 30 telephone interviews with 63 people. The main reason people decided to screen was "wanting to know" their CRC status, which operated on a continuum ranging from wanting to know, through varying degrees of ambivalence, to not wanting to know. The majority of participants expressed ambivalence about CRC screening, and the main cue to action was the opportunity to screen without being too inconvenienced.

摘要

结直肠癌(CRC)是全球最常见的癌症之一,是通过癌症筛查进行早期发现和预防的理想目标。不幸的是,参与筛查的比例不够高。在本文中,我们探讨了为什么有些人选择参加粪便免疫化学试验(用于 CRC 的筛查),而有些人则决定不参加,对于那些参加的人,是什么因素促使他们采取行动并完成了测试。我们进行了四项焦点小组讨论和 30 次电话访谈,共涉及 63 人。人们决定进行筛查的主要原因是“想了解”他们的 CRC 状况,这是一个连续的过程,从想了解,到不同程度的矛盾,再到不想了解。大多数参与者对 CRC 筛查持矛盾态度,主要的行动线索是有机会在不太麻烦的情况下进行筛查。

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1
Ambivalence and its influence on participation in screening for colorectal cancer.矛盾心理及其对参与结直肠癌筛查的影响。
Qual Health Res. 2013 Sep;23(9):1188-201. doi: 10.1177/1049732313501890. Epub 2013 Aug 5.
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What influences the decision to participate in colorectal cancer screening with faecal occult blood testing and sigmoidoscopy?影响人们决定参与粪便潜血试验和乙状结肠镜检查进行结直肠癌筛查的因素有哪些?
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To participate or not? Giving voice to gender and socio-economic differences in colorectal cancer screening programmes.是否参与?在结直肠癌筛查计划中表达性别和社会经济差异的声音。
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What can We Learn From High-Performing Screening Programs to Increase Bowel Cancer Screening Participation in Australia?从表现优异的筛查项目中,我们可以学到哪些经验来提高澳大利亚的结直肠癌筛查参与率?
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Exploring Participation and Interaction in a Bottom-Up Health Promotion Program for Migrant Women in Norway.
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BMC Fam Pract. 2019 Jul 29;20(1):109. doi: 10.1186/s12875-019-0997-5.
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Influencing Cancer Screening Participation Rates-Providing a Combined Cancer Screening Program (a 'One Stop' Shop) Could Be a Potential Answer.影响癌症筛查参与率——提供联合癌症筛查项目(“一站式”服务)可能是一个潜在的解决方案。
Front Oncol. 2017 Dec 13;7:308. doi: 10.3389/fonc.2017.00308. eCollection 2017.
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Patterns of participation over four rounds of annual fecal immunochemical test-based screening for colorectal cancer: what predicts rescreening?四轮基于粪便免疫化学检测的年度结直肠癌筛查中的参与模式:什么因素能预测再次筛查?
BMC Public Health. 2017 Aug 1;18(1):81. doi: 10.1186/s12889-017-4634-8.
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Concerns, perceived need and competing priorities: a qualitative exploration of decision-making and non-participation in a population-based flexible sigmoidoscopy screening programme to prevent colorectal cancer.担忧、感知到的需求及相互竞争的优先事项:对一项基于人群的预防结直肠癌的柔性乙状结肠镜筛查计划中的决策制定和不参与情况的定性探索。
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