Factors Influencing Colorectal Cancer Screening Participation of High-risk APCS score Population in Srisongkram District, Nakhonphanom province
Keywords:
Colorectal cancer screening, Colonoscopy, APCS score, Participation, Factors influencing decisionAbstract
Objectives : To determine the factors influencing the decision of participation to colorectal screening program with colonoscopy in high risk score population stratified by APCS score in Srisongkram district, Nakhonphanom province and to develop the public awareness enhancing program for high-risk APCS score population to participate in screening. Materials and Methods : The 50-74 years old, population in Srisongkram district of Nakhonphanom province, 409 of 14,840 peoples enrolled into screening program from March to May 2018 by systemic random sampling. They were stratified by APCS score, and the high-risk group was given the information about colorectal cancer disease, asked to answer the questionnaire and advised to undergo colonoscopy within 1 month. Results : 409 people were systemic random sampled from 14,840 people in Srisongkram district, stratified by APCS score 304 people (74.33%). The number of high-risk group was 99 (32.57%). In this study, the uptake rate of colonoscopy in high risk group was 15.15%. % . From data analysis, the independent factors have coverage of influence to dependent factors 82.6% (Adjusted R square 0.826). In the analysis of linear regression, the factors effected the decisions significantly with p value 0.02 (p < 0.05). The factors influenced the decision to undergo colonoscopy were distance from screening unit and family history of colorectal cancer. Conclusion : In this study, participation rate was only 15.15% despite high risk group. The negative factor, influencing the participation was distance from screening unit. The screening program in rural area should be designed to overcome the limitation to increase the uptake of colonoscopy in this group. However, the study in decision factors in this area should be more in the future due to small sample size of this study.
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