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YARI KIRSAL ALANDA YA┼×AYAN K─░┼×─░LERDE GA─░TADA G─░ZL─░ KAN TARAMASI VE TARAMA PROGRAMLARI HAKKINDA FARKINDALIKLARI - FECAL OCCULT BLOOD SCREENING in PEOPLE LIVING in SEMIRURAL AREA and THEIR AWARENESS about SCREENING PROGRAMS | ├ľzt├╝rk Emiral | Eski┼čehir T├╝rk D├╝nyas─▒ Uygulama ve Ara┼čt─▒rma Merkezi Halk Sa─čl─▒─č─▒ Dergisi (ISSN:2564-6311)

YARI KIRSAL ALANDA YA┼×AYAN K─░┼×─░LERDE GA─░TADA G─░ZL─░ KAN TARAMASI VE TARAMA PROGRAMLARI HAKKINDA FARKINDALIKLARI - FECAL OCCULT BLOOD SCREENING in PEOPLE LIVING in SEMIRURAL AREA and THEIR AWARENESS about SCREENING PROGRAMS

G├╝ls├╝m ├ľzt├╝rk Emiral, Burcu I┼č─▒ktekin Atalay, Muhammed Fatih ├ľns├╝z, Asl─▒ Melek Zeytin, Yavuz Selim K├╝├ž├╝k, Burhanettin I┼č─▒kl─▒, Selma Metinta┼č

├ľz


Ama├ž: ├çal─▒┼čmada yar─▒ k─▒rsal alanda ya┼čayan 50-70 ya┼č aras─▒ndaki ki┼čilerin kolorektal kanser tarama programlar─▒n─▒ hakk─▒ndaki fark─▒ndal─▒klar─▒n─▒n de─čerlendirilmesi ve gaitada gizli kan testi ile taramalar─▒n─▒n yap─▒lmas─▒ ama├žland─▒.

Gere├ž-y├Ântem: ├çal─▒┼čma, 2015 y─▒l─▒nda Eski┼čehir Osmangazi ├ťniversitesi E─čitim-Ara┼čt─▒rma b├Âlgesinde yer alan Toplum Sa─čl─▒─č─▒ Merkezleri (TSM)ÔÇÖnden rastgele se├žilen iki b├Âlgede (Mahmudiye ve Beylikova) yap─▒lan kesitsel tipte bir ara┼čt─▒rmad─▒r. TSMÔÇÖlerin sa─čl─▒k kay─▒tlar─▒ndan il├že merkezlerinde ya┼čayan 50-70 ya┼č aras─▒nda 1637 ki┼činin adres bilgilerine ula┼č─▒ld─▒. ├çal─▒┼čma g├╝n-saatinde, belirlenmi┼č adreslere gidildi ve 1533 ki┼čiye (%93.6) ula┼č─▒ld─▒.

├çal─▒┼čmaya kat─▒lmay─▒ kabul eden 495 ki┼či (%32.3) ile anket formu dolduruldu. Daha sonra gaitada gizli kan tarama testini yapt─▒rmay─▒ kabul edenlere, testi nas─▒l yapacaklar─▒ anlat─▒larak test kiti verildi. Da─č─▒t─▒lan kitler 48 saat sonra topland─▒. Al─▒nan numuneler klavuzuna uygun olarak
analiz edilerek ÔÇśnegatifÔÇÖ, ÔÇśpozitifÔÇÖ ve ÔÇśge├žersizÔÇÖ olarak de─čerlendirildi. Veriler IBM SPSS (versiyon 15.0) paket program─▒nda de─čerlendirildi. Verilerin analizinde KiKare ve ├žoklu lojistik regresyon analizi kullan─▒ld─▒.

Bulgular: ├çal─▒┼čma grubunu olu┼čturanlar─▒n ya┼člar─▒ 50-70 aras─▒nda de─či┼čmekte olup ortalama (standart sapma) 59.2 (5.8) y─▒l idi. Kat─▒l─▒mc─▒lar─▒n 221ÔÇÖi (%44.6) erkek, 450ÔÇÖsi (%90.9) evli, 295ÔÇÖi (%59.6) ilkokul mezunuydu.
├çal─▒┼čma grubunu olu┼čturanlardan daha ├Ânce gaitada gizli kan tarama testini duyanlar─▒n say─▒s─▒177ÔÇÖsi (%35.8) idi. Kat─▒l─▒mc─▒lardan ├žal─▒┼čmadan ├Ânce kolorektal kanserler ile ilgili herhangi bir tarama testi yapt─▒rma s─▒kl─▒─č─▒ %19.4 (n=96) olup, tarama testlerini duyanlarda, kad─▒nlarda ve
hekim tan─▒l─▒ kronik hastal─▒─č─▒ olanlarda tarama testine kat─▒lma oran─▒ daha y├╝ksekti.
├çal─▒┼čmada 113 (%22.8) ki┼či gaitada gizli kan tarama testi kitini almak istemedi. ├ľ─črenim d├╝zeyi y├╝ksek olan, gelir durumu k├Ât├╝ olan, akrabalar─▒nda kolorektal kanser ├Âyk├╝s├╝ olanlarda gaitada gizli kan tarama testine kat─▒l─▒m s─▒kl─▒─č─▒ daha fazlayd─▒. Gaitada gizli kan tarama testi kiti verilen ve sonucu de─čerlendirmeye al─▒nan 307 kat─▒l─▒mc─▒dan 45ÔÇÖinin (%14.7) sonucu ÔÇśpozitifÔÇÖ idi.

