Department of Gastroenterology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno 62500, Czech Republic.
Department of Hematology, Oncology and Internal Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno 62500, Czech Republic.
World J Gastroenterol. 2019 Mar 7;25(9):1132-1141. doi: 10.3748/wjg.v25.i9.1132.
Public awareness of colorectal cancer (CRC) and uptake of CRC screening remain challenges. The viewpoints of the target population (asymptomatic individuals older than 50) regarding CRC screening information sources and the reasons for and against participation in CRC screening are not well known in the Czech Republic. This study aimed to acquire independent opinions from the target population independently on the health system.
To investigate the viewpoints of the target population regarding the source of information for and barriers and facilitators of CRC screening.
A survey among relatives (aged 50 and older) of university students was conducted. Participants answered a questionnaire about sources of awareness regarding CRC screening, reasons for and against participation, and suggestions for improvements in CRC screening. The effect of certain variables on participation in CRC screening was analyzed.
Of 498 participants, 478 (96%) respondents had some information about CRC screening and 375 (75.3%) had participated in a CRC screening test. General practitioners (GPs) ( = 319, 64.1%) and traditional media ( = 166, 33.3%) were the most common information sources regarding CRC screening. A lack of interest or time and a fear of colonoscopy or positive results were reported as reasons for non-participation. Individuals aged > 60 years [adjusted odds ratio (aOR) = 2.30, 95% confidence interval (CI) (1.42-3.71), = 0.001], females (aOR = 1.95, 95%CI (1.26-3.01) = 0.003), and relatives of CRC patients (aOR = 4.17, 95%CI (1.82-9.58) = 0.001) were more likely to participate in screening. Information regarding screening provided by physicians - GPs: (aOR = 8.11, 95%CI (4.90-13.41), < 0.001) and other specialists (aOR = 4.19, 95%CI (1.87-9.38), = 0.001) increased participation in screening. Respondents suggested that providing better explanations regarding screening procedures and equipment for stool capturing could improve CRC screening uptake.
GPs and other specialists play crucial roles in the successful uptake of CRC screening. Reduction of the fear of colonoscopy and simple equipment for stool sampling might assist in improving the uptake of CRC screening.
公众对结直肠癌（CRC）的认识以及 CRC 筛查的参与率仍然是挑战。在捷克共和国，目标人群（50 岁以上无症状个体）对 CRC 筛查信息来源以及参与和不参与 CRC 筛查的原因和障碍的观点尚不清楚。本研究旨在独立于卫生系统获取目标人群的意见。
调查目标人群对 CRC 筛查信息来源、障碍和促进因素的看法。
对大学生的亲属（50 岁及以上）进行了一项调查。参与者回答了一份关于 CRC 筛查意识、参与和不参与的原因以及 CRC 筛查改进建议的问卷。分析了某些变量对 CRC 筛查参与的影响。
在 498 名参与者中，478 名（96%）回答者对 CRC 筛查有一定的了解，375 名（75.3%）参加过 CRC 筛查测试。全科医生（GPs）（=319，64.1%）和传统媒体（=166，33.3%）是 CRC 筛查最常见的信息来源。缺乏兴趣或时间、对结肠镜检查或阳性结果的恐惧被报告为不参与的原因。年龄 >60 岁的个体[调整后的优势比（aOR）=2.30，95%置信区间（CI）（1.42-3.71），=0.001]、女性（aOR=1.95，95%CI（1.26-3.01），=0.003）和 CRC 患者的亲属（aOR=4.17，95%CI（1.82-9.58），=0.001）更有可能参与筛查。医生提供的有关筛查的信息-GPs：（aOR=8.11，95%CI（4.90-13.41），<0.001）和其他专家（aOR=4.19，95%CI（1.87-9.38），=0.001）增加了筛查的参与率。受访者建议，提供有关筛查程序和粪便采集设备的更好解释可能有助于提高 CRC 筛查的参与率。
全科医生和其他专家在 CRC 筛查的成功实施中发挥着关键作用。降低对结肠镜检查的恐惧和使用简单的粪便取样设备可能有助于提高 CRC 筛查的参与率。
