Taheri Majid, Tavakol Mohammad, Esmaeil Akbari Mohammad, Almasi-Hashiani Amir, Abbasi Mahmoud
Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sociology Department, School of Social Sciences, University of Tehran, Tehran, Iran.
Med J Islam Repub Iran. 2019 Mar 13;33:17. doi: 10.34171/mjiri.33.17. eCollection 2019.
Metastasis in Colorectal Cancer (CRC) is important because of the costs imposed on the individual. Self-Rated Health (SRH) can be useful for preventing cancer. Considering the role of Socio-Economic Status (SES) in CRC, our study was conducted to evaluate the relationship between demographic, SES, SRH, and metastasis of this type of cancer in Markazi province, Iran. This cross-sectional, descriptive study (April to July 2018) was conducted on 411 patients suffering from CRC. These patients were hospitalized in one of the medical centers affiliated to Arak University of Medical Sciences (Arak, Iran), and with non-random sampling (available sampling) they were imported to the study. A reliable and valid questionnaire about levels of SES and SRH was filled by patients. For analyzing the data, Binomial logistic regression and chi-square tests were executed using Stata 11 software. The mean age was 60.01 years. According to the results of this study, as compared with poorest SES patients, the OR estimate of metastasis was 0.80 (95% CI: 0.36, 1.78) among the richest SES patients, in patients with age of >60 years was 9.92 (95% CI: 1.53, 64.39) in comparison with patients with age of <40 years, in male patients was 3.26 (95% CI: 1.76, 6.04) compared with female ones; in divorced/widowed patients was 0.52 (95% CI: 0.11, 2.51) in comparison with single ones; among those with academic level of education was 4.28 (95% CI: 1.49, 12.26) compared with illiterate patients; and compared with poor SRH-age of patients, was 3.78 (95% CI: 2.09, 6.85) among those with good SRH-age. Patient's education and SES are important variables in metastasis and SRH of CRC in Iranian patients. All diagnostic tests and medical possibilities should be available for all individuals with adequate interventions. Patient's education and awareness should also be increased.
结直肠癌（CRC）转移很重要，因为它会给个人带来经济负担。自我评估健康状况（SRH）有助于预防癌症。考虑到社会经济地位（SES）在结直肠癌中的作用，我们开展了这项研究，以评估伊朗马尔卡齐省此类癌症患者的人口统计学特征、社会经济地位、自我评估健康状况与转移之间的关系。这项横断面描述性研究（2018年4月至7月）对411例结直肠癌患者进行。这些患者在阿拉克医科大学附属的一个医疗中心住院（伊朗阿拉克），通过非随机抽样（便利抽样）纳入研究。患者填写了一份关于社会经济地位和自我评估健康状况水平的可靠有效问卷。使用Stata 11软件进行数据的二项逻辑回归分析和卡方检验。平均年龄为60.01岁。根据本研究结果，与社会经济地位最差的患者相比，社会经济地位最富有的患者转移的OR估计值为0.80（95%CI：0.36，1.78）；年龄>60岁的患者与年龄<40岁的患者相比转移的OR估计值为9.92（95%CI：1.53，64.39）；男性患者与女性患者相比转移的OR估计值为3.26（95%CI：1.76，6.04）；离婚/丧偶患者与单身患者相比转移的OR估计值为0.52（95%CI：0.11，2.51）；有学术教育水平的患者与文盲患者相比转移的OR估计值为4.28（95%CI：1.49，12.26）；自我评估健康状况良好的患者与自我评估健康状况差的患者相比转移的OR估计值为3.78（95%CI：2.09，6.85）。患者的教育程度和社会经济地位是伊朗患者结直肠癌转移和自我评估健康状况的重要变量。应向所有个体提供所有诊断检查和医疗手段，并给予适当干预。还应提高患者的教育程度和意识。
