文章基本信息

标题：Colorectal Cancer Screening Participation: Comparisons With Mammography and Prostate-Specific Antigen Screening
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作者：Stephenie Lemon ; Jane Zapka ; Elaine Puleo 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2001
卷号：91
期号：8
页码：1264-1272
语种：English
出版社：American Public Health Association
摘要：Objectives. The relation of personal characteristics, health and lifestyle behaviors, and cancer screening practices to current colorectal cancer (CRC) screening was assessed and compared with those factors' relation to current mammography screening in women and prostate-specific antigen (PSA) screening in men. Methods. A cross-sectional random-digit-dialed telephone survey of 954 Massachusetts residents aged 50 and older was conducted. Results. The overall prevalence of current CRC screening was 55.3%. Logistic regression results indicated that family history of CRC (odds ratio [OR] = 1.98; 95% confidence interval [CI] = 1.02, 3.86), receiving a regular medical checkup (OR = 3.07; 95% CI = 2.00, 4.71), current screening by mammography in women and PSA in men (OR = 4.40; 95% CI = 2.94, 6.58), and vitamin supplement use (OR = 1.87; 95% CI = 1.27, 2.77) were significant predictors of CRC screening. Conclusions. Health and lifestyle behaviors were related to increased current CRC, mammography, and PSA screening. Personal factors independently related to CRC screening were not consistent with those related to mammography and PSA screening. This lack of consistency may reflect different stages of adoption of each type of screening by clinicians and the public. Despite the availability of several effective screening tests that could substantially reduce colorectal cancer (CRC) morbidity and mortality, participation in screening is low; many Americans are diagnosed with and die from the disease each year. 1 Available screening tests include the fecal occult blood test, 2 ^, 3 flexible sigmoidoscopy, 4 ^, 5 colonoscopy, 6 and the double-contrast barium enema. 7 The 1997 Behavioral Risk Factor Surveillance System 8 indicated that 20% of age-eligible participants reported a fecal occult blood test within the previous year, 30% reported a flexible sigmoidoscopy within the previous 5 years, 41% reported having had one or the other of these tests, and 10% reported having had both. Rates in Massachusetts were slightly higher, with 28% reporting a fecal occult blood test within the previous year and 31% reporting a flexible sigmoidoscopy within the previous 5 years. Prevalence rates for mammography screening are higher than those for CRC screening. 9 Among men, prostate-specific antigen (PSA) screening for prostate cancer is widespread, 10 ^, 11 despite equivocal recommendations as to the appropriateness of the test. 12 ^, 13 Research examining the relationships of common health-related behaviors with other screens, as well as relationships between types of screening, is sparse. The purpose of this study was to investigate the prevalence of current CRC screening in a population-based sample of Massachusetts adults, and to examine the relationship of demographic variables, family history of CRC, health insurance status, health services use, lifestyle behaviors, and other screening use to current CRC screening. We compare and contrast the prevalence and predictors of CRC screening with the prevalence and predictors of mammography screening in women and of PSA screening in men.