McKay Ellie, Wong Joy, Ward Stella, Ruwende Josephine, Kerrison Robert
NHS England (London), London, UK.
Department of Behavioural Science and Health, University College London, London, UK.
J Med Screen. 2025 Mar;32(1):53-56. doi: 10.1177/09691413241276187. Epub 2024 Aug 23.
The aim of this research was to identify patient barriers and facilitators of abdominal aortic aneurysm (AAA) screening in London.
A survey was distributed to 4211 adults, who had been invited for AAA screening in 2023. Barriers and facilitators were identified by comparing responses between attenders and non-attenders, using univariate logistic regression.
271 surveys were returned. Attendance was higher among respondents with a body mass index (BMI) > 25 (odds ratio [OR]: 2.72, 95% CIs [1.15, 6.46]; < 0.05) and those with one or more comorbidities (OR: 3.82, 95% CIs [1.63, 8.98]; < 0.01), but lower among those who had not visited a healthcare appointment within the past 6 months (OR: 0.41, 95% CIs [0.18, 0.94]). Attendance was also lower among those who believe screening is only useful for people with symptoms (OR: 0.37; 95% CIs [0.16, 0.89]; < 0.05), find it difficult to make time for medical appointments (OR: 0.25, 95% CIs [0.10, 0.60]; < 0.01), find it difficult to get to medical appointments (OR: 0.40, 95% CIs [0.17, 0.91]; < 0.05), have more important medical problems to worry about (OR: 0.28, 95% CIs [0.12, 0.64]; < 0.01), cannot afford to travel to medical appointments (OR: 0.16, 95% CIs [0.07, 0.38]; < 0.001), need help getting to appointments (OR: 0.33, 95% CIs [0.13, 0.86]; < 0.05), have caring responsibilities (OR: 0.15, 95% CIs [0.06, 0.34]; < 0.001), and forget about appointments (OR: 0.21, 95% CIs [0.09, 0.49]; < 0.001).
This study provides suggestive data on characteristics that might be associated with not attending AAA screening in London. The study design limitations mean that further work is required to evaluate these characteristics more reliably.
本研究旨在确定伦敦腹主动脉瘤（AAA）筛查中患者面临的障碍和促进因素。
对2023年受邀参加AAA筛查的4211名成年人进行了一项调查。通过单因素逻辑回归比较参加者和未参加者的回答，确定障碍和促进因素。
共收回271份调查问卷。体重指数（BMI）>25的受访者（优势比[OR]：2.72，95%置信区间[CI][1.15，6.46]；<0.05）以及患有一种或多种合并症的受访者（OR：3.82，95%CI[1.63，8.98]；<0.01）的参与率较高，但在过去6个月内未就诊的受访者中参与率较低（OR：0.41，95%CI[0.18，0.94]）。认为筛查仅对有症状的人有用的受访者（OR：0.37；95%CI[0.16，0.89]；<0.05）、难以抽出时间就医的受访者（OR：0.25，95%CI[0.10，0.60]；<0.01）、难以前往就医的受访者（OR：0.40，95%CI[0.17，0.91]；<0.05）、有更重要的医疗问题需要担心的受访者（OR：0.28，95%CI[0.12，0.64]；<0.01）、负担不起前往就医的交通费用的受访者（OR：0.16，95%CI[0.07，0.38]；<0.001）、需要帮助前往就医的受访者（OR：0.33，95%CI[0.13，0.86]；<0.05）、有护理责任的受访者（OR：0.15，95%CI[0.06，0.34]；<0.001）以及忘记预约的受访者（OR：0.21，95%CI[0.09，0.49]；<0.001）的参与率也较低。
本研究提供了关于可能与伦敦未参加AAA筛查相关的特征的提示性数据。研究设计的局限性意味着需要进一步开展工作以更可靠地评估这些特征。
