肿瘤预防与治疗2019，Vol.32Issue(8)：694-700,7.DOI:10.3969/j.issn.1674-0904.2019.08.007
上海郊区某镇大肠癌高危人群结肠镜检查知信行状况及影响因素研究✲
Knowledge, Attitude and Practice of Colonoscopy among Population at High Risk of Colorectal Cancer in a Town, a Suburb of Shanghai
摘要
Abstract
Objective: To investigate knowledge, attitude and practice of colonoscopy in the population at high risk of colorectal cancer in a town, a suburb of Shanghai, so as to pro-vide experience for improving the acceptance of colonoscopy among high-risk population. Methods: Cluster random sampling was adopted to enroll 300 people at high risk of colorectal cancer from Huacao town, a suburb of Shanghai from January 2019 to March 2019. All subjects’ gender, age, educational background, health insurance status, family history of adenomatous polyps and colorectal cancer, history of high-fat, low-fiber diets, history of colonoscopy-related health education, history of colonoscopy, history of contracts with family doctors were recorded. Knowledge, attitude and practice regarding colonoscopy among the subjects were assessed by using a self-made questionnaire. Data were analyzed by logistic regression. Results:47. 00% (141 cases) of the respondents have a good knowledge of colonoscopy; 24. 33% (73 cases) of the respondents have a positive attitude towards colonoscopy; and 23. 33% (70 cases) of the respondents were examined by colonoscopy. The scores in knowledge, attitude and practice were 18. 94 ± 2. 76, 16. 39 ± 3. 60 and 14. 89 ± 4. 85, respectively. The atti-tude of respondents was closely related to education background, history of high-fat, low-fiber diets, history of colonoscopy-related health education and history of colonoscopy (P<0. 05); while the behavior of respondents was closely related to his-tory of high-fat, low-fiber diets, history of colonoscopy, history of contracts with family doctors and attitude towards colonos-copy (P<0. 05). Conclusion: Knowledge, attitude and practice of colonoscopy in the population at high risk of colorectal cancer remain to be improved. We should improve the acceptance of colonoscopy among those with lower education level, a high-fat, low-fiber diet and no experience of colonoscopy, and encourage them to sign contracts with family doctors to receive regular education and other contractual services in order to increase their knowledge of colonoscopy. It is also effective to im-prove the intervention in lifestyle such as diet, so as to improve the acceptance of colonoscopy.关键词
大肠癌/高危人群/全结肠镜/知信行/影响因素Key words
Colorectal cancer/High-risk population/Total colonoscopy/Knowledge, attitude, practice/Influencing factors分类
医药卫生引用本文复制引用
沈琦,葛英军,刘帅,顾卫英,黄菁菁,张晓红..上海郊区某镇大肠癌高危人群结肠镜检查知信行状况及影响因素研究✲[J].肿瘤预防与治疗,2019,32(8):694-700,7.基金项目
上海青年医师培训资助计划[编号:沪卫计人事(2015)147 号] （2015）
上海市闵行区自然科学研究课题(编号:2018MHZ093) This study was supported by 2015 Shanghai Young Doctors Training Funding Scheme of Shanghai Munici- pal Health and Family Planning Commission (HWJRS [2015] 147) and grants from Science and Technology Commission of Minhang District, Shang-hai ( NO. 2018MHZ093). （编号:2018MHZ093）
