Faculty of Information Studies, Keio University, Fujisawa City, Kanagawa, Japan.
Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan.
J Cancer Surviv. 2023 Jun;17(3):663-676. doi: 10.1007/s11764-023-01367-4. Epub 2023 Apr 12.
We examined cancer screening practices and related beliefs in cancer survivors and individuals with family or close friends with a cancer diagnosis compared to individuals without the above cancer history for 5 population-based (gastric, colorectal, lung, breast, cervical) and 1 opportunistic (prostate) cancer screenings using nationally representative cross-sectional survey in Japan.
We analyzed 3269 data from 3605 respondents (response rate, 37.1%) and compared the screening beliefs and practices of cancer survivors (n = 391), individuals with family members (n = 1674), and close friends with a cancer diagnosis (n = 685) to those without any cancer history (n = 519).
Being a cancer survivor was associated with screening for gastric (OR, 1.75; 95% CI, 1.04-2.95), colorectal (OR, 1.56; 95% CI, 1.03-2.36), and lung cancer (OR, 1.71; 95% CI, 1.10-2.66) but not breast, cervical cancer or PSA test. Having a family cancer diagnosis was associated with colorectal and lung cancer screening. Having friends with a cancer diagnosis was associated with PSA test. Cancer survivors and family members perceived themselves as being more susceptible and worried about getting cancer than individuals without any cancer history. Cancer survivors strongly believed screening can detect cancer and were more likely to undergo screening. Subgroup analysis indicated an interrelation between gastric and colorectal cancer screening among survivors.
A cancer diagnosis in oneself or family or friend influences an individual's health-related belief and risk perception, which can increase the likelihood of cancer screening.
Targeted and tailored communication strategies can increase awareness of cancer screening.
我们在日本使用全国代表性的横断面调查，比较了癌症幸存者、有癌症家族史或亲密朋友的个体与无上述癌症史的个体之间在 5 种基于人群的（胃癌、结直肠癌、肺癌、乳腺癌、宫颈癌）和 1 种机会性（前列腺癌）癌症筛查方面的筛查实践和相关信念。
我们分析了来自 3605 名受访者（应答率为 37.1%）的 3269 份数据，并比较了癌症幸存者（n=391）、有家庭成员患癌症的个体（n=1674）和有亲密朋友患癌症的个体（n=685）与无任何癌症史的个体（n=519）的筛查信念和实践。
癌症幸存者与胃癌（OR，1.75；95%CI，1.04-2.95）、结直肠癌（OR，1.56；95%CI，1.03-2.36）和肺癌（OR，1.71；95%CI，1.10-2.66）的筛查有关，但与乳腺癌、宫颈癌或 PSA 检测无关。有家族癌症诊断与结直肠癌和肺癌筛查有关。有癌症朋友的人更有可能接受 PSA 测试。癌症幸存者和家庭成员认为自己比没有任何癌症史的个体更容易患癌症且更担心患癌症。癌症幸存者强烈认为筛查可以发现癌症，并且更有可能接受筛查。亚组分析表明，幸存者中存在胃癌和结直肠癌筛查之间的相互关系。
自己或家人或朋友的癌症诊断会影响个人的健康相关信念和风险认知，从而增加癌症筛查的可能性。
有针对性和定制化的沟通策略可以提高对癌症筛查的认识。
