Hawranek Carolina, Maxon Johan, Andersson Andreas, Van Guelpen Bethany, Hajdarevic Senada, Numan Hellquist Barbro, Rosén Anna
Department of Radiation Sciences, Oncology, Umeå University, SE-901 87 Umeå, Sweden.
Wallenberg Centre for Molecular Medicine, Umeå University, SE-901 87 Umeå, Sweden.
Cancers (Basel). 2022 Feb 12;14(4):918. doi: 10.3390/cancers14040918.
We describe levels of cancer worry in the general population as measured with the Cancer Worry Scale (CWS) and investigate the association with colonoscopy screening intentions in three colorectal cancer risk scenarios.
The data were sourced through a population-based survey. Respondents ( = 943) completed an eight-item CWS and questions on colonoscopy screening interest at three hypothetical risk levels.
Respondents without a personal cancer history ( = 853) scored 9.46 on the six-item CWS (mean, SD 2.72). Mean scores were significantly higher in women (9.91, SD 2.89) as compared to men (9.06, SD 2.49, < 0.001). Linear regression showed higher cancer worry in women and those with children when controlling for education, age group, and country of birth. High cancer worry (six-item CWS mean >12) was identified in 25% of women and in 17% of men. Among those, 71% would attend a colonoscopy screening compared to 52% of those with low cancer worry ( < 0.001, 5% CRC-risk).
The distribution of cancer worry in a general population sample showed higher mean scores in women, and levels overlapped with earlier findings in cancer-affected samples. Respondents with high cancer worry were more inclined to undergo a colonoscopy screening, and intention increased with higher levels of hypothetical risk.
我们描述了通过癌症担忧量表（CWS）测量的普通人群中的癌症担忧水平，并研究了在三种结直肠癌风险情景下与结肠镜检查筛查意向的关联。
数据来源于一项基于人群的调查。受访者（n = 943）完成了一个包含八个条目的CWS以及关于在三种假设风险水平下结肠镜检查筛查兴趣的问题。
无个人癌症病史的受访者（n = 853）在六项CWS上的得分为9.46（均值，标准差2.72）。与男性（9.06，标准差2.49，P < 0.001）相比，女性的平均得分显著更高（9.91，标准差2.89）。在控制教育程度、年龄组和出生国家后，线性回归显示女性和有孩子的人癌症担忧更高。25%的女性和17%的男性被确定为高癌症担忧（六项CWS均值>12）。在这些人中，71%会参加结肠镜检查筛查，而低癌症担忧者中这一比例为52%（P < 0.001，5%结直肠癌风险）。
普通人群样本中癌症担忧的分布显示女性平均得分更高，且水平与癌症患者样本中的早期发现重叠。高癌症担忧的受访者更倾向于接受结肠镜检查筛查，并且随着假设风险水平的提高，意向增加。
