I am privileged to share with our readers the 2019 first issue of Family Medicine and Commu-nity Health(FMCH).In front of you is the inaugural issue of FMCH published by BMJ.It marks the beginning of a long-term part-...I am privileged to share with our readers the 2019 first issue of Family Medicine and Commu-nity Health(FMCH).In front of you is the inaugural issue of FMCH published by BMJ.It marks the beginning of a long-term part-nership of FMCH and BMJ in the pursuit of the shared vision for the journal to become a premier international scientific journal with a focus on family medicine and community health.Launched in 2014,FMCH has enjoyed tremendous growth in the past years and has entered into a new phase of development.展开更多
Objective:Stool DNA(sDNA)tests offer a noninvasive form of colon cancer screening for pa-tients,and although the test is expected to increase uptake of colon cancer screening,it is unknown if patients’perceptions of ...Objective:Stool DNA(sDNA)tests offer a noninvasive form of colon cancer screening for pa-tients,and although the test is expected to increase uptake of colon cancer screening,it is unknown if patients’perceptions of the sDNA test differ according to race and other patient characteristics.Methods:We conducted a self-administered survey of patients undergoing both a colonoscopy and an sDNA test to evaluate perceptions of sDNA testing.Results:Of the 613 participants who were sent surveys,423 responded(69%response rate).Respondents self-identified as African American(n=127,30%),Caucasian(n=284,67%),and other ethnicity(n=12,3%).In general,participants found the sDNA test more suitable than a colonos-copy(n=309,75%).In univariate analyses,a higher percentage of Caucasians as compared with African Americans found the sDNA test more suitable than a colonoscopy(89%vs.76%,p<0.01),and more Caucasians than African Americans preferred the sDNA test(43%vs.32%,p<0.05).Ad-justment for covariates reduced these racial differences to no significance.A family history of colo-rectal cancer remains a significant factor for patient’s preferences for screening regardless of race.Conclusions:Our study shows no racial differences in the perception of and preference for sDNA testing for colon screening.Intervention to increase the uptake of sDNA testing may help reduce racial disparities in colorectal cancer.展开更多
文摘I am privileged to share with our readers the 2019 first issue of Family Medicine and Commu-nity Health(FMCH).In front of you is the inaugural issue of FMCH published by BMJ.It marks the beginning of a long-term part-nership of FMCH and BMJ in the pursuit of the shared vision for the journal to become a premier international scientific journal with a focus on family medicine and community health.Launched in 2014,FMCH has enjoyed tremendous growth in the past years and has entered into a new phase of development.
基金the National Cancer Institute(R01 CA136726 and U01CA181770 to L.Li,and P50CA50964 to L.Li and G.Cooper).
文摘Objective:Stool DNA(sDNA)tests offer a noninvasive form of colon cancer screening for pa-tients,and although the test is expected to increase uptake of colon cancer screening,it is unknown if patients’perceptions of the sDNA test differ according to race and other patient characteristics.Methods:We conducted a self-administered survey of patients undergoing both a colonoscopy and an sDNA test to evaluate perceptions of sDNA testing.Results:Of the 613 participants who were sent surveys,423 responded(69%response rate).Respondents self-identified as African American(n=127,30%),Caucasian(n=284,67%),and other ethnicity(n=12,3%).In general,participants found the sDNA test more suitable than a colonos-copy(n=309,75%).In univariate analyses,a higher percentage of Caucasians as compared with African Americans found the sDNA test more suitable than a colonoscopy(89%vs.76%,p<0.01),and more Caucasians than African Americans preferred the sDNA test(43%vs.32%,p<0.05).Ad-justment for covariates reduced these racial differences to no significance.A family history of colo-rectal cancer remains a significant factor for patient’s preferences for screening regardless of race.Conclusions:Our study shows no racial differences in the perception of and preference for sDNA testing for colon screening.Intervention to increase the uptake of sDNA testing may help reduce racial disparities in colorectal cancer.
