von Wagner Christian, Macedo Ana, Campbell Christine, Simon Alice E, Wardle Jane, Hammersley Victoria, Weller David, Waller Jo
Department of Epidemiology and Public Health, Health Behaviour Research Centre, University College London, Gower Street, London WC1E 6BT, UK.
Age Ageing. 2013 Nov;42(6):770-5. doi: 10.1093/ageing/aft132. Epub 2013 Sep 1.
the rise in life expectancy, together with age-related increase in the incidence of most cancers, has led to mounting interest in cancer screening in older people. In England, routine invitations stop and an 'opt-in' (individual request) process is available from ages 71 to 76 years for breast and colorectal screening respectively. Little is known about public attitudes towards age-stoppage policy.
this study examined public attitudes to current stoppage policy, information preferences and intentions to request screening beyond the age of routine invitations.
participants (n = 927; age 60-74 years) were recruited as part of a TNS Research International survey and took part in home-based, computer-assisted interviews.
measures included: (i) attitudes towards current stoppage policy, (ii) preference for communications about screening after the end of the routine invitation period and (iii) intention to opt-in.
the majority of respondents (78%) did not agree with age-based stoppage policies. Most (83%) wanted a strong recommendation to opt-in after this age, although the number who thought they would follow such a recommendation was much lower (27%). A majority of participants (54%) thought information on screening at older ages should come from their general practitioner (GP).
this survey indicates that older people in England wish to continue to be actively invited for cancer screening, although only a minority think that they would ultimately take up the offer. Primary care may play a role in negotiating a shared decision that is based on individual circumstances.
预期寿命的延长，以及大多数癌症发病率随年龄增长而上升，使得人们对老年人癌症筛查的兴趣日益浓厚。在英国，常规邀请在71岁和76岁时分别停止，对于乳腺癌和结直肠癌筛查，71至76岁的人群可采用“主动申请”（个人请求）程序。对于年龄停止政策，公众态度鲜为人知。
本研究调查了公众对当前停止政策的态度、信息偏好以及在常规邀请年龄之后申请筛查的意愿。
作为TNS国际研究调查的一部分，招募了参与者（n = 927；年龄60 - 74岁），并让他们参加基于家庭的计算机辅助访谈。
测量内容包括：（i）对当前停止政策的态度，（ii）在常规邀请期结束后对筛查相关信息交流方式的偏好，以及（iii）主动申请的意愿。
大多数受访者（78%）不同意基于年龄的停止政策。大多数人（83%）希望在此年龄之后有强烈的主动申请建议，尽管认为自己会遵循此类建议的人数要少得多（27%）。大多数参与者（54%）认为关于老年筛查的信息应来自他们的全科医生（GP）。
这项调查表明，英国的老年人希望继续被积极邀请进行癌症筛查，尽管只有少数人认为他们最终会接受邀请。初级保健可能在基于个人情况协商共同决策方面发挥作用。
