Adherence of free colonoscopy screening and its influencing factors among high-risk populations of colorectal cancer in Chongqing

Zhang Haiyan; Tan Jingyu; Liang Ling; Lu Meimei

doi:10.13406/j.cnki.cyxb.001124

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Adherence of free colonoscopy screening and its influencing factors among high-risk populations of colorectal cancer in Chongqing

更新时间：2024-01-17

- Adherence of free colonoscopy screening and its influencing factors among high-risk populations of colorectal cancer in Chongqing
- Journal of Chongqing Medical University Vol. 41, Issue 12, Pages: 1263-1267(2016)
- 作者机构：
  
  重庆市肿瘤研究所/医院/癌症中心健康体检与肿瘤风险筛查科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001124
  CLC： R735.34
- Published：2016，
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[1]张海燕,谭婧宇,梁玲,卢梅梅.重庆地区结直肠癌高危人群结直肠镜免费筛查的依从性及影响因素研究[J].重庆医科大学学报,2016,41(12):1263-1267.

Zhang Haiyan, Tan Jingyu, Liang Ling, et al. Adherence of free colonoscopy screening and its influencing factors among high-risk populations of colorectal cancer in Chongqing. [J]. Journal of Chongqing Medical University 41(12):1263-1267(2016)
[1]张海燕,谭婧宇,梁玲,卢梅梅.重庆地区结直肠癌高危人群结直肠镜免费筛查的依从性及影响因素研究[J].重庆医科大学学报,2016,41(12):1263-1267. DOI： 10.13406/j.cnki.cyxb.001124.

Zhang Haiyan, Tan Jingyu, Liang Ling, et al. Adherence of free colonoscopy screening and its influencing factors among high-risk populations of colorectal cancer in Chongqing. [J]. Journal of Chongqing Medical University 41(12):1263-1267(2016) DOI： 10.13406/j.cnki.cyxb.001124.

摘要

目的:分析重庆市结直肠癌高危人群筛查依从性及主要影响因素

为政府对重庆地区健康保健决策提供参考依据。方法:该研究基于重庆市"城市癌症早诊早治项目"

随机选取507例结直肠癌高危人群根据自身意愿决定是否参与结直肠镜免费筛查

并完成结直肠癌筛查问卷调查

分析直肠癌高危人群筛查依从性的主要影响因素。结果:507例研究对象中

18.6%接受了结直肠镜检查。多因素logistic回归分析发现:较大年龄（OR=0.967

95%CI=0.937

.998）、结直肠癌家族史（OR=0.182

95%CI=0.087

.380）、认为自己是结直肠癌发病高风险人群（OR=0.495

95%CI=0.366

.668）是影响结直肠镜筛查依从性的保护因素;工作忙没时间（OR=8.879

95%CI=2.550

0.914）、害怕肠镜检查有痛苦（OR=21.140

95%CI=4.841

2.313）、害怕肠镜检查肠道准备太复杂（OR=22.849

95%CI=2.822

85.002）是影响结直肠镜筛查依从性的危险因素。结论:在今后的干预工作中

应针对结直肠癌高危人群进一步加大社区健康教育

使其意识到自己为高危人群

同时缓解该人群对结直肠镜筛查的恐惧心理

进而提高结直肠镜筛查依从性。

Abstract

Objective:To analyze the demographic characteristics and the potential influencing factors of adherence of colonoscopy screening among high-risk populations of colorectal cancer(CRC)in Chongqing China. Methods:The study was based on the "early detection and treatment of cancer project"in Chongqing. Totally 507 participants at high risk of CRC were selected to answer the colonoscopy screening questions. Multivariate stepwise logistic regression was used to determine which factors had a statistically significant effect on adherence of colonoscopyscreening. Results:Of the 507 participants

18.6% accepted the colonoscopy screening. Data from the multivariate logistic regression revealed that older people(OR=0.967

95%CI=0.937 to 0.998)who have family history of CRC(OR =0.182

95% CI =0.087 to 0.380) or consider himself at high risk of CRC(OR =0.495

95% CI =0.366 to 0.668) were more willing to accept the colonoscopy screening

while busy working(OR=8.879

95%CI=2.550 to 30.914)

fearing the pain of colonoscopy(OR=21.140

95%CI=4.841 to 92.313)and complicated bowel preparation(OR=22.849

95%CI=2.822 to 185.002)were independent barriers for colonoscopy screening. Conclusion:Effective intervention should be adopted to make people realize that they are at high risk of CRC. And at the same time health education program is needed to ease the fear of colonoscopy screening

thus improving colorectal colonoscopy screening adherence.

关键词

结直肠癌高危人群结直肠镜筛查影响因素

Keywords

colorectal cancerhigh-risk populationscolonoscopy screeninginfluencing factors

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Related Author

Tan Jingyu

Zhang Haiyan

Liang Jingqiu

Lu Meimei

Han Jing

Deng Jielian

Li Kangjie

Zhang Cong

Related Institution

Chongqing Cancer Institute/Hospital/Cancer Center/Physical Examination and Tumor Risk Screening Center

Department of Epidemiology and Health Statistics, School of Public Health, Chongqing Medical University

Department of Cardiology,The First Affiliated Hospital of Chongqing Medical University

Department of Health Laboratory Technology,School of Public Health,Chongqing Medical University

Research Center for Medicine and Social Development,School of Public Health,Chongqing Medical University

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