Factors Associated with Attending to the Colorectal Cancer Screening Services among at-Risk Individuals in a Community Care Hospital: A Cross-Sectional Analytical Study.

Q2 Medicine

Asian Pacific Journal of Cancer Prevention Pub Date : 2025-06-01 DOI:10.31557/APJCP.2025.26.6.2163

Annapha Boonna, Nattakan Choochuay, Bhunyabhadh Chaimay, Somkiattiyos Woradet, Sirichai Changkaew, Kriangsak Sukmai, Supaporn Chukraithai

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Abstract

Background: Colorectal cancer (CRC) is a major global public health concern, yet screening participation remains low among at-risk populations. This study investigated factors influencing attendance at CRC screening services among at-risk individuals aged 50-70 years.

Methods: A cross-sectional analytical study was conducted from November 2023 to February 2024, involving 360 participants aged 50-70 years. The sample included 180 cases (participants who attended CRC screening) and 180 controls (those who did not), selected through simple random sampling from a registry of at-risk individuals. Data were collected using validated questionnaires assessing demographic characteristics, health literacy, social, and family support. The content validity indices ranging from 0.66 to 1.00 with Cronbach's alpha coefficients of 0.91, 0.88, and 0.77, respectively. Descriptive statistics and multiple logistic regression were used for analysis.

Results: Annual physical check-ups and body mass index (BMI) were significantly associated with screening attendance with CRC screening attendance. Individuals without annual check-ups were 55% less likely to attend CRC screening (Adjusted Odds Ratio [AOR] = 0.45, 95% Confidence Interval [CI]: 0.29-0.70). Those with a normal BMI were 3.91 times more likely to attend screening compared to those with underweight BMI (AOR = 3.91, 95% CI: 1.20-12.77), after adjusting for gastrointestinal disease history.

Conclusions: Regular health check-ups and BMI play crucial roles in CRC screening participation. Targeted health interventions are essential to improve awareness and encourage screening participation, particularly among individuals lacking routine check-ups. Strengthening preventive healthcare efforts can help reduce CRC prevalence and enhance public health outcomes.

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社区护理医院高危人群参加结直肠癌筛查服务的相关因素：一项横断面分析研究

背景：结直肠癌（CRC）是一个主要的全球公共卫生问题，但在高危人群中，筛查的参与率仍然很低。本研究调查了影响50-70岁高危人群CRC筛查服务出勤率的因素。方法：于2023年11月至2024年2月进行横断面分析研究，涉及360名年龄在50-70岁之间的参与者。样本包括180例病例（参加过结直肠癌筛查的参与者）和180例对照（未参加筛查的参与者），通过简单随机抽样从高危人群登记处选择。使用有效的问卷收集数据，评估人口统计学特征、健康素养、社会和家庭支持。内容效度指数为0.66 ~ 1.00,Cronbach’s alpha系数分别为0.91、0.88和0.77。采用描述性统计和多元逻辑回归进行分析。结果：年度体检和身体质量指数（BMI）与筛查出勤率和CRC筛查出勤率显著相关。未进行年度检查的个体参加CRC筛查的可能性降低55%（调整优势比[AOR] = 0.45, 95%可信区间[CI]: 0.29-0.70）。在调整胃肠道疾病史后，BMI正常的人参加筛查的可能性是BMI过轻者的3.91倍（AOR = 3.91, 95% CI: 1.20-12.77）。结论：定期健康检查和BMI在参与结直肠癌筛查中起关键作用。有针对性的保健干预措施对于提高认识和鼓励参与筛查至关重要，特别是在缺乏常规检查的个人中。加强预防保健工作有助于减少结直肠癌患病率并提高公共卫生结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Pacific Journal of Cancer Prevention 医学-肿瘤学

CiteScore

2.80

自引率

0.00%

发文量

779

审稿时长

3 months

期刊介绍： Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.