การตรวจสอบแบบแผนความเชื่อด้านสุขภาพและแรงสนับสนุนทางสังคมต่อการเข้าร่วมตรวจคัดกรองโรคมะเร็งลำไส้ใหญ่/ไส้ตรงในประชากรไทย อายุ 45-74 ปี อำเภอน้ำพอง จังหวัดขอนแก่น ด้วยโมเดลสมการโครงสร้าง

วีรพล โคตรหานาม; พงษ์เดช สารการ; นิคม ถนอมเสียง

Authors

วีรพล โคตรหานาม กลุ่มงานทันตกรรม โรงพยาบาลศรีสมเด็จ จังหวัดร้อยเอ็ด
พงษ์เดช สารการ คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น
นิคม ถนอมเสียง คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น

Keywords:

Colorectal Cancer Screening, Health Believe Model, Social Support Theory, Structural Equation Modeling : SEM

Abstract

Introduction: Cancer screening is the process of looking for cancer or pre-cancer in people who have no symptoms of the disease. Regular colorectal cancer screening is one of the most powerful measures for preventing colorectal cancer. Effective treatment can improve the five-year survival rate. Therefore, colorectal cancer screening is a direct benefit to detect traces of such diseases in the first stage. However, there is a low level of participation. The purpose of this study was to develop and validate the causal relationships model of factors affecting on Colorectal Cancer Screening participation.

Methods: A cross-sectional study was used, 297 participants were selected from the study group of the population-base systematic random sampling aged 45-74 years old in Nam Phong district, Khon Kaen, Thailand. 297 who have ever participated and never participated in the colorectal screening project of Khon Kaen University in conjunction with the National Taiwan University, Srinakarin Hospital, Nam Phong Hospital and the District Public Health Office were recruited. Data were collected using a query interview questionnaire by the local public health officer. Structural Equation Modeling technique was performed using with STATA 15 program.

Result: The study found the minor factors in Health Believe Model and Social support Theory affecting on Colorectal Cancer Screening participation were significantly. But an overview of the analysis model of Health Believe Model and Social support Theory affecting on Colorectal Cancer Screening participation were non significantly. The causal relationships model of factors Health Believe Model and Social support Theory affecting on Colorectal Cancer Screening participation were non significantly consistent with empirical data (Chi-square<0.001, GFI=0.999, CFI=1.000, RMSEA=-, SRMR=0.172, TLI=-, AIC=17852.064, BIC=18295.683).

Conclusion: The model non significance that factors in Health Believe Model and Social Support Theory for the importance of CRC screening. But the study found that social support mostly have moderate to minimal. Measures to increase social support to the people of such a group. Have knowledge of and access to the system of screening for colorectal cancer screening.

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