Participation Rate and Related Factors in Colonoscopy Screening Program in First-Degree Relatives of Patients Affected by Colorectal Cancer

Iranian journal of cancer prevention Pub Date : 2016-10-04 DOI:10.17795/IJCP-4808

Arezoo Chouhdari, P. Yavari, M. Pourhoseingholi, M. Zali

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引用次数: 3

Abstract

Background: First-degreerelatives(FDRs)of peoplediagnosedwithcolorectalcancer(CRC)haveatwo-tothree-foldincreasedriskof developingdisease. Colonoscopy screeningtestcanbeeﬀectiveinpreventionandearlytreatment. Objectives: Thepurposeof thisstudywastodeterminetherateof participationincolonoscopyscreeningtestandrelatedfactorsinﬁrstdegreerelatives. Methods: 200FDRsof CRCcaseswereinterviewedbytheresearchers.Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas ﬁlledviaphone. Toreportqualitativedataresults,weusedpercentandproportion. Full(bytotalvariables)andﬁnal(ForwardLR)multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19. Results: Intotal,59% FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain(23%),concernsabout complicationsandtestpositiveresult(21.5%),lackofhealthinsurance(21.5%),notbelievinginthetesteﬀectiveness(17%),noneedbecauseofhealthyfeeling(13%),embar-rassment(12%)anddistrusttoserviceproviderskills(10%).Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsigniﬁcancebetweenparticipatingcolonoscopyscreeningandvariables“notaﬀectedwithhypertension(95%CI:0.4-2.04,OR=3.7),believeintesteﬀectivenessinFDRs(95%CI:1.8-16.9,OR=5.6),alsoageofdiagnosis 50inCRCcases(95%CI:1.7-2.3,OR=2)”.Finally,agebelow50(95%CI:1.1-5.1,OR=2.4),notbeingalivepersonaﬀectedbyCRC(95%CI:1.2-5.8,OR=3.3),monthly familyincome 10millionRials(95%CI:1.08-4.7,OR=2.2)andbelief ineﬀectivenessof thetest(95%CI:2.61-12.55,OR=5.7)werepredictorfactorstoparticipate. Conclusion: FutureInterventionsshouldfocusonfosteringpositiveattitudes,overcomingbarriers,enhancingsocialandhealthinsurancesupportandfollowingmed- icalrecommendationconsecutivetoperformingcolonoscopyscreeningtest.

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结直肠癌患者一级亲属结肠镜筛查的参与率及相关因素

背景:诊断为结直肠癌(CRC)的人的一级亲属(FDRs)患病风险增加2 - 3倍。结肠镜检查screeningtestcanbeeffectiveinpreventionandearlytreatment。目的:本研究的目的是确定参与结肠镜筛查的标准相关因素在一级亲属。方法:对200fdr病例进行访谈。Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone。Toreportqualitativedataresults weusedpercentandproportion。完整的(bytotalvariables) andfinal (ForwardLR) multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19。结果:FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain Intotal, 59%(23%),随着complicationsandtestpositiveresult(21.5%)、lackofhealthinsurance(21.5%)、notbelievinginthetesteffectiveness(17%)、noneedbecauseofhealthyfeeling(13%)、embar-rassment anddistrusttoserviceproviderskills (12%) (10%) .Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables”notaffectedwithhypertension(95%置信区间:0.4—-2.04,或= 3.7),believeintesteffectivenessinFDRs(95%置信区间:1.8—-16.9,或= 5.6),alsoageofdiagnosis最后，年龄在50岁以下(95%CI:1.1-5.1,OR=2.4)、没有活的人受crc影响(95%CI:1.2-5.8,OR=3.3)、家庭月收入1000万里亚尔(95%CI: 1.98 -4.7,OR=2.2)和测试的信念无效(95%CI:2.61-12.55,OR=5.7)是不参与的预测因素。结论:未来的干预措施应注重培养积极的态度，克服障碍，加强社会和健康保障支持，并遵循医学建议，连续进行结肠镜筛查试验。

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Iranian journal of cancer prevention

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