Chulabhorn Royal Academy, Bangkok, Thailand.
Asian Pac J Cancer Prev. 2023 Nov 1;24(11):3883-3889. doi: 10.31557/APJCP.2023.24.11.3883.
This study aimed to evaluate CRC screening literacy and to determine the association between demographic characteristics and levels of CRC screening literacy and facilitators motivating participation.
This cross-sectional study was carried out with 1,272 Thai citizens aged 50-70 years consenting to complete the screening protocol. Data were collected at the final visit by a self-reported questionnaire which was developed and validated using I-CVI=1. Difficulty of CRC screening knowledge dimension was tested by KR20, Cronbach's alpha 0.49.
The majority of participants, 834 (65.6%) had sufficient CRC screening literacy and association between characteristics and levels of CRC screening literacy was not different. Comparing between characteristics and facilitators showed significant differences in trusting healthcare providers, perceiving harmless procedures, having constipation and time available. By married and own income participants exhibited lower trust in healthcare providers, 68% (OR 0.32, 95%CI 0.14 - 0.73) and 59% (OR 0.41, 95%CI 0.19 - 0.95), respectively. Married individuals perceived the procedures of screening involved higher harm, 32% (OR 0.68, 95%CI 0.45 - 0.99). Female and age over 60 with constipation constituted higher screening, 1.9 fold (OR 1.93, 95%CI 1.44 - 2.60) and 1.4 fold (OR 1.44, 95%CI 1.09 - 1.90). Though time available, age over 60 was lower screening 56% (OR 0.44, 95%CI 0.24 - 0.80), while own income and income more than 30,000 THB/month participants constituted higher screening 15 fold (OR 15.14, 95%CI 4.72 - 48.56) and 2.5 fold (OR 2.50, 95%CI 1.50 - 4.18), respectively.
CRC screening literacy of participants was high. The association between characteristics and CRC screening literacy levels did not differ while characteristics and facilitators differed in some aspects. The free program promoted CRC screening equity; however, multilevel facilitators must be concerned, prioritized and intervened to motivate participation.
本研究旨在评估 CRC 筛查素养，并确定人口统计学特征与 CRC 筛查素养水平之间的关联，以及促使参与的因素。
这是一项横断面研究，共纳入 1272 名同意完成筛查方案的 50-70 岁泰国公民。数据通过自报问卷收集，该问卷使用 I-CVI=1 进行了开发和验证。CRC 筛查知识维度的难度通过 KR20 进行了测试，Cronbach's alpha 为 0.49。
大多数参与者（834 名，65.6%）具有足够的 CRC 筛查素养，且特征与 CRC 筛查素养水平之间的关联没有差异。在特征与促进因素的比较中，在信任医疗保健提供者、认为程序无害、有便秘和有时间等方面存在显著差异。已婚和有收入的参与者对医疗保健提供者的信任度较低，分别为 68%（OR 0.32，95%CI 0.14 - 0.73）和 59%（OR 0.41，95%CI 0.19 - 0.95）。已婚者认为筛查程序危害更大，为 32%（OR 0.68，95%CI 0.45 - 0.99）。女性和 60 岁以上且有便秘的人群筛查率更高，分别为 1.9 倍（OR 1.93，95%CI 1.44 - 2.60）和 1.4 倍（OR 1.44，95%CI 1.09 - 1.90）。尽管有时间，但年龄超过 60 岁的人群筛查率较低，为 56%（OR 0.44，95%CI 0.24 - 0.80），而收入超过 30000 泰铢/月和有收入的参与者的筛查率更高，分别为 15 倍（OR 15.14，95%CI 4.72 - 48.56）和 2.5 倍（OR 2.50，95%CI 1.50 - 4.18）。
参与者的 CRC 筛查素养较高。特征与 CRC 筛查素养水平之间的关联没有差异，而特征和促进因素在某些方面存在差异。免费计划促进了 CRC 筛查的公平性；然而，必须关注、优先考虑和干预多层次的促进因素，以激发参与。
