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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Colorectal cancer screening attitudes and behavior: a population-based study.
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Colorectal cancer screening attitudes and behavior: a population-based study.

机译：大肠癌筛查的态度和行为：一项基于人群的研究。

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BACKGROUND: Even though colorectal cancer (CRC) screening tests for persons 50 years of age or over are recommended to reduce colorectal cancer mortality, screening rates remain disturbingly low. METHODS: Using random digit dialing, 355 telephone interviews were conducted with black and white men and women, 50-79 years of age, who resided in Genesee County, Michigan. The Health Belief Model provided the framework to assess attitudes and practices regarding CRC screening. RESULTS: For both endoscopic procedures, significantly higher percentages of whites than blacks were aware of the screening procedure (P < 0.05). Overall, fewer than 30% of respondents were adherent to current CRC screening guidelines. Adherence was lowest for black females: 21% for fecal occult blood test, 20% for flexible sigmoidoscopy, and 12% for colonoscopy. Black males compared to black females were about 2.8 times more likely to have had either flexible sigmoidoscopy or colonoscopy (P < 0.05). Physician recommendation was a powerful motivator to screening. Two consistent barriers to screening were the belief that: (a) the test is not needed; and (b) the test is embarrassing. CONCLUSIONS: Interventions directed at physicians and patients are essential to enhance CRC screening rates. CRC survival rates may be improved by physician-guided promotion of screening that focuses on identified barriers.
机译：背景：尽管建议对50岁或50岁以上的人进行大肠癌（CRC）筛查试验以降低大肠癌的死亡率，但筛查率仍然令人不安地低。方法：使用随机数字拨号，对居住在密歇根州Genesee县的50-79岁的黑人和白人进行了355次电话访问。健康信念模型提供了评估有关CRC筛查的态度和做法的框架。结果：对于两种内窥镜检查程序，知晓筛查程序的白人比例均明显高于黑人（P <0.05）。总体而言，只有不到30％的受访者遵守当前的CRC筛查指南。黑人女性的依从性最低：粪便潜血试验为21％，乙状结肠镜为20％，结肠镜为12％。黑人男性与黑人女性相比，进行柔性乙状结肠镜或结肠镜检查的可能性高约2.8倍（P <0.05）。医师推荐是筛查的强大动力。人们一直认为，筛查的两个障碍是：（a）不需要测试; （b）测试令人尴尬。结论：针对医生和患者的干预对于提高CRC筛查率至关重要。 CRC生存率可通过以医生为指导的重点在于已发现障碍物的筛查促进来提高。

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