昆士兰州癌症筛查参与的决定因素：范围综述。
Determinants of cancer screenings participation in Queensland: a scoping review.
机构信息
Darling Downs and West Moreton Primary Health Network, Level 1, 162 Humes Street, Toowoomba, QLD 4350, Australia; and Darling Downs Health Innovation and Research Collaborative, Level 2 Administration Building, Baillie, Henderson Hospital, Toowoomba, QLD 4350, Australia; and Centre for Health Research, University of Southern Queensland, Springfield Campus, 37 Sinnathambly Boulevard, QLD 4300, Australia.
School of Health, Federation University, Brisbane Campus, PO Box 5274, Brisbane, QLD 4000, Australia.
出版信息
J Prim Health Care. 2024 Mar;16(1):70-77. doi: 10.1071/HC23012.
Introduction Cancer screening programmes for cervical, breast, and colorectal cancer have successfully reduced mortality rates among target groups. However, a large proportion of women and men are unscreened. Aim This review aims to provide an overview of the literature regarding the determinants of cancer screening participation among target groups in Queensland. Methods Electronic databases were searched for studies on determinants of cancer screening participation in Queensland. Retrieved studies were screened, and eligible articles were selected for data extraction. Both peer-reviewed and grey literature studies were included. The determinants of cancer screening participation were classified according to the I-Change model. Results Sixteen out of 75 articles were selected and analysed. Information factors, such as the lack of tailored strategies, determined cancer screening participation. Age, gender, cultural beliefs, fear and past experiences were the most reported predisposing factors to cancer screening participation. Lack of knowledge, misconceptions, low awareness, timely access to service, privacy and confidentiality were mainly reported awareness and motivation factors. Encouragement from health professionals, providing more information and interactions with communities would result in different effects on cancer screening participation among the target groups. Discussion The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs.
标题：昆士兰州目标人群癌症筛查参与度的决定因素
摘要：宫颈癌、乳腺癌和结直肠癌的癌症筛查计划已成功降低了目标人群的死亡率。然而，仍有很大一部分女性和男性未接受筛查。本研究旨在提供昆士兰州目标人群癌症筛查参与度决定因素的文献综述。
方法：电子数据库检索关于昆士兰州癌症筛查参与度决定因素的研究。对检索到的研究进行筛选，并选择符合条件的文章进行数据提取。包括同行评议和灰色文献研究。根据 I-Change 模型对癌症筛查参与的决定因素进行分类。
结果：从 75 篇文章中选出并分析了 16 篇。信息因素，如缺乏针对性策略，决定了癌症筛查的参与度。年龄、性别、文化信仰、恐惧和既往经历是报告最多的与癌症筛查参与相关的倾向因素。缺乏知识、误解、低意识、及时获得服务、隐私和保密性是主要报告的意识和动机因素。卫生专业人员的鼓励、提供更多信息以及与社区的互动，将对目标人群的癌症筛查参与产生不同的影响。
结论：I-Change 模型是绘制癌症筛查参与计划当前决定因素的有用工具。可能需要进一步研究以充分了解癌症筛查计划的障碍和促进因素。
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