我国结直肠癌人群筛查参与率现状及影响因素探讨

Current status of participation rate in population-based colorectal cancer screening programs in China and its associated factors

结直肠癌筛查是降低结直肠癌负担的有效手段。在人群筛查项目中,参与率是影响结直肠癌人群筛查效果的重要指标。该文总结了我国现有结直肠癌人群组织性筛查项目参与率现状,结果提示我国结直肠癌筛查人群参与率较低,不同筛查方案的人群接受度较差。分析可能与居民健康意识薄弱、筛查付费意愿低、个体化筛查方案缺乏以及筛查项目组织动员工作不到位有关。如何增强人群筛查意愿和提高参与率是亟待解决的重要公共卫生问题,这一问题的有效解决将为国家开展大规模人群筛查提供重要保障。

Colorectal cancer (CRC)screening is effective in reducing the burden of the disease.Participation rate is an important determinant of the magnitude of the effectiveness in population-based CRC screening.We summarize the current status of participation rate across the different organized CRC screening programs in China.The results indicate that the overall participation rates are low,and the acceptance of the screening protocols is poor in Chinese population. We conclude that the associated factors may include the poor health consciousness,low willingness-to-pay for screening, lack of personalized screening strategy and inadequate organization.Studies on the inventions to improve the willingness of screening and participation rate are of high demand and will provide important references in implementing large-scale CRC screening programs in China in the future.