Colorectal cancer screening behavior and willingness

The outpatient-based study by Deng et al [World J Gastroenterol 2011 July 14; 17(26): 3133-3139] on the factors that may influence the colorectal cancer (CRC) screening feasibility, encouraged our curiosity. Establishing a simple method for quickly assessing the educational level of patients and modulating a questionnaire for each type of patient, may be an effective protocol to increase the people participation, mainly in countries where sufficient medical resources and financial support are lacking. In fact, the knowledge directly affects the feasibility when screening is offered. Patient educational level influences the understanding of the knowledge and the screening method. This factor may affect patient's priority level on the study participation, the understanding of questions, and the motivation to complete the questionnaire and, consequently, the screening success. Recent studies have found a relationship between high educational level and CRC screening participation, and emphasized the question-naire ineffectiveness in the illiterate people. Although the questionnaire is an excellent method for this kind of evaluation, physician's contribution could be the most important factor associated with the screening method. Thus, further studies should be conducted to explore the compliance of patients with low educational level and to look for the best solutions for their enrollment.

失独老人的心理健康状况及其影响因素分析

目的:研究失独老人的心理健康状况,分析其主要影响因素。方法:采用老年心理健康问卷、社会支持量表(SSS)和生活事件量表(LES)3个量表,对某省3个地级市219名失独老人心理健康状况进行调查,比较不同性别、受教育水平、健康状况和职业的失独老人心理健康状况,分析失独老人的心理健康状况的影响因素。结果:男性、受教育程度高、健康状况良好及以脑力劳动为主的失独老人心理健康状况优于女性、受教育程度低、健康状况差及以体力劳动为主的失独老人(P<0.05或0.01);失独老人的情绪与社区服务、睡眠与精力、躯体不适感、经济状况及主观支持呈正相关(P<0.05或0.01);失独老人的心理健康状况与生活环境呈正相关(P<0.01或0.001)。结论:失独老人的生活环境、经济状况、主观支持等影响其心理健康状况,为促进失独老人的心理健康,需将物质和精神养老相结合,形成有效的社会支持网络,有助于提高他们的生活幸福感。