健康研究2024，Vol.44Issue(4)：375-379,5.DOI:10.19890/j.cnki.issn1674-6449.2024.04.004
结直肠癌高危人群参与结肠镜筛查的现状及影响因素分析
Current status and influencing factors analysis of colonoscopy screening participation in high-risk population with colorectal cancer
摘要
Abstract
Objective To explore the current status and influencing factors of colonoscopy screening participation in high-risk population for colorectal cancer,and to provide insights for promoting proactive health management behaviors among individuals at high risk for colorectal cancer.Methods A total of 624 individuals aged 50 to 70 from Linping District,Hangzhou,who are at high risk for colorectal cancer,were selected as the study subjects.General information,colonoscopy screening participation among the high-risk population were investigated.Binary Logistic regression analysis was employed to identify the influencing factors of colonoscopy screening participation among the high-risk population for colorectal cancer.Results Among the 624 individuals at high risk for colorectal cancer,148 participated in colonoscopy screening,yielding a participation rate of 23.72%.The results of the multifactor analysis revealed that factors such as age,smoking,alcohol consumption,monthly household income,personal history of polyps,family history of colorectal cancer,changes in bowel habits or stool characteristics,medical insurance coverage,awareness of colorectal cancer-related symptoms,and health education were identified as independent risk factors for colonoscopy screening participation among the high-risk population for colorectal cancer(all P<0.05).Furthermore,a risk prediction model for colonoscopy screening participation among the high-risk population for colorectal cancer was constructed.The model fit test showed a χ2=4.095 with a corresponding P=0.848.The AUC of the predictive model was 0.892(P<0.05).Conclusions Based on factors such as age,smoking,alcohol consumption,personal history of polyps,family history of colorectal cancer,and changes in bowel habits or stool characteristics,clinical interventions can be tailored to promote colonoscopy screening participation among individuals at high risk for colorectal cancer.关键词
结直肠癌/结肠镜/高危人群/影响因素/健康行为Key words
colorectal cancer/colonoscopy/high-risk population/influencing factors/health behaviors分类
医药卫生引用本文复制引用
王磊,徐小平,朱荣鹏..结直肠癌高危人群参与结肠镜筛查的现状及影响因素分析[J].健康研究,2024,44(4):375-379,5.基金项目
杭州市卫生科技计划项目(B20220351) （B20220351）
