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家庭医生对饮食与癌症的认知及做法

Perceptions and practices of family physicians regarding diet and cancer.

作者信息

Soltesz K S, Price J H, Johnson L W, Telljohann S K

机构信息

Department of Applied Human Ecology, Bowling Green State University, OH 43403-0254, USA.

出版信息

Am J Prev Med. 1995 May-Jun;11(3):197-204.

PMID:7662400
Abstract

This study was undertaken to determine the beliefs of family physicians about the role of diet and cancer, as well as to determine how often family physicians assess dietary risks in patient encounters and recommend preventive dietary practices to reduce cancer risk. This study consisted of a survey of a national random sample of 486 family physicians from the American Academy of Family Physicians (AAFP), and 237 responded (49%). The demographic characteristics of the respondents were determined to be similar to those of the AAFP membership. Thirty-five percent of the physicians surveyed responded that diet is important in the development of cancer. While 31% responded they recommend dietary changes to reduce cancer risk to their patients, only 21% agreed that they find counseling patients about dietary issues professionally gratifying. Respondents agreed with most of the American Cancer Society, National Cancer Institute, and surgeon general's dietary recommendations to reduce cancer risk. The level of agreement to broad general recommendations was higher than the level of agreement to specific dietary recommendations that stated a specific level or amount of consumption.

摘要

本研究旨在确定家庭医生对饮食与癌症关系的看法,以及确定家庭医生在患者诊疗过程中评估饮食风险并推荐预防性饮食措施以降低癌症风险的频率。该研究包括对美国全科医师学会(AAFP)全国随机抽取的486名家庭医生进行调查,237人回复(49%)。结果显示,回复者的人口统计学特征与AAFP会员相似。35%接受调查的医生表示饮食在癌症发生中很重要。虽然31%的医生表示他们会向患者推荐饮食改变以降低癌症风险,但只有21%的医生同意他们从专业角度为患者提供饮食问题咨询感到满意。回复者大多认同美国癌症协会、国立癌症研究所及卫生局局长关于降低癌症风险的饮食建议。对宽泛一般性建议的认同程度高于对明确提及特定摄入水平或量的具体饮食建议的认同程度。

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