Population’s acceptance and attitude toward a novel fecal immunochemical test for colorectal cancer screening: a multi-center survey in China
10.3760/cma.j.cn112150-20191218-00941
- VernacularTitle:居民对结直肠癌新型粪便免疫化学检测筛查技术接受及评价情况的多中心调查
- Author:
Hong WANG
1
;
Chengcheng LIU
;
Fangzhou BAI
;
Juan ZHU
;
Xinxin YAN
;
Mengdi CAO
;
Lingbin DU
;
Donghua WEI
;
Debin WANG
;
Xianzhen LIAO
;
Dong DONG
;
Yi GAO
;
Pei DONG
;
Chen ZHU
;
Yanling MA
;
Jing CHAI
;
Haifan XIAO
;
Yunxin KONG
;
Qiang ZHANG
;
Weifang ZHENG
;
Rongbiao YING
;
Hai ZHOU
;
Jiansong REN
;
Ni LI
;
Hongda CHEN
;
Jufang SHI
;
Min DAI
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院癌症早诊早治办公室，北京 100021
- Keywords:
Colorectal neoplasms;
Evaluation studies;
Immunochemistry;
Screening
- From:
Chinese Journal of Preventive Medicine
2020;54(7):760-767
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the acceptance and attitude toward a novel fecal immunochemical test (FIT) in colorectal cancer screening among populations in China.Methods:From May 2018 to May 2019, 2 474 people aged 50-74 years were recruited from five provinces of China (Zhejiang, Anhui, Jiangsu, Hunan and Yunnan). The general demographic characteristics, acceptance of the new FIT technology and operational difficulties through the whole screening process were obtained through questionnaire survey. Multivariate logistic regression model was used to analyze the factors related to difficulties encountered in sampling stool, reading and uploading results.Results:The subjects were (60.0±6.4) years old, and female, high school of above educated, unemployed/retired/other, married and with medical insurance status of “new rural cooperative medical care (NRCMC)” accounted for 61.7% (1 526), 29.0%(718), 34.3% (849), 92.7% (2 293) and 31.3%(775), respectively. The population's acceptance of the FIT technology was 94.8%. In the process of FIT screening, the percentage of occurred difficulties in sampling stool, reading and uploading results were 33.1% (819), 46.4% (1 147) and 62.9% (1 557), respectively. The main difficulties were the uncertainty about whether the sampling operation was standard (28.0%), the inability to accurately judge the result displayed (32.5%) and the need for help without using a smartphone (44.2%). The results of multivariate logistic regression model analysis showed that people aged 65-74 years old and with medical insurance status of “NRCMC” were more likely to encounter difficulties in sampling, and those who were unemployed/retired/other and living with 3 or more family members were less likely to encounter difficulties in sampling. Those aged 65-74 years old, farmers or migrant workers, and those with “NRCMC” were more likely to encounter difficulties in readingresults, and those with 3 or more family members were less likely to encounter difficulties in reading result. Those with “NRCMC” were more likely to encounter difficulties in uploading results, and those with education level of high school or above, living with more than 3 family members were less likely to encounter difficulties in uploading results.Conclusion:The acceptance of the new FIT technology is relatively high among the subjects. Age, education level, occupation, number of family members living together and medical insurance status might be related to difficulties encountered in sampling stool, reading and uploading results, and it can be further strengthened in terms of the technology and characteristics of sub-populations.
