Cossu Giulia, Saba Luca, Minerba Luigi, Mascalchi Mario
Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Department of Radiology, AOU, University of Cagliari, Cagliari, Italy.
Clin Pract Epidemiol Ment Health. 2018 Mar 21;14:63-69. doi: 10.2174/1745017901814010063. eCollection 2018.
Since ColoRectal Cancer (CRC) remains the third cause of cancer death in the world, a better understanding of the reasons underlying poor adherence to and delay in undergoing CRC screening programs is important. CRC screening decision-making process can be conceptualized as the relationship between intention and behavior and needs to be investigated including the impact on patients' decision of a broad range of psychological factors and personal predisposition as fear of a positive screening test, poor understanding of the procedure, psychological distress, anxiety, anticipation of pain, feelings of embarrassment and vulnerability. Also socioeconomic, ethnic and sociological influences, and organizational barriers have been identified as factors influencing CRC screening adherence. Decision-making process can finally be influenced by the healthcare background in which the intervention is promoted and screening programs are carried out. However, there is still a gap on the scientific knowledge about the influences of diverse elements on screening adherence and this deserves further investigations in order to carry out more focused and effective prevention programs.
由于结直肠癌（CRC）仍是全球癌症死亡的第三大原因，因此更好地了解CRC筛查计划依从性差和延迟进行的潜在原因非常重要。CRC筛查决策过程可被概念化为意图与行为之间的关系，需要进行调查，包括广泛的心理因素和个人倾向对患者决策的影响，如对筛查结果呈阳性的恐惧、对检查程序的了解不足、心理困扰、焦虑、对疼痛的预期、尴尬和脆弱感。此外，社会经济、种族和社会学影响以及组织障碍也被确定为影响CRC筛查依从性的因素。决策过程最终可能会受到推广干预措施和开展筛查计划的医疗保健背景的影响。然而，关于不同因素对筛查依从性影响的科学知识仍存在差距，这值得进一步研究，以便实施更有针对性和有效的预防计划。
