Research Unit for Health Promotion, Department of Public Health, University of Southern Denmark, Odense, Denmark; Hospital South West Jutland, Unit for Health Research, University of Southern Denmark, Odense, Denmark.
Research Unit for Health Promotion, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Public Health. 2022 Apr;205:83-89. doi: 10.1016/j.puhe.2022.01.010. Epub 2022 Mar 3.
The aim of the present analysis is to identify the reasons for accepting or rejecting the invitation to be screened by the Faecal Immunochemical Test as part of the free Danish screening programme for colorectal cancer (CRC).
A cross-sectional representative survey of 15,072 Danish citizens aged 50-80 years was collected in 2019 via a Web-based questionnaire administered by Statistics Denmark. Among the net sample of 6807 respondents (45%), 177 were excluded because of current treatment for colorectal disease.
To determine the reasons for accepting or refusing the invitation to be screened for CRC, a latent class analysis was conducted, which allowed participants to provide several reasons for acceptance or rejection of screening.
The most important reason for participating in CRC screening was the active public programme. A further reason for participation was the perceived risk for CRC, mainly in combination with the public programme. The reasons for participation did not differ between individuals who had participated and those who intended to participate when offered. Among participants who declined screening, the most frequent reasons were that they forgot to participate or that they were concerned about the unpleasant test procedure. Among individuals who intended to decline screening, a perceived low risk for CRC was the most frequently cited reason.
Recommendation from a general practitioner (GP) was not given as a frequent reason for CRC screening participation which is discussed as a challenge to participation rates in population based screening program The main reasons reported for non-participation in CRC screening (i.e. forgot to participate or the unpleasant test procedure) might be addressed by a stronger endorsement from GPs.
本分析旨在确定接受或拒绝接受粪便免疫化学检测筛查邀请的原因，这是丹麦免费结直肠癌（CRC）筛查计划的一部分。
2019 年，通过丹麦统计局管理的网络问卷调查，对 15072 名年龄在 50-80 岁的丹麦公民进行了横断面代表性调查。在 6807 名应答者的净样本（45%）中，有 177 名因目前患有结直肠疾病而被排除在外。
为了确定接受或拒绝 CRC 筛查邀请的原因，进行了潜在类别分析，允许参与者提供接受或拒绝筛查的多个原因。
参与 CRC 筛查的最重要原因是积极的公共计划。另一个参与的原因是对 CRC 的感知风险，主要与公共计划相结合。对于已经参与和打算在提供时参与的个体，参与的原因没有差异。在拒绝筛查的参与者中，最常见的原因是他们忘记参与或担心测试过程不愉快。在打算拒绝筛查的个体中，感知到的 CRC 低风险是最常被提及的原因。
全科医生（GP）的推荐不是 CRC 筛查参与的常见原因，这被认为是参与人群筛查计划率的一个挑战。报告的非参与 CRC 筛查的主要原因（即忘记参与或测试过程不愉快）可能通过 GP 的更有力支持来解决。
