Agri Provincial Health Directorate, Republic of Turkey Ministry of Health, Agri, Turkey.
Department of Public Health, Faculty of Medicine, Cukurova University, Adana, Turkey.
Cent Eur J Public Health. 2023 Mar;31(1):3-8. doi: 10.21101/cejph.a7184. Epub 2023 Mar 28.
For the last three decades, although colorectal cancer incidence has been decreasing in those over 50 years of age, it has been increasing in those under 50 included in the pre-screening group (PSG). The present study aims to explain the screening-related factors and compliance of individuals in PSG who are not included in the colorectal cancer screening programme.
This cross-sectional study was conducted with a total of 323 participants, 143 of whom were from the pre-screening group (40-49 years), and 180 from the screening included group (SIG) (50-70 years).
Individuals included in PSG were more likely to have accepted that both faecal occult blood test (FOBT) (2.23 ± 1.22 vs. 1.89 ± 1.33, p = 0.018) and colonoscopy (2.37 ± 0.97 vs. 2.02 ± 1.14, p = 0.003) were useful and suitable screening tests in colorectal cancer. Adequate health literacy (OR = 4.3, 95% CI: 1.8-10.0, p = 0.001) and better education level (OR = 3.3, 95% CI: 1.3-8.4, p = 0.010) were factors of increased knowledge of colorectal cancer screening.
The findings show that PSG has different characteristics than SIG and may be more fitting in the colorectal cancer screening programme if included.
尽管过去三十年来，50 岁以上人群的结直肠癌发病率有所下降，但纳入预筛查组（PSG）的 50 岁以下人群发病率却有所上升。本研究旨在解释 PSG 中未纳入结直肠癌筛查计划人群的筛查相关因素和依从性。
这是一项横断面研究，共纳入了 323 名参与者，其中 143 名来自预筛查组（40-49 岁），180 名来自纳入筛查组（SIG）（50-70 岁）。
纳入 PSG 的个体更有可能认为粪便潜血试验（FOBT）（2.23±1.22 比 1.89±1.33，p=0.018）和结肠镜检查（2.37±0.97 比 2.02±1.14，p=0.003）都是有用且合适的结直肠癌筛查检测方法。足够的健康素养（OR=4.3，95%CI：1.8-10.0，p=0.001）和更好的教育水平（OR=3.3，95%CI：1.3-8.4，p=0.010）是增加对结直肠癌筛查知识的因素。
这些发现表明 PSG 与 SIG 具有不同的特征，如果纳入其中，可能更适合结直肠癌筛查计划。
