彰化縣民眾大腸癌篩檢行為與大腸癌篩檢相關知識、態度之關聯性：個案對照研究

邱虹雅

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彰化县民众大肠癌筛检行为与大肠癌筛检相关知识、态度之关联性：个案对照研究

The relationship between screening behavior and knowledge and attitudes of colorectal cancer screening in Chang-Hua county, Taiwan– a case-control study

邱虹雅 , 硕士　　导师：陆玓玲　　

繁体中文

大肠癌筛检；知识；态度；多层次分析； colorectal cancer screening ； knowledge ； attitude ； multilevel analysis

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摘要 │ 参考文献 (28) │ 国际计量

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Objectives:
The purpose of this paper is to describe the relationship between screening behavior and knowledges, attitudes, and awareness of CRCS. Using multilevel analysis to specify the relationship between the screening behavior and the management status of local public health center.
Methods:
We conducted a cross-sectional household questionnaire survey based on community-based case-control study design. Data of 814 participants was collected from September, 2015 to January, 2016. FOBT screening behaviors(Dependent variable) in 2015 were divided into four groups, namely (1) ever-screenees and completing FOBT in 2015 (regular screenees, as control group), (2) ever-screenees but not completing FOBT in 2015 (irregular screenees), (3) never-screenees and completing FOBT (first screenees), (4) never-screenees and not completing FOBT (never screenees).Independent variables such as knowledge of CRCS, attitudes of CRCS, and area variables (management status of local public health center, etc.) Using multi-nominal logistic regression model and multilevel analysis model for multivariable analysis.
Results:
The major finding as follow: the general disease preventing attitudes of first, and never screenees were lower than regular screenees; the knowledge of CRCS of irregular and never screeneeswere lower than regular screenees;the awareness about CRCS policy of the never screenees was lower than regular screenees. However, the attitudes of CRCS and area variables were unrelated to FOBT screening behaviors.
 
Conclusion:
People with better knowledge of CRCS or more positive in general disease preventing attitudes are more likely to be regular screenees. Increasing opportunity of health education in CRCS may provoke the rate of regular CRCS behavior.
Keyword: colorectal cancer screening; knowledge; attitude; public health center; multilevel analysis

参考文献 ( 28 ) 〈TOP〉

3. Mandel, J.S., et al., Reducing mortality from colorectal cancer by screening for fecal occult blood. New England Journal of Medicine, 1993. 328(19): p. 1365-1371.
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4. Mandel, J.S., et al., The effect of fecal occult-blood screening on the incidence of colorectal cancer. New England Journal of Medicine, 2000. 343(22): p. 1603-1607.
连结：
5. Winawer, S.J., et al., Prevention of colorectal cancer by colonoscopic polypectomy. New England Journal of Medicine, 1993. 329(27): p. 1977-1981.
连结：
7. Hillyer, G.C. and A.I. Neugut, Where does it FIT? The roles of fecal testing and colonoscopy in colorectal cancer screening. Cancer, 2015. 121(18): p. 3186-3189.
连结：
9. Gorin, S.S. and J.E. Heck, Cancer screening among Latino subgroups in the United States. Preventive medicine, 2005. 40(5): p. 515-526.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。