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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.

DOI:10.5993/AJHB.37.3.1
PMID:23985175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3759820/
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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FOBT completion in FQHCs: impact of physician recommendation, FOBT information, or receipt of the FOBT kit.在 FQHC 中完成 FOBT:医生建议、FOBT 信息或收到 FOBT 试剂盒的影响。
J Rural Health. 2012 Summer;28(3):306-11. doi: 10.1111/j.1748-0361.2011.00402.x. Epub 2012 Jan 24.
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Colonoscopy versus fecal immunochemical testing in colorectal-cancer screening.结肠镜检查与粪便免疫化学试验在结直肠癌筛查中的比较。
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Barriers to screening colonoscopy for low-income Latino and white patients in an urban community health center.城市社区健康中心中低收入拉丁裔和白人患者进行结肠镜筛查的障碍。
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