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首页> 外文期刊>Surgical Endoscopy >Improving rates for screening colonoscopy: Analysis of the health information national trends survey (HINTS I) data.
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Improving rates for screening colonoscopy: Analysis of the health information national trends survey (HINTS I) data.

机译：结肠镜检查筛查率的提高：健康信息国家趋势调查（HINTS I）数据的分析。

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摘要

BACKGROUND: Colonoscopy is an effective modality for colorectal cancer screening. The objectives of this study were to identify colorectal cancer knowledge and barriers to screening colonoscopy in the general US population. METHODS: Data was obtained from the health information national trends survey (HINTS I). The dataset (n = 6369) examined the influence of age, race, gender, education, income, media usage, and interactions with health care providers on knowledge, attitudes, and behavior regarding colonoscopic screening for colorectal cancer. RESULTS: The term 'colonoscopy' was recognized by 80% of participants (over the age of 35), however only 35% of respondents perceived it as a major method for colon cancer screening. Hispanics had the least awareness of colonoscopic screening (16% versus 39% non-Hispanic). Female gender, education, and income all correlated with knowledge and use of colonoscopic screening. There was a positive correlation between media usage and having a colonoscopy (r = 0.095, p < 0.01). Having a health care provider was strongly correlated with having undergone a colonoscopy (r = 0.249, p < 0.01). Reasons for not having a colonoscopy were 'no reason' (29%), 'doctor didn't order it' (24%), and 'didn't know I needed the test' (15%). Personalized materials were the preferred media for receiving cancer-related information. CONCLUSIONS: Knowledge of and participation in screening colonoscopy is low in the US population, especially among Hispanics. The most important immediate action is to increase physician referral for screening colonoscopy. Education materials focused on specific sociodemographic segments and targeted communication campaigns need to be developed to encourage screening.
机译：背景：结肠镜检查是一种有效的大肠癌筛查手段。这项研究的目的是在美国普通人群中确定大肠癌的知识和筛查结肠镜检查的障碍。方法：数据来自健康信息国家趋势调查（HINTS I）。数据集（n = 6369）检查了年龄，种族，性别，教育程度，收入，媒体使用情况以及与医疗保健提供者的互动对结肠镜检查结肠直肠癌的知识，态度和行为的影响。结果：“结肠镜检查”一词已得到80％（35岁以上）的参与者的认可，但是只有35％的受访者认为这是结肠癌筛查的主要方法。西班牙裔美国人对结肠镜检查的了解最少（16％比39％的非西班牙裔）。女性的性别，教育程度和收入都与结肠镜检查的知识和使用相关。介质使用与结肠镜检查之间呈正相关（r = 0.095，p <0.01）。拥有医疗保健提供者与接受结肠镜检查密切相关（r = 0.249，p <0.01）。没有进行结肠镜检查的原因是“无理由”（29％），“医生没有命令”（24％）和“不知道我需要检查”（15％）。个性化材料是接收癌症相关信息的首选媒体。结论：在美国人群中，尤其是在西班牙裔人群中，对结肠镜检查筛查的了解和参与程度很低。最重要的立即行动是增加医师转诊以筛查结肠镜的速度。需要开发针对特定社会人口学领域的教育材料和针对性的宣传运动，以鼓励筛查。

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