Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults

被引：68

作者：

Chao, A ^{[1
]}

Connell, CJ ^{[1
]}

Cokkinides, V ^{[1
]}

Jacobs, EJ ^{[1
]}

Calle, EE ^{[1
]}

Thun, MJ ^{[1
]}

机构：

[1] Amer Canc Soc, Epidemiol & Surveillance Res, Atlanta, GA 30329 USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2004年 / 94卷 / 10期

关键词：

D O I：

10.2105/AJPH.94.10.1775

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. We examined the prevalence of endoscopy (sigmoidoscopy or colonoscopy) by indication and by demographic and lifestyle factors. Methods. We analyzed cross-sectional data collected in 1997 from participants aged 50 years and older in the Cancer Prevention Study (CPS) II Nutrition Cohort. Results. Fifty-eight percent of men and 51% of women reported ever having undergone endoscopy; only 42% of men and 31% of women reported endoscopy for screening rather than for disease diagnosis or follow-up. Prevalence varied by demographic and lifestyle factors. Conclusions. Efforts to increase colorectal cancer screening need to target women, all persons aged 50-64 years, and those with colorectal cancer risk factors. Future studies should distinguish endoscopy for screening from procedures for disease diagnosis and follow-up to avoid overestimating screening compliance.

引用

页码：1775 / 1781

页数：7

共 36 条

[1]

*AM CANC SOC BOARD, 1996, P BOARD DIR ATL GA

[2]

American Cancer Society, 1977, DEV COL CANC ED PROG

[3]

[Anonymous], 2000, HLTH PEOPL 2010, V2nd

[4]

[Anonymous], MMWR MORB MORTAL WKL

[5]

Baier M, 2000, CANCER EPIDEM BIOMAR, V9, P229

[6] Screening for colorectal cancer: Recommendation and rationale [J].

Berg, AO ;

Allan, JD ;

Frame, PS ;

Homer, CJ ;

Johnson, MS ;

Klein, JD ;

Lieu, TA ;

Mulrow, CD ;

Orleans, CT ;

Peipert, JF ;

Pender, NJ ;

Siu, AL ;

Teutsch, SM ;

Westhoff, C ;

Woolf, SH .

ANNALS OF INTERNAL MEDICINE, 2002, 137 (02) :129-131

[7] Progress in cancer screening over a decade: Results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys [J].

Breen, N ;

Wagener, DK ;

Brown, ML ;

Davis, WW ;

Ballard-Barbash, R .

JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2001, 93 (22) :1704-1713

[8] American Cancer Society guidelines for screening and surveillance for early detection of colorectal polyps and cancer: Update 1997 [J].

Byers, T ;

Levin, B ;

Rothenberger, D ;

Dodd, GD ;

Smith, RA .

CA-A CANCER JOURNAL FOR CLINICIANS, 1997, 47 (03) :154-&

[9] The American Cancer Society cancer prevention study II nutrition cohort - Rationale, study design, and baseline characteristics [J].

Calle, EE ;

Rodriguez, C ;

Jacobs, EJ ;

Almon, ML ;

Chao, A ;

McCullough, ML ;

Feigelson, HS ;

Thun, MJ .

CANCER, 2002, 94 (09) :2490-2501

[10]

*CDCP, 2001, MMWR-MORBID MORTAL W, V50, P162

← 1 2 3 4 →