Varlow Megan, Stacey Ingrid, Dunlop Sally, Young Jane, Kite James, Dessaix Anita, McAulay Claire
Cancer Institute NSW, PO Box 41, Alexandria, NSW 1435, Australia.
Sydney School of Public Health, The University of Sydney, Edward Ford Building (A27), NSW 2006, Australia.
Health Promot J Austr. 2014 Aug;25(2):97-103. doi: 10.1071/HE13102.
To describe self-reported bowel cancer screening participation, beliefs and attitudes in a sample of New South Wales (NSW) adults, and to identify beliefs and demographic factors associated with self-reported bowel cancer screening participation.
This study used data from the International Cancer Benchmarking Partnership Module 2, a representative population-based telephone survey. Self-reported participation in and beliefs about bowel cancer screening were measured using the Awareness and Beliefs about Cancer survey of people aged 50 years and over living in NSW, Australia (n=2001). Logistic regression modelling was used to identify explanatory variables associated with bowel cancer screening participation.
Half of all women (54.1%, 95% CI: 50.8-57.4%) and two-thirds of men (65.7%, 95% CI: 61.5-69.9%) reported screening for bowel cancer within the previous 5 years. Believing that screening was only necessary when experiencing symptoms was more likely to be endorsed by people aged 65 years and over (25.5%, 95% CI: 22.2-28.7%) rather than younger (50-64 years; 16.7%, 95% CI: 13.8-19.7%), non-English-speaking migrants (35.4%, 95% CI: 26.7-44.1%) versus others (18.6%, 95% CI: 16.4-20.7%), and people in metropolitan (23.3%, 95% CI: 20.4-26.1%) versus non-metropolitan areas (16.4%, 95% CI: 12.8-20%). People who disagreed that screening was only necessary when experiencing symptoms were four times more likely to report screening participation (OR 3.96, 95% CI: 3.11-5.03).
Community education about bowel cancer screening is needed to correct misperceptions regarding screening in the absence of symptoms. Tailored strategies for older, migrant and urban communities may be beneficial. SO WHAT? Education strategies that promote the need for screening in the absence of symptoms and correct misconceptions about bowel cancer screening amongst subgroups of the NSW population may improve screening rates and decrease the burden of bowel cancer in NSW.
描述新南威尔士州（NSW）成年人样本中自我报告的肠癌筛查参与情况、信念和态度，并确定与自我报告的肠癌筛查参与相关的信念和人口统计学因素。
本研究使用了国际癌症基准伙伴关系模块2的数据，这是一项基于人群的代表性电话调查。使用对居住在澳大利亚新南威尔士州的50岁及以上人群进行的癌症意识和信念调查，来衡量自我报告的肠癌筛查参与情况和信念（n = 2001）。采用逻辑回归模型来确定与肠癌筛查参与相关的解释变量。
所有女性中有一半（54.1%，95%置信区间：50.8 - 57.4%）以及三分之二的男性（65.7%，95%置信区间：61.5 - 69.9%）报告在过去5年内进行过肠癌筛查。认为仅在出现症状时才需要筛查的观点，65岁及以上人群（25.5%，95%置信区间：22.2 - 28.7%）比年轻人群（50 - 64岁；16.7%，95%置信区间：13.8 - 19.7%）更认同，非英语移民（35.4%，95%置信区间：26.7 - 44.1%）比其他人（18.6%，95%置信区间：16.4 - 20.7%）更认同，大城市人群（23.3%，95%置信区间：20.4 - 26.1%）比非大城市地区人群（16.4%，95%置信区间：12.8 - 20%）更认同。不同意仅在出现症状时才需要筛查的人报告筛查参与的可能性高出四倍（比值比3.96，95%置信区间：3.11 - 5.03）。
需要开展关于肠癌筛查的社区教育，以纠正无症状时筛查的误解。针对老年、移民和城市社区制定的策略可能会有益。那又如何？在新南威尔士州人群的亚组中，推广无症状时筛查必要性并纠正对肠癌筛查误解的教育策略，可能会提高筛查率并减轻新南威尔士州的肠癌负担。
