以地區層級探討影響臺灣大腸直腸癌篩檢覆蓋率之因素

游宇捷

doi:10.6342/NTU.2015.01694

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以地區層級探討影響臺灣大腸直腸癌篩檢覆蓋率之因素

Factors Associating with Coverage Rate of Colorectal Cancer Screening in Taiwan at the Township Level

游宇捷 , Masters　　Advisor：季瑋珠　　Co-advisor ：陳秀熙

英文 DOI： 10.6342/NTU.2015.01694

大腸直腸癌篩檢；糞便潛血檢查；覆蓋率；鄉鎮市區層級；社區參與；社會人口學；醫療資源； CRC screening ； Fecal immunochemical test ； Coverage rate ； Township level ； Community participation ； Social demographic characteristics ； Health care services

Abstract │ Reference (45) │ Altmetrics

Abstract 〈TOP〉

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Background:
Cancer screening is a good means to detect and treat cancer at early stage with available screening tool. However, the implementation of it often faces with criticism about health inequity. Colorectal cancer (CRC) is one of the leading cancers, and fecal immunochemical test (FIT) for the early detection of CRC is one of the major cancer screenings in Taiwan. However, most of previous studies focused on individual factors for the compliance of screening.
Aim:
Our purpose is to conduct a study with the regard to the association between the 3 groups of community factors at the township level, which are levels of community participation, social demographic characteristics and the amount of health care services, and coverage rate with FIT screenings of CRC.
Materials and Methods:
This is a cross-sectional study in 2009-2013, including 368 townships in Taiwan. We calculated the coverage rate in each township by 2 datasets, which were obtained from Taiwan Cancer Screening Registry System and Department of Statistics, Ministry of the Interior. In order to simplify the variables and reduce dimensions of
the group of community participation, and reclassify the urbanization, we conducted principal component factor analysis and cluster analysis. Furthermore, simple and multiple linear regressions analyses were used to understand the relationships between CRC screening coverage rate and 3 groups of factors.
Results:
We included 368 townships in Taiwan in our study. The coverage of CRC screening is around 8.5% 1.5%. After conducting regression analysis at the township level, we found the following factors might have a positive impact on coverage rate of CRC screening: higher fund and development in community, lower level of household size, aging index, participation in university, and urbanization in social demographic characteristics, and higher amount of health care services.
Conclusion:
Community participation, social demographics characteristics, and the amount of health care services might associate with the coverage rate of CRC FIT screening. However, upon our research, CRC screening program might not compensate for the phenomenon of health inequity. By roughly realizing which factors might have influence on CRC FIT screening, we need to make further efforts to improve the
participation in CRC FIT screening program according to different local conditions in Taiwan.

Reference ( 45 ) 〈TOP〉

2012 Cancer registry annual report, Health Promotion Administration Ministry of
連結：
Health and Welfare, 2015.
連結：
Allender, S., Lacey, B., Webster, P., Rayner, M., Deepa, M., Scarborough, P., . . . Mohan, V. (2010). Level of urbanization and noncommunicable disease risk factors in Tamil Nadu, India. Bull World Health Organ, 88(4), 297-304.
連結：
Bae, N., Park, S., & Lim, S. (2014). Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs, 18(1), 72-77.
連結：
Unit, 2013
連結：

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