Research On The Status Quo And Influencing Factors Of Colonoscopy Screening In High-risk Groups Of Colorectal Cancer In Yunnan

ObjectiveBased on the health belief model,the Powe fatalism scale is sinicized to provide a measurement tool for cancer fatalism in China.The current situation of colonoscopy screening in colorectal cancer high-risk groups aged 40～74 in Yunnan Province was investigated,and its influencing factors were analyzed,which provided a reference for improving the participation rate of colonoscopy screening in high-risk groups of colorectal cancer in Yunnan Province in the future.Methods1.Obtain the authorization of localization,adopt the Beaton cross-cultural debugging guide to localize the Powe fatalism scale,adopt the convenience sampling method,and select the oncology department of 10 hospitals in Yunnan Province and the general surgery and gastroenterology department of 1 hospital in Yunnan Province from September 18,2022 ～ February 18,2023 to conduct a questionnaire survey on the highrisk group of colorectal cancer aged 40～74,and conduct psychometric analysis of the scale through item analysis,validity and reliability analysis.2.From September 18,2022 ～ February 18,2023,the high-risk population of colorectal cancer aged 40～74 in the oncology department of 10 hospitals in Yunnan Province and the department of general surgery and gastroenterology of one of the hospitals was selected as the research subjects for questionnaire survey.Based on the health belief model,the general information questionnaire,colorectal cancer and screening related information table,"colorectal cancer and screening knowledge" subscale,Chinese version of Powe fatalism scale and colorectal cancer health belief scale were used to investigate the current status of colonoscopy screening and its influencing factors in high-risk groups of colorectal cancer in Yunnan Province.Data were analyzed using descriptive statistical methods,χ2 or Fisher’s exact tests,t or F tests,and binary logistic regression analysis.ResutsThe Chinese version of the Powe Fatalism Inventory(PFI)consists of 15 items in 4dimensions(predetermined,inevitability of death,pessimism,fear).The Cronbachs’ αcoefficient of the aggregate table is 0.853,and the Cronbachs’ α in 4 dimensions is between 0.582 ～ 0.836;The half-fold reliability was 0.845;the retest reliability of the total table after 2 weeks was 0.823.2.In this study,a total of 450 questionnaires were distributed,404 questionnaires were recovered,348 valid questionnaires were obtained,and the average age was(54.45±10.01)years.The participation rate of colonoscopy screening of 348 high-risk groups of colorectal cancer in Yunnan Province was 16.7%,the score of colorectal cancer and screening knowledge was(12.68±4.45),the score of cancer fatalism was(4.41±3.84),and the score of colorectal cancer health belief was(115.92±9.22).The results of binary logistic regression analysis showed that those with two or more chronic constipation/diarrhea/mucus and bloody stools(OR=11.049,95%CI: 1.535～79.548),lived in the township(OR=3.814,95%CI: 1.079～13.485),had a family history of cancer(OR=3.847,95%CI: 1.637～9.039),and understood the diseases and conditions of people with colorectal cancer around them(OR= 3.377,95%CI: 1.306～8.728),perceived susceptibility to colorectal cancer(OR=1.158,95%CI: 1.017～1.318),which was a favorable factor for colonoscopy participation;51～60 years old(OR=0.387,95%CI:0.156～0.961),urban and rural residents’ medical insurance(OR=0.186,95%CI:0.045～0.771),drinking history(OR=0.316,95%CI: 0.125～0.8)were the unfavorable factors of colonoscopy participation.Conclusion1.The Chinese version of the Powe fatalism scale has good reliability and validity,but is easily affected by time and other confounding factors,and can be used to measure the level of cancer fatalism in people at high risk of colorectal cancer.2.The 348 high-risk groups of colorectal cancer in Yunnan Province had low colonoscopy participation rate,low colorectal cancer and screening knowledge scores,"low level of cancer fatalism,but slightly higher fear of colonoscopy screening and unknown results",and moderate scores on colorectal cancer health belief scale;In the "Health Belief Model",in addition to demographic factors and disease factors,only the dimension of "perceived susceptibility to colorectal cancer" could independently explain and predict the colonoscopy screening behavior of 348 high-risk groups of colorectal cancer in Yunnan Province.In addition to perceived susceptibility as an interventionable factor,other demographic factors and disease factors are not interventional factors,and the higher the perceived susceptibility to colorectal cancer,the higher the colonoscopy participation rate of people.