Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic
Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic作者机构:Department of Gastroenterology and Internal Medicine University Hospital Brno and Faculty of Medicine Masaryk University Department of Hematology Oncology and Internal Medicine University Hospital Brno and Faculty of Medicine Masaryk University Institute of Biostatistics and Analyses Faculty of MedicineMasaryk University
出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))
年 卷 期:2019年第25卷第9期
页 面:1132-1141页
核心收录:
学科分类:10[医学]
基 金:the project(Ministry of Health Czech Republic)for Conceptual Development of Research Organization 65269705(University Hospital Brno Czech Republic)
主 题:Colorectal cancer Screening Colonoscopy General practitioner Patient compliance Fecal occult blood test
摘 要:BACKGROUND Public awareness of colorectal cancer(CRC) and uptake of CRC screening remain challenges. The viewpoints of the target population(asymptomatic individuals older than 50) regarding CRC screening information sources and the reasons for and against participation in CRC screening are not well known in the Czech Republic. This study aimed to acquire independent opinions from the target population independently on the health *** To investigate the viewpoints of the target population regarding the source of information for and barriers and facilitators of CRC *** A survey among relatives(aged 50 and older) of university students was conducted. Participants answered a questionnaire about sources of awareness regarding CRC screening, reasons for and against participation, and suggestions for improvements in CRC screening. The effect of certain variables on participation in CRC screening was *** Of 498 participants, 478(96%) respondents had some information about CRC screening and 375(75.3%) had participated in a CRC screening test. General practitioners(GPs)(n = 319, 64.1%) and traditional media(n = 166, 33.3%) were the most common information sources regarding CRC screening. A lack of interest or time and a fear of colonoscopy or positive results were reported as reasons for non-participation. Individuals aged 60 years [adjusted odds ratio(aOR) = 2.30, 95% confidence interval(CI)(1.42-3.71), P = 0.001], females(aOR =1.95, 95%CI(1.26-3.01) P = 0.003), and relatives of CRC patients(aOR = 4.17,95%CI(1.82-9.58) P = 0.001) were more likely to participate in *** regarding screening provided by physicians-GPs:(aOR = 8.11,95%CI(4.90-13.41), P 0.001) and other specialists(aOR = 4.19, 95%CI(1.87-9.38),P = 0.001) increased participation in screening. Respondents suggested that providing better explanations regarding screening procedures and equipment for stool capturing could improve CRC screening *** GPs