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首页> 外文期刊>Journal of public health management and practice: JPHMP >Colorectal cancer screening attitudes and practices in the general population: a risk-adjusted survey.
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Colorectal cancer screening attitudes and practices in the general population: a risk-adjusted survey.

机译：普通人群中大肠癌筛查的态度和做法：经过风险调整的调查。

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OBJECTIVES: To characterize self-reported colorectal cancer (CRC) screening behavior, and to identify characteristics of CRC screening practices, stratified by risk. METHODS: Using random-digit-dial methodology, we conducted telephone surveys in US adults 50 years of age and older. Respondents provided data on utilization of CRC screening tests; demographic characteristics; and awareness, concerns, attitudes and beliefs about the tests, CRC, and health care. On the basis of available guidelines, three definitions of adequate screening were considered. RESULTS: Among persons reporting having ever had a CRC screening exam, the exam was more likely to have been a fecal occult blood test than a radiologic or endoscopic exam (p < .0001). Subjects at increased CRC risk were more likely to have met the screening criteria (p < .001) compared with average-risk subjects. Receipt of information or advice about cancer screening tests, male gender, and concern about managed care were positively associated with adequate screening. Smoking, low health self-monitoring, and an average risk for CRC reduced the probability of CRC screening. CONCLUSIONS: Lack of awareness about screening remains common, regardless of CRC risk. Providing information and advice about cancer screening may be the single most important tool available to improve screening rates.
机译：目的：描述自我报告的结直肠癌（CRC）筛查行为的特征，并确定CRC筛查实践的特征（按风险分层）。方法：我们使用随机数字拨号方法，对50岁及以上的美国成年人进行了电话调查。受访者提供了有关CRC筛查测试利用的数据;人口特征;有关测试，CRC和医疗保健的意识，关注，态度和信念。根据现有指南，考虑了适当筛查的三个定义。结果：在报告曾接受过CRC筛查检查的人中，与放射检查或内窥镜检查相比，该检查更有可能是粪便潜血检查（p <.0001）。与平均风险受试者相比，CRC风险增加的受试者更可能符合筛查标准（p <.001）。接受有关癌症筛查测试，男性性别和对管理照护的关注的信息或建议与适当筛查呈正相关。吸烟，健康状况低自我监测以及CRC的平均风险降低了CRC筛查的可能性。结论：无论CRC风险如何，缺乏对筛查的认识仍然很普遍。提供有关癌症筛查的信息和建议可能是提高筛查率的最重要的单一工具。

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