寻求医疗服务的障碍、对癌症的认知以及社会经济地位的作用。一项基于丹麦人群的研究。
Barriers to healthcare seeking, beliefs about cancer and the role of socio-economic position. A Danish population-based study.
作者信息
Hvidberg Line, Wulff Christian Nielsen, Pedersen Anette Fischer, Vedsted Peter
机构信息
Research Centre for Cancer Diagnosis in Primary Care (CaP), Research Unit for General Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark; Section for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.
Department of Oncology, Aarhus University Hospital, Noerrebrogade 44, 8000 Aarhus C, Denmark.
出版信息
Prev Med. 2015 Feb;71:107-13. doi: 10.1016/j.ypmed.2014.12.007. Epub 2014 Dec 15.
BACKGROUND
Cancer-related health behaviours may be affected by barriers to healthcare seeking and beliefs about cancer. The aim was to assess anticipated barriers to healthcare seeking and beliefs about cancer in a sample of the Danish population and to assess the association with socio-economic position.
METHODS
A population-based telephone interview with 3000 randomly sampled persons aged 30 years or older was performed using the Awareness and Beliefs about Cancer measure from 31 May to 4 July 2011. The Awareness and Beliefs about Cancer measure includes statements about four anticipated barriers to healthcare seeking and three positively and three negatively framed beliefs about cancer. For all persons, register-based information on socio-economic position was obtained through Statistics Denmark.
RESULTS
Two anticipated barriers, worry about what the doctor might find and worry about wasting the doctor's time, were present among 27% and 15% of the respondents, respectively. Overall, a high proportion of respondents concurred with positive beliefs about cancer; fewer concurred with negative beliefs. Having a low educational level and a low household income were strongly associated with having negative beliefs about cancer.
CONCLUSION
The fact that worry about what the doctor might find and worry about wasting the doctor's time were commonly reported barriers call for initiatives in general practice. The association between low educational level and low household income and negative beliefs about cancer might to some degree explain the negative socio-economic gradient in cancer outcome.
背景
与癌症相关的健康行为可能会受到就医障碍和对癌症的认知的影响。目的是评估丹麦人群样本中预期的就医障碍和对癌症的认知，并评估其与社会经济地位的关联。
方法
2011年5月31日至7月4日，采用癌症认知与信念测量方法，对3000名年龄在30岁及以上的随机抽样人群进行了基于人群的电话访谈。癌症认知与信念测量方法包括关于四个预期就医障碍的陈述，以及关于癌症的三个积极表述和三个消极表述的信念。对于所有受访者，通过丹麦统计局获取基于登记的社会经济地位信息。
结果
分别有27%和15%的受访者表示存在两个预期障碍，即担心医生可能发现的问题和担心浪费医生的时间。总体而言，很大比例的受访者认同关于癌症的积极信念；认同消极信念的人较少。教育水平低和家庭收入低与对癌症持消极信念密切相关。
结论
担心医生可能发现的问题和担心浪费医生的时间是常见的就医障碍，这一事实要求在全科医疗中采取相应举措。教育水平低和家庭收入低与对癌症的消极信念之间的关联，在一定程度上可能解释了癌症结局方面的负面社会经济梯度。
Zotero 插件