Salimzadeh Hamideh, Eftekhar Hassan, Delavari Alireza, Malekzadeh Reza
Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2014 Feb;5(2):185-90.
Colorectal cancer (CRC) is the third most prevalent cancer among Iranians, and threatens them at younger ages. This study was guided by the theoretical concepts of the preventive health model (PHM) to assess the attitudes and beliefs of Iranians towards CRC screening.
This cross-sectional study was conducted with participation of 200 individuals aged 50 years or older in a Teaching Hospital in Tehran, Iran. Background characteristics (e.g., age, gender, marital status) were assessed and a validated instrument drawn from the PHM was applied to measure cognitive and psychosocial variables (i.e., self-efficacy, intention to screening, perceived susceptibility, cancer worries, response efficacy, and social support). Data were collected via face-to-face interviews and analyzed using the SPSS version 13.00 for Windows.
The age of the participants ranged from 50 years to 83 years (mean 60.13). Most respondents were married (62.5%), unemployed (42%), and had secondary or higher education (44.5%). Overall, 11% of respondents reported prior screening. Individuals obtained relatively poor scores on self-efficacy, intention to screening, perceived susceptibility, cancer worries, response efficacy, and social support.
In this study, individuals mostly reported poor attitude in regard to CRC screening. The results of the present study could guide policy makers in designing tailored interventions to increase the participation of individuals in screening programs.
结直肠癌（CRC）是伊朗人中第三大常见癌症，且在较年轻年龄段就对他们构成威胁。本研究以预防健康模型（PHM）的理论概念为指导，评估伊朗人对CRC筛查的态度和信念。
本横断面研究在伊朗德黑兰一家教学医院中对200名50岁及以上的个体进行。评估了背景特征（如年龄、性别、婚姻状况），并应用从PHM中提取的经过验证的工具来测量认知和社会心理变量（即自我效能感、筛查意愿、感知易感性、癌症担忧、应对效能和社会支持）。通过面对面访谈收集数据，并使用适用于Windows的SPSS 13.00版本进行分析。
参与者年龄范围为50岁至83岁（平均60.13岁）。大多数受访者已婚（62.5%）、失业（42%），拥有中等或更高学历（44.5%）。总体而言，11%的受访者报告曾接受过筛查。个体在自我效能感、筛查意愿、感知易感性、癌症担忧、应对效能和社会支持方面得分相对较低。
在本研究中，个体大多报告对CRC筛查态度不佳。本研究结果可为政策制定者设计针对性干预措施提供指导，以提高个体参与筛查项目的比例。
