{"title":"结直肠癌患者一级亲属结肠镜筛查的参与率及相关因素","authors":"Arezoo Chouhdari, P. Yavari, M. Pourhoseingholi, M. Zali","doi":"10.17795/IJCP-4808","DOIUrl":null,"url":null,"abstract":"Background: First-degreerelatives(FDRs)of peoplediagnosedwithcolorectalcancer(CRC)haveatwo-tothree-foldincreasedriskof developingdisease. Colonoscopy screeningtestcanbeeffectiveinpreventionandearlytreatment. Objectives: Thepurposeof thisstudywastodeterminetherateof participationincolonoscopyscreeningtestandrelatedfactorsinfirstdegreerelatives. Methods: 200FDRsof CRCcaseswereinterviewedbytheresearchers.Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone. Toreportqualitativedataresults,weusedpercentandproportion. Full(bytotalvariables)andfinal(ForwardLR)multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19. Results: Intotal,59% FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain(23%),concernsabout complicationsandtestpositiveresult(21.5%),lackofhealthinsurance(21.5%),notbelievinginthetesteffectiveness(17%),noneedbecauseofhealthyfeeling(13%),embar-rassment(12%)anddistrusttoserviceproviderskills(10%).Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables“notaffectedwithhypertension(95%CI:0.4-2.04,OR=3.7),believeintesteffectivenessinFDRs(95%CI:1.8-16.9,OR=5.6),alsoageofdiagnosis 50inCRCcases(95%CI:1.7-2.3,OR=2)”.Finally,agebelow50(95%CI:1.1-5.1,OR=2.4),notbeingalivepersonaffectedbyCRC(95%CI:1.2-5.8,OR=3.3),monthly familyincome 10millionRials(95%CI:1.08-4.7,OR=2.2)andbelief ineffectivenessof thetest(95%CI:2.61-12.55,OR=5.7)werepredictorfactorstoparticipate. Conclusion: FutureInterventionsshouldfocusonfosteringpositiveattitudes,overcomingbarriers,enhancingsocialandhealthinsurancesupportandfollowingmed- icalrecommendationconsecutivetoperformingcolonoscopyscreeningtest.","PeriodicalId":73510,"journal":{"name":"Iranian journal of cancer prevention","volume":"9 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2016-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Participation Rate and Related Factors in Colonoscopy Screening Program in First-Degree Relatives of Patients Affected by Colorectal Cancer\",\"authors\":\"Arezoo Chouhdari, P. Yavari, M. Pourhoseingholi, M. Zali\",\"doi\":\"10.17795/IJCP-4808\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: First-degreerelatives(FDRs)of peoplediagnosedwithcolorectalcancer(CRC)haveatwo-tothree-foldincreasedriskof developingdisease. Colonoscopy screeningtestcanbeeffectiveinpreventionandearlytreatment. Objectives: Thepurposeof thisstudywastodeterminetherateof participationincolonoscopyscreeningtestandrelatedfactorsinfirstdegreerelatives. Methods: 200FDRsof CRCcaseswereinterviewedbytheresearchers.Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone. Toreportqualitativedataresults,weusedpercentandproportion. Full(bytotalvariables)andfinal(ForwardLR)multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19. Results: Intotal,59% FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain(23%),concernsabout complicationsandtestpositiveresult(21.5%),lackofhealthinsurance(21.5%),notbelievinginthetesteffectiveness(17%),noneedbecauseofhealthyfeeling(13%),embar-rassment(12%)anddistrusttoserviceproviderskills(10%).Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables“notaffectedwithhypertension(95%CI:0.4-2.04,OR=3.7),believeintesteffectivenessinFDRs(95%CI:1.8-16.9,OR=5.6),alsoageofdiagnosis 50inCRCcases(95%CI:1.7-2.3,OR=2)”.Finally,agebelow50(95%CI:1.1-5.1,OR=2.4),notbeingalivepersonaffectedbyCRC(95%CI:1.2-5.8,OR=3.3),monthly familyincome 10millionRials(95%CI:1.08-4.7,OR=2.2)andbelief ineffectivenessof thetest(95%CI:2.61-12.55,OR=5.7)werepredictorfactorstoparticipate. Conclusion: FutureInterventionsshouldfocusonfosteringpositiveattitudes,overcomingbarriers,enhancingsocialandhealthinsurancesupportandfollowingmed- icalrecommendationconsecutivetoperformingcolonoscopyscreeningtest.\",\"PeriodicalId\":73510,\"journal\":{\"name\":\"Iranian journal of cancer prevention\",\"volume\":\"9 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Iranian journal of cancer prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17795/IJCP-4808\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian journal of cancer prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17795/IJCP-4808","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
Participation Rate and Related Factors in Colonoscopy Screening Program in First-Degree Relatives of Patients Affected by Colorectal Cancer
Background: First-degreerelatives(FDRs)of peoplediagnosedwithcolorectalcancer(CRC)haveatwo-tothree-foldincreasedriskof developingdisease. Colonoscopy screeningtestcanbeeffectiveinpreventionandearlytreatment. Objectives: Thepurposeof thisstudywastodeterminetherateof participationincolonoscopyscreeningtestandrelatedfactorsinfirstdegreerelatives. Methods: 200FDRsof CRCcaseswereinterviewedbytheresearchers.Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone. Toreportqualitativedataresults,weusedpercentandproportion. Full(bytotalvariables)andfinal(ForwardLR)multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19. Results: Intotal,59% FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain(23%),concernsabout complicationsandtestpositiveresult(21.5%),lackofhealthinsurance(21.5%),notbelievinginthetesteffectiveness(17%),noneedbecauseofhealthyfeeling(13%),embar-rassment(12%)anddistrusttoserviceproviderskills(10%).Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables“notaffectedwithhypertension(95%CI:0.4-2.04,OR=3.7),believeintesteffectivenessinFDRs(95%CI:1.8-16.9,OR=5.6),alsoageofdiagnosis 50inCRCcases(95%CI:1.7-2.3,OR=2)”.Finally,agebelow50(95%CI:1.1-5.1,OR=2.4),notbeingalivepersonaffectedbyCRC(95%CI:1.2-5.8,OR=3.3),monthly familyincome 10millionRials(95%CI:1.08-4.7,OR=2.2)andbelief ineffectivenessof thetest(95%CI:2.61-12.55,OR=5.7)werepredictorfactorstoparticipate. Conclusion: FutureInterventionsshouldfocusonfosteringpositiveattitudes,overcomingbarriers,enhancingsocialandhealthinsurancesupportandfollowingmed- icalrecommendationconsecutivetoperformingcolonoscopyscreeningtest.
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