Robert Koch Institute, Department of Epidemiology and Health Monitoring, General-Pape-Str. 62-66, 12101 Berlin, Germany.
Institute for Public Health, Charité–Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
Int J Environ Res Public Health. 2021 Apr 14;18(8):4160. doi: 10.3390/ijerph18084160.
Early detection of colorectal cancer has the potential to reduce mortality at population level. Colonoscopy is the preferred modality for colon cancer screening and prevention, but attendance rates are low. To exploit colonoscopy's preventive potential, it is necessary to identify the factors influencing uptake, especially among previous non-participants. This analysis of cross-sectional data involved 936 non-participants in screening colonoscopy aged 55 years or older in Germany. Differences between non-participants with and without future participation intentions were investigated in terms of socio-demographic factors, health status, attitudes and beliefs, and medical counselling. Logistic regression models were fitted to estimate associations between intention to participate and selected factors. Intention to participate was lower among women than among men. For both genders, intention to participate was positively associated with younger age. For women, higher socioeconomic status and counselling were positively associated with intention to participate. Men showed a positive association with favouring joint decision-making. The results draw attention to starting points for improving acceptance of and participation in screening colonoscopy. This includes good medical counselling and successful physician-patient communication, for which the information and communication skills of both medical professions and the general public should be strengthened. Gender differences should be considered.
早期发现结直肠癌有可能降低人群死亡率。结肠镜检查是结肠癌筛查和预防的首选方法，但参与率较低。为了充分发挥结肠镜检查的预防潜力，有必要确定影响参与度的因素，特别是在以前未参与者中。本分析使用了横断面数据，涉及德国 936 名年龄在 55 岁及以上的筛查结肠镜检查未参与者。针对未来参与意向，对未参与者的社会人口统计学因素、健康状况、态度和信念以及医疗咨询进行了分析。拟合了逻辑回归模型来估计参与意向与选定因素之间的关联。与男性相比，女性参与意向较低。对于两性，年轻是参与意向的正向影响因素。对于女性，较高的社会经济地位和咨询与参与意向呈正相关。男性表现出赞成共同决策的积极关联。结果提请注意改善筛查结肠镜检查的接受度和参与度的起点。这包括良好的医疗咨询和成功的医患沟通，为此，应该加强医学专业人员和普通大众的信息和沟通技能。应该考虑性别差异。
