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首页> 外文期刊>Gut and Liver >Increase in the Colorectal Cancer Screening Rate by a Round-Mailed Fecal Immunochemical Testing Kit and Associated Factors in Underserved Regions of Korea: A Community-Based Intervention Study
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Increase in the Colorectal Cancer Screening Rate by a Round-Mailed Fecal Immunochemical Testing Kit and Associated Factors in Underserved Regions of Korea: A Community-Based Intervention Study

机译：通过圆邮粪免疫化素检测试剂盒和韩国服务区的相关因素增加结直肠癌筛选率：基于社区的干预研究

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Background/Aims Postal distribution of a fecal immunochemical test (FIT) kit has been recommended as an effective method of increasing participation in colorectal cancer (CRC) screening. The present study was performed to assess the impact of the round-mailed FIT kit on screening participation in underserved regions of Korea and to identify factors related to nonparticipation. Methods Residents were recruited from three rural regions of Korea that lack screening units for the National Cancer Screening Program. A package containing a FIT kit for stool self-sampling and a return envelope addressed to the local health center was postally distributed to each subject. Thirty days after the kits were mailed, nonresponders were reminded via telephone as the second intervention. The participation rates and odds ratios with 95% confidence intervals (CIs) for each intervention response were calculated to evaluate the effect of the interventions and factors related to screening participation in response to the interventions. Results CRC screening participation rates increased from 24.5% (95% CI, 21.6% to 27.4%) to 42.6% (95% CI, 39.3% to 46.0%) as a result of postal screening and increased further to 51.4% (95% CI, 48.0% to 54.9%) after the telephone reminder. After controlling for the sex, age, and household type of each subject, factors associated with poor response to postal screening were identified as low educational attainment and poor previous participation in the National Cancer Screening Program. Conclusions Round-mailed FIT kits with phone call reminders were an effective intervention, nearly doubling the screening rate in underserved regions of Korea.
机译：背景/目的是粪便免疫化学试验（FIT）试剂盒的邮政分布作为增加结直肠癌（CRC）筛选的有效方法。进行本研究，以评估圆邮寄适合套件对筛选韩国服务区的影响，并确定与非分支有关的因素。方法居民从韩国三个农村地区招募，缺乏国家癌症筛查计划的筛查单位。包含用于凳子自动取样的适合套件的包装和发布于当地健康中心的返回信封的包装被局部分发给每个主题。套件邮寄后三十天，通过电话作为第二种干预提醒无关。计算每个干预率置信95％置信区间（CIS）的参与率和差距，以评估干预措施与筛选参与的因素响应干预措施的影响。结果CRC筛选参与率从24.5％（95％CI，21.6％至27.4％）增加到42.6％（95％CI，39.3％至46.0％），其疫苗筛查并进一步增加至51.4％（95％CI电话提醒后，48.0％至54.9％。在控制每个受试者的性别，年龄和家庭类型之后，与邮检的反应不良有关的因素被确定为低教育程度和贫困人口较差的国家癌症筛查计划。结论圆形邮寄式套件带电话提醒是有效的干预，几乎将韩国欠缺地区的放映率加倍。

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