马来西亚成年人结直肠癌冒险行为及感知易感性的探索：一项基于社区的横断面研究。

Exploration of risk taking behaviors and perceived susceptibility of colorectal cancer among Malaysian adults: a community based cross-sectional study.

作者信息

Al-Dubai Sami A R, Ganasegeran Kurubaran, Alabsi Aied M, Shah Shamsul A, Razali Farid M M, Arokiasamy John T

机构信息

Department of Community Medicine, International Medical University (IMU), No, 126, Jln Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.

出版信息

BMC Public Health. 2013 Oct 7;13:930. doi: 10.1186/1471-2458-13-930.

DOI:10.1186/1471-2458-13-930

PMID:24093502

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3851727/

Abstract

BACKGROUND

Perceived susceptibility to an illness has been shown to affect Health-risk behavior. The objective of the present study was to determine the risk taking behaviors and the demographic predictors of perceived susceptibility to colorectal cancer in a population-based sample.

METHODS

A cross-sectional study was carried out among 305 Malaysian adults in six major districts, selected from urban, semi-urban, and rural settings in one state in Malaysia. A self-administered questionnaire was used in this study. It was comprised of socio-demographics, risk-taking behaviors, and validated domains of the Health Belief Model (HBM).

RESULTS

The mean (± SD) age of the respondents was 34.5 (± 9.6) and the majority (59.0%) of them were 30 years or older. Almost 20.7% of the respondents felt they were susceptible to colorectal cancer. Self-reported perceived susceptibility mirrored unsatisfactory screening behaviors owing to the lack of doctors' recommendation, ignorance of screening modalities, procrastination, and the perception that screening was unnecessary. Factors significantly associated with perceived susceptibility to colorectal cancer were gender (OR = 1.8, 95% CI 1.0-3.3), age (OR = 2. 2, 95% CI 1.2-4.0), ethnicity (OR = 0. 3, 95% CI 0.2-0.6), family history of colorectal cancer (OR = 3. 2, 95% CI 1.4-7.4) and alcohol intake (OR = 3.9, 95% CI 2.1-7.5).

CONCLUSION

The present study revealed that screening behavior among respondents was unsatisfactory. Hence, awareness of the importance of screening to prevent colorectal cancers is imperative.

摘要

背景

研究表明，对疾病的感知易感性会影响健康风险行为。本研究的目的是在一个基于人群的样本中，确定冒险行为以及结直肠癌感知易感性的人口统计学预测因素。

方法

在马来西亚一个州的城市、半城市和农村地区的六个主要地区，对305名马来西亚成年人进行了一项横断面研究。本研究使用了一份自填式问卷。问卷包括社会人口统计学、冒险行为以及健康信念模型（HBM）的有效领域。

结果

受访者的平均（±标准差）年龄为34.5（±9.6）岁，其中大多数（59.0%）年龄在30岁及以上。近20.7%的受访者认为自己易患结直肠癌。自我报告的感知易感性反映出筛查行为不尽人意，原因包括缺乏医生建议、对筛查方式不了解、拖延以及认为筛查不必要。与结直肠癌感知易感性显著相关的因素有性别（OR = 1.8，95%CI 1.0 - 3.3）、年龄（OR = 2.2，95%CI 1.2 - 4.0）、种族（OR = 0.3，95%CI 0.2 - 0.6）、结直肠癌家族史（OR = 3.2，95%CI 1.4 - 7.4）和饮酒量（OR = 3.9，95%CI 2.1 - 7.5）。