Nouni-García Rauf, Lara-López Ángela, Carratalá-Munuera Concepción, Gil-Guillén Vicente F, López-Pineda Adriana, Orozco-Beltrán Domingo, Quesada Jose A
Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain.
San Juan de Alicante Campus, Faculty of Medicine, Miguel Hernández University, 03202 San Juan de Alicante, Spain.
Int J Environ Res Public Health. 2022 Apr 29;19(9):5460. doi: 10.3390/ijerph19095460.
This study aimed to determine the CRC screening coverage of people aged between 50 and 69 years who were living in Spain in 2017 and describe the factors associated with not having had a faecal occult blood test (FOBT). A cross-sectional study was performed using data from the Spanish National Health Survey 2017. We analysed 7568 individuals between the ages of 50 and 69 years. The proportion of respondents between 50 and 69 years old who had had an FOBT was 29.0% ( = 2191). The three autonomous communities with the lowest proportion of respondents who had had an FOBT were Extremadura (8.7%, = 16), Ceuta-Melilla (10.4%, = 3), and Andalucia (14.1%, = 186). The variables associated with not having had an FOBT were being 50-54 years old (PR = 1.09; 95% CI 1.04-1.14), having been born outside of Spain (PR = 1.11; 95% CI 1.06-1.16), not having been vaccinated against the flu (PR = 1.09; 95% CI 1.04-1.15), never having had a colonoscopy (PR = 1.49; 95% CI 1.40-1.59), not having had an ultrasound scan in the last year (PR = 1.09; 95% CI 1.04-1.14), and not having seen a primary care physician in the last month (PR = 1.08; 95% CI 1.04-1.12). The factors associated with not getting an FOBT were young age, having been born outside of Spain, not having been vaccinated against the flu in the last campaign, and not making frequent use of healthcare services.
本研究旨在确定2017年居住在西班牙的50至69岁人群的结直肠癌（CRC）筛查覆盖率，并描述与未进行粪便潜血试验（FOBT）相关的因素。使用2017年西班牙国家健康调查的数据进行了一项横断面研究。我们分析了7568名年龄在50至69岁之间的个体。50至69岁进行过FOBT的受访者比例为29.0%（n = 2191）。进行FOBT的受访者比例最低的三个自治区是埃斯特雷马杜拉（8.7%，n = 16）、休达-梅利利亚（10.4%，n = 3）和安达卢西亚（14.1%，n = 186）。与未进行FOBT相关的变量包括年龄在50 - 54岁（PR = 1.09；95%CI 1.04 - 1.14）、出生在西班牙境外（PR = 1.11；95%CI 1.06 - 1.16）、未接种流感疫苗（PR = 1.09；95%CI 1.04 - 1.15）、从未进行过结肠镜检查（PR = 1.49；95%CI 1.40 - 1.59）、过去一年未进行超声检查（PR = 1.09；95%CI 1.04 - 1.14）以及过去一个月未看过初级保健医生（PR = 1.08；95%CI 1.04 - 1.12）。与未进行FOBT相关的因素包括年龄小、出生在西班牙境外、在上次流感疫苗接种活动中未接种以及不经常使用医疗服务。
