城乡结直肠癌筛查障碍的对比。
Contrasts in rural and urban barriers to colorectal cancer screening.
作者信息
Davis Terry C, Rademaker Alfred, Bailey Stacy Cooper, Platt Daci, Esparza Julie, Wolf Michael S, Arnold Connie L
机构信息
Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
出版信息
Am J Health Behav. 2013 May;37(3):289-98. doi: 10.5993/AJHB.37.3.1.
Abstract
OBJECTIVES
To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients.
METHODS
Interviews were administered to 972 patients who were not up-to-date with screening.
RESULTS
Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001).
CONCLUSIONS
Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.
摘要
目的
对比农村和城市安全网患者在结肠癌（CRC）筛查及粪便潜血试验（FOBT）完成情况方面的障碍。
方法
对972名未进行最新筛查的患者进行访谈。
结果
农村患者更倾向于认为早期发现CRC有帮助（89.7%对66.1%，p <.0001），但接受筛查建议的可能性较小（36.4%对45.8%，p =.03），接受FOBT信息的可能性较小（14.5%对32.3%，p <.0001），完成FOBT的可能性也较小（22.0%对45.8%，p <.0001）。
结论
需要采取干预措施来增加筛查建议、教育及完成率，尤其是在农村地区。
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