Bergenmar M, Törnberg S, Brandberg Y
Department of Oncology, Radiumhemmet, Karolinska Hospital, Stockholm, Sweden.
Psychooncology. 1997 Sep;6(3):218-26. doi: 10.1002/(SICI)1099-1611(199709)6:3<218::AID-PON265>3.0.CO;2-G.
A total of 127 non-attenders in a population-based melanoma screening program, 58 women and 69 men, were asked in a telephone interview about reasons for non-attendance. Of those, 105 also completed a mailed questionnaire, measuring perceived susceptibility to and knowledge about melanoma. During the same period, attenders (n = 286) at the screening clinic completed the same questionnaire. The most commonly reported reasons for non-attendance were 'I forgot about it', 'lack of time' and 'no need for examination'. A majority of non-attenders held a positive attitude towards preventive programs in general and to the present invitation. Most of the improvements suggested by the non-attenders were strategies to reduce practical barriers. Non-attenders scored lower than attenders on perceived susceptibility. High and equal levels of knowledge about melanoma were found among attenders and non-attenders. Men were more likely to be non-attenders. Higher perceived susceptibility and a higher level of knowledge about melanoma were found among women as compared to men. The results suggests that there is potential to increase attendance in future melanoma programs by reducing practical barriers.
在一项基于人群的黑色素瘤筛查项目中，共有127名未参与者（58名女性和69名男性）接受了电话访谈，询问其未参与的原因。其中，105人还完成了一份邮寄问卷，用以衡量对黑色素瘤的感知易感性和相关知识。在同一时期，筛查诊所的参与者（n = 286）完成了相同的问卷。最常报告的未参与原因是“我忘记了”“时间不够”和“无需检查”。大多数未参与者总体上对预防项目以及此次邀请持积极态度。未参与者提出的大多数改进建议都是减少实际障碍的策略。未参与者在感知易感性方面的得分低于参与者。参与者和未参与者对黑色素瘤的了解程度较高且相当。男性更有可能成为未参与者。与男性相比，女性对黑色素瘤的感知易感性更高，了解程度也更高。结果表明，通过减少实际障碍，未来黑色素瘤项目的参与率有可能提高。
