徐奇, 王晓龙. 上海市某社区大肠癌筛查阳性居民知信行现状及肠镜检查意愿[J]. 上海预防医学, 2018, 30(2): 115-119. DOI: 10.19428/j.cnki.sjpm.2018.18423
引用本文: 徐奇, 王晓龙. 上海市某社区大肠癌筛查阳性居民知信行现状及肠镜检查意愿[J]. 上海预防医学, 2018, 30(2): 115-119. DOI: 10.19428/j.cnki.sjpm.2018.18423
Qi XU, Xiao-long WANG. Status of knowledge-belief-pratice and colonoscopy willingness among screened colorectal cancer residents in a community of Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(2): 115-119. DOI: 10.19428/j.cnki.sjpm.2018.18423
Citation: Qi XU, Xiao-long WANG. Status of knowledge-belief-pratice and colonoscopy willingness among screened colorectal cancer residents in a community of Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(2): 115-119. DOI: 10.19428/j.cnki.sjpm.2018.18423

上海市某社区大肠癌筛查阳性居民知信行现状及肠镜检查意愿

Status of knowledge-belief-pratice and colonoscopy willingness among screened colorectal cancer residents in a community of Shanghai

  • 摘要:
    目的了解大肠癌筛查阳性居民的大肠癌及其筛查知识、信念及行为现状,探讨居民肠镜检查参与意愿的影响因素。
    方法选取上海某社区2016年首次参加大肠癌筛查,并且筛查结果为阳性的居民共149名为调查对象,采用自行设计的问卷,以集中现场调查和入户调查相结合的形式对大肠癌筛查阳性居民进行调查。问卷内容包括居民的基本情况、大肠癌及其筛查的知信行情况和肠镜检查参与意愿情况。
    结果阳性居民的大肠癌及其筛查知识得分较好、一般、较差分别为34名(占22.8%)、38名(占25.5%)、77名(占51.7%); 信念得分较好、一般、较差分别为12名(8.1%)、63名(42.3%)、74名(49.6%); 在后续肠镜检查意愿方面,其中仅筛查危险度评估表阳性、仅便隐血阳性、评估表和便隐血均阳性的愿意去做肠镜检查的人数分别为82名(占55.03%)、87名(58.38%)、92名(占61.74%)。Spearman秩相关分析显示,知识与信念(rS=0.257,P<0.05),知识与肠镜检查参与意愿(rS=0.345,P<0.05),信念与肠镜检查参与意愿(rS=0.331,P<0.05)间均呈正相关关系。不同性别、医保类型、月收入、体检次数、健康关注程度、到定点医院时间和就近二级医院的时间居民的肠镜检查意愿比较,差异无统计学意义(P>0.05);不同知识、信念得分的居民肠镜检查意愿比较,差异有统计学意义(P<0.05)。二分类非条件logistic回归分析显示,仅知识得分和信念得分对大肠癌筛查阳性居民的肠镜检查参与意愿的影响有统计学意义(P<0.05)。
    结论该社区居民大肠癌筛查知识、信念、行为水平均需提高,筛查知识及筛查信念是阳性居民进一步做肠镜检查意愿的影响因素。

     

    Abstract:
    ObjectiveTo investigate the status of screening knowledge, beliefs and practice among colorectal cancer residents screened in a community, and to explore the related factors affecting their willingness to participate in subsequent colonoscopy.
    MethodsA total of 149 colorectal cancer residents were selected by a screening test; it was the first time for them to participate in colorectal cancer screening in 2016. A self-designed interview questionnaire was adopted, and the screening positive population investigated by means of centralized field surveys and household surveys. The questionnaire included their basic situation, knowledge and practice of colorectal cancer screening and willingness to participate in colonoscopy.
    ResultsThe scores of colorectal cancer and screening knowledge among positive residents, the number of residents for good, average and poor scores were 34 (22.8%), 38 (25.5%) and 77 (51.7%), respectively. In the belief score, the number of residents for good, average and poor scores were 12 (8.1%), 63 (42.3%) and 74 (49.6%), respectively. In the subsequent colonoscopy willingness, the number of colonoscopy for those being positive in screening risk assessment table andpositive in fecal occult blood were 82 (55.03%), 87 (58.38%), 92 (61.74%), respectively. Spearman correlation analysis showed that knowledge and beliefs (rS= 0.257, P < 0.05), knowledge and colonoscopy willingness (rS= 0.345, P < 0.05), faith and colonoscopy willingness (rS= 0.331, P < 0.05) were correlated. There were not statistical difference among different gender, type of medical insurance, monthly income, medical check frequency, degree of being concerned and residents' willingness to perform colonoscopy at designated hospitals and time from home to the nearest second-class hospital (P>0.05), There were statistical differences found between different scores of knowledge, different scores of belief (P < 0.05). The analysis of the two categories of non-conditional logistic regression showed that only knowledge score and belief score had statistically significant influence on the participation intention of the colonoscopy for screening positive residents of colorectal cancer (P < 0.05).
    ConclusionThe knowledge, belief and practice of colorectal cancer screening should be improved in residents of the community, screening knowledge, and screening beliefs are the factors that influence the willingness of screening positive residents for further colonoscopy.

     

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