结直肠癌高危人群的结直肠癌筛查知识、态度及行为状况调查

A Survey of Knowledge,Attitudes and Behaviors of Colorectal Cancer among High-Risk Populations of Colorectal Cancer

目的了解结直肠癌高危人群的结直肠癌及其筛查知识、态度及行为现状,探讨高危人群肠镜筛查参与行为的影响因素。方法于2019年3—8月,随机抽取湖南省10所三甲医院的结直肠癌高危人群,采用自制的结直肠癌认知和态度及筛查行为问卷进行调查,最终确定有效问卷518份,采用描述性分析、二分类Logistic回归等方法进行统计分析。结果调查对象结直肠癌及其筛查知识的得分为13.92±4.44分;在结直肠癌筛查行为方面,参与、未参与过结直肠癌筛查的人数分别为67名(占12.9%)、451名(占87.1%)。Logistic回归分析显示,月均收入较高(OR=2.49,95%CI1.172~5.293)、就医的次数较多(OR=3.34,95%CI1.438~7.746)、医生谈论过筛查(OR=3.17,95%CI1.516~6.625)、自我感知患结直肠癌的风险高(OR=3.73,95%CI1.595~8.731)、有肠道相关疾病史(OR=3.50,95%CI1.515~8.105)者对结直肠癌高危人群的肠镜筛查参与行为有显著影响(P<0.05)。结论应加强对结直肠癌高危人群的健康教育,提高其参与筛查的意识并健全筛查体系,从而改善结直肠癌筛查率。

Objective To explore the knowledge,attitude and behavior of colorectal cancer screening and its influencing factors in high-risk populations of colorectal cancer.Methods From March to August 2019,those partici-pants with high risk of colorectal cancer were included as the survey subjects.The self-designed questionnaire was used to investigate the knowledge,attitude,and behavior of colorectal cancer screening in high risk populations.The number of valid questionnaires was 518.Results The score of knowledge of colorectal cancer was 13.92±4.44;As for the behavior for colonoscopy screening,the number of participants who had and had not undergone screening were 67(12.9%)and 451(87.1%).The logistic regression analysis showed that higher monthly income(OR=2.49,95%CI:1.172~5.293),frequency of doctor visits(OR=3.34,95%CI:1.438~7.746),discussion of CRC scree-ning with doctor(OR=3.17,95%CI:1.516~6.625),perceived high risk(OR=3.73,95%CI:1.595~8.731),the history of bowel disease(OR=3.50,95%CI:1.515~8.105)had statistically significant influence on the participation behavior of CRC screening(P<0.05).Conclusion It is necessary to take targeted health education for high risk population and to improve the awareness of participants about the colorectal cancer screening,and to advocate part of the cost of colonoscopy into the scope of medical insurance to improve screening systems,so as to increase the participation rate in CRC screening.