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癌症筛查行为与补充医学使用之间的关联:对9151名澳大利亚女性进行的全国横断面调查结果

Associations Between Cancer Screening Behavior and Complementary Medicine Use: Results of a National Cross-Sectional Survey of 9151 Australian Women.

作者信息

Frawley Jane Elizabeth, McIntyre Erica, Sibbritt David, Wardle Jon, Schloss Janet, Lauche Romy, Adams Jon

机构信息

1 University of Technology Sydney, Sydney, New South Wales, Australia.

2 Endeavour College of Natural Health, Brisbane, Queensland, Australia.

出版信息

Integr Cancer Ther. 2018 Sep;17(3):979-985. doi: 10.1177/1534735418781728. Epub 2018 Jun 13.

Abstract

INTRODUCTION

Complementary medicine (CM) use has been found to influence the uptake of conventional cancer treatment. This study examines associations between CM use and cancer screening rates.

METHODS

Women aged 62 to 67 years from the Australian Longitudinal Study on Women's Health were surveyed regarding their use of cancer screening initiatives. Associations between cancer screening behavior and visits to CM practitioners were analyzed.

RESULTS

Of the 9151 women, 9049 (98.9%) completed questions about cancer screening. A total of 65.1% of women had received a clinical skin examination, 54.3% colorectal cancer screening, 56.2% Pap test (within past 2 years), 83.3% mammogram (within past 2 years), 55.8% clinical breast examination, and 55.8% had conducted breast self-examination. Women who had consulted a massage therapist were more likely to undergo clinical skin examination ( P = .002), clinical breast examination ( P = .018), and mammogram ( P = .001). Women who had consulted a chiropractor were more likely to undergo a clinical skin examination ( P = .001), colorectal cancer screening ( P = .020), and mammogram ( P = .011). Women who had consulted an acupuncturist were more likely to undergo colorectal cancer screening ( P = .019), and those who consulted with an osteopath were more liable to have a Pap test ( P = .049).

CONCLUSION

Women who visit CM practitioners are more likely to participate in cancer screening initiatives. Research is required to understand the current and potential role that CM practitioners (can) have as public health advocates, recommending preventative health measures such as cancer screening. Such an examination will help ensure optimal screening utilization and effective, timely care for all cancer patients.

摘要

引言

已发现使用补充医学(CM)会影响传统癌症治疗的接受情况。本研究调查了CM使用与癌症筛查率之间的关联。

方法

对来自澳大利亚妇女健康纵向研究的62至67岁女性进行了关于其癌症筛查措施使用情况的调查。分析了癌症筛查行为与拜访CM从业者之间的关联。

结果

在9151名女性中,9049名(98.9%)完成了关于癌症筛查的问题。共有65.1%的女性接受了临床皮肤检查,54.3%接受了结肠直肠癌筛查,56.2%(在过去2年内)进行了巴氏试验,83.3%(在过去2年内)进行了乳房X光检查,55.8%接受了临床乳房检查,55.8%进行了乳房自我检查。咨询过按摩治疗师的女性更有可能接受临床皮肤检查(P = .002)、临床乳房检查(P = .018)和乳房X光检查(P = .001)。咨询过脊椎按摩师的女性更有可能接受临床皮肤检查(P = .001)、结肠直肠癌筛查(P = .020)和乳房X光检查(P = .011)。咨询过针灸师的女性更有可能接受结肠直肠癌筛查(P = .019),咨询过整骨疗法师的女性更有可能进行巴氏试验(P = .049)。

结论

拜访CM从业者的女性更有可能参与癌症筛查措施。需要开展研究以了解CM从业者作为公共卫生倡导者目前及可能发挥的作用,推荐诸如癌症筛查等预防性健康措施。这样的调查将有助于确保所有癌症患者都能实现最佳的筛查利用率并获得有效、及时的护理。

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