Wang HJ, Wang JH, Xu D, Wang N. Awareness regarding early treatment and related factors in first-degree relatives of patients with hereditary colorectal cancer.
Shijie Huaren Xiaohua Zazhi 2021;
29:1138-1143. [DOI:
10.11569/wcjd.v29.i19.1138]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND
First-degree relatives of patients with hereditary colorectal cancer are a population at high risk for colorectal cancer, but most of them lack correct health knowledge and screening behaviors. Therefore, raising the awareness of early detection, early diagnosis, and early treatment among this population is particularly important in preventing and treating tumors and improving prognosis.
AIM
To analyze the awareness regarding early treatment and related factors in first-degree relatives of patients with hereditary colorectal cancer.
METHODS
A cross-sectional survey method was used to select 200 first-degree relatives of hereditary colorectal cancer patients who were hospitalized at our hospital from June 2017 to March 2021 as the research subjects. A self-made general information questionnaire was used to collect the basic information of the subjects. An awareness questionnaire was used to identify the risk factors that might affect the awareness regarding early treatment of tumors in the first-degree relatives of hereditary colorectal cancer patients through single-factor and multi-factor analyses.
RESULTS
A total of 200 questionnaires were issued, and 196 valid questionnaires were returned, with an effective recovery rate of 98.00%; 127 of the 196 first-degree relatives chose active treatment, accounting for 64.80%, and 50 chose not to actively treat, accounting for 25.51%. The main reasons for active treatment included economic reasons, fear of pain caused by treatment, and time reasons, accounting for 72.00%, 42.00%, and 34.00%, respectively. Non-conditional logistic regression analysis demonstrated that education level (junior high school and below), marital status (unmarried), family per capita monthly income (< 3000 yuan), medical insurance (new rural cooperative medical care/no medical insurance), no commercial medical insurance, number of blood relatives suffering from colorectal cancer (< 4 people), and cognitive level (low recognition) were risk factors affecting the awareness regarding early treatment of tumors in first-degree relatives (odds ratio > 1, P < 0.05).
CONCLUSION
Awareness regarding early treatment needs to be improved among first-degree relatives of hereditary colorectal cancer patients. Factors such as low education, unmarried status, low family monthly income, and no commercial medical insurance may reduce the awareness of early treatment. Therefore, intervention measures should be formulated according to risk factors to enhance the awareness of early treatment.
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