Macrae F A, Hill D J, St John D J, Ambikapathy A, Garner J F
Prev Med. 1984 Jan;13(1):115-26. doi: 10.1016/0091-7435(84)90044-6.
A total of 581 people (33% male, 67% female) attending general practitioners completed a questionnaire mainly on health beliefs and were then offered a fecal occult blood test (Hemoccult II) free of charge. Eighty-six percent accepted the general practitioners' offer and took the Hemoccult kit home. Of these, 51% complied (i.e., returned specimens for laboratory testing). The Health Belief Model was found to account for 12% of the variance in screening behavior. Perceived barriers to taking the test and perceived susceptibility to bowel cancer were the only components contributing significantly in the multiple regression analysis. Health Belief Model components that were predictive of initial acceptance of the test offer differed from components predictive of ultimate compliance. The influence upon compliance of family history of colorectal cancer, history of colonic symptoms, smoking habits, perceived attitudes of spouses, attitude to detection tests, and subjective stress related to the threat of bowel cancer were also investigated.
共有581名到全科医生处就诊的患者（33%为男性，67%为女性）填写了一份主要关于健康观念的问卷，随后他们获得了免费的粪便潜血检测（Hemoccult II）。86%的人接受了全科医生的提议并将Hemoccult检测试剂盒带回家。其中，51%的人依从（即返还样本进行实验室检测）。健康信念模型被发现能够解释筛查行为中12%的方差变异。在多元回归分析中，感知到的检测障碍和感知到的患肠癌易感性是仅有的显著贡献因素。预测对检测提议的初始接受度的健康信念模型组成部分与预测最终依从性的组成部分不同。还调查了结直肠癌家族史、结肠症状史、吸烟习惯、配偶的感知态度、对检测的态度以及与患肠癌威胁相关的主观压力对依从性的影响。
