摘要
目的了解大肠癌初筛阳性居民肠镜复筛行为与健康信念各维度的关系,为提高肠镜顺应性提供可行性建议。方法采取病例对照研究,从天津市人民医院获取2019年6—11月大肠癌初筛阳性后接受肠镜检查的316人纳入接受肠镜组,采用整群随机抽样抽取154例未接受肠镜检查的居民纳入拒绝肠镜组。应用Logistic回归分析健康信念与肠镜复筛行为的关系。结果拒绝肠镜组严重性认知的平均得分为(12.58±2.36)分,低于接受肠镜组得分(13.28±1.90)分;拒绝肠镜组行为障碍认知的平均得分为(15.93±3.68)分,高于接受肠镜组得分(14.71±3.95)分。调整年龄以及工作种类后,严重性认知水平为大肠癌高危人群肠镜检查的保护因素(OR=1.136,95%CI:1.010-1.276),行为障碍认知水平为肠镜检查的危险因素(OR=0.926,95%CI:0.873-0.982)。结论在大肠癌初筛对象的健康教育中强化对疾病严重性的宣传,做好复筛意义和流程的介绍,可提高肠镜复筛的依从性。
Objective To identify the relationship between the dimensions of health belief model and second colonoscopy screening behaviors among population with positive result in first screening,and so as to provide recommendations to improve the colonoscopy screening among high-risk population.Methods A total of 154 high-risk persons who rejected second colonoscopy screening were selected by random cluster sampling in seven districts as the rejecting group,and 316 high-risk persons who accepted second colonoscopy screening were selected as the receiving group from June to November2019.Logistic regression model were used for univariate analysis and multivariate analysis.Results The score of threat perception for rejecting group(12.58±2.36)was lower than receiving group(13.28±1.90).And compared with receiving group(14.71±3.95),the rejecting group(15.93±3.68)reported higher barrier perception levels.The threat perception was a protective factor for colonoscopy screening(OR=1.136,95%CI:1.010-1.267)and barrier perception(OR=0.926,95%CI:0.873-0.982)was a risk factor for colonoscopy screening.Conclusion Health education that emphasis on threat perception and decrease the barrier to screening program could improve the uptake of colonoscopy screening in highrisk population.
作者
张晓瑞
赵丽中
周利慧
王媛
陈永杰
芦文丽
ZHANG Xiao-rui;ZHAO Li-zhong;ZHOU Li-hui;WANG Yuan;CHEN Yong-jie;LU Wen-li(Department of Epidemiology and Health Statistics,School of Public Health,Tianjin Medical University,Tianjin 300070,China)
出处
《中国健康教育》
北大核心
2021年第2期141-144,174,共5页
Chinese Journal of Health Education
基金
国家自然科学基金(72074166)。
关键词
健康信念模式
大肠癌
肠镜
筛查
病例对照研究
Health belief model
Colorectal cancer
Colonoscopy
Screening
Case-control study