Sonu├ž: Kolorektal kanser tarama programlar─▒n─▒ duyan ki┼čilerde tarama programlar─▒na kat─▒lma s─▒kl─▒─č─▒ daha y├╝ksek bulundu. ├çal─▒┼čmada ula┼č─▒lan ki┼čilere ara┼čt─▒rma hakk─▒nda bilgi verildikten gaitada gizli kan tarama testini yapmak istemeyen, kit verilse bile de─čerlendirmeye al─▒nmayan
ki┼či orant─▒lar─▒ y├╝ksekti. Bu durum gaitada gizli kan tarama testinin toplum taraf─▒ndan kabul edilebilirli─činin az oldu─čunu ve uygulanabilirli─činin zorlu─čunu g├Âstermektedir.

Anahtar S├Âzc├╝kler: Kanser, kolorektal kanser, tarama programlar─▒, fark─▒ndal─▒k

FECAL OCCULT BLOOD SCREENING in PEOPLE LIVING in SEMIRURAL AREA and THEIR AWARENESS about SCREENING PROGRAMS

Objective: The aim of the study is to evaluate the awareness of colorectal cancer screening programs among people aged between 50 and 70 living in semirural area and to perform their screening with fecal occult blood screening test.

Material-method: This is a cross-sectional study was conducted among individuals aged 50- 70 years living in two randomly selected regions (Mahmudiye and Beylikova) from Community Health Centers (CHC) in Eskisehir Osmangazi University Training and Research Area in 2015. From the health records of CHCs, the address information of 1637 people living in the district centers between the ages of 50 and 70 was obtained. At the working day-time, the selected addresses were visited and 1533 people were reached (93.6%). A questionnaire was completed with 495 people (32.3%) who agreed to participate in the study. Those who agreed to have the fecal occult blood screening test were given a test kit describing how to carry out the test. Distributed kits were collected after 48 hours. The samples were evaluated as 'negative', 'positive' and 'invalid' according to the guidelines. The data were evaluated in the IBM SPSS (version 15.0) package program. Chi Square and multiple logistic regression analyzes were used in the analysis of the data.

Results: The age of the study group ranged from 50 to 70 years with a mean (standart deviation) of 59.2 (5.8) years. 221 (44.6%) were male, and 450 (90.9%) were married; 295 (82.0%) had primary and lower education level. 177 (35.8%) were aware of hemoccult test among the study group. The frequency of any screening test for colorectal cancer before the study was 19.4% (n = 96) and the participation to the test was higher in women and in patients having physician- diagnosed chronic diseases. In the study, 113 (22.8%) participants did not want to receive the hemoccult test kit. There was a higher frequency of participation in those who had a higher education level, poor income status, and had colorectal cancer stories in their relatives. Of the 307 participants who received the fecal occult blood screening test kit and were subsequently evaluated, 45 (14.7%) were 'positive'.

Conclusion: People who were aware of colorectal cancer screening programs were more likely to participate in screening programs. After being informed about the research, the percentage of people who did not want to participate to the test and even if the kit was given, whose test can not be evaluated was high. This suggests that the community's acceptability of the fecal occult blood screening test is low and its applicability is difficult.

Key Words: Cancer, colorectal cancer, screening programs, awareness 


Tam Metin:

ARTICLE 5

Referanslar


World Health Organization, 2015, " Ageing and health ". Eri┼čim adresi: http://www.who.int/mediacentre/factsheets/fs404/en/ ( eri┼čim tarihi : 29.12.2016)

World Health Organization, 2016, "Global strategy and action plan on ageing and health (2016-2020) ", Eri┼čim adresi: http://www.who.int/ageing/global-strategy/en/ (eri┼čim tarihi : 29.12.2016 )

Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O'Donnell, M., Sullivan, R., & Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice. The Lancet, 385(9967), 549-562.

Alwan, A. (2011). Global status report on noncommunicable diseases 2010. World Health Organization.

Segnan, N., J. Patnick, & L. Von Karsa. (2010) European guidelines for quality assurance in colorectal cancer screening and diagnosis. Office for Official Publications of the European Communities.

Stewart, B.W. & C. Wild, World cancer report (2014). international agency for research on cancer. World Health Organization, 2014. 505.

Zubero, M. B., Arana-Arri, E., Pijoan, J. I., Portillo, I., Idigoras, I., L├│pez-Urrutia, A., ... & Bujanda, L. (2014). Population-based colorectal cancer screening: comparison of two fecal occult blood test. Frontiers in pharmacology, 4, 175.

Scottish Intercollegiate Guidelines Network (SIGN), (2011) " DiagnosisandManage-mentofColorectalCancer ". Eri┼čim adresi: http://www.sign.ac.uk/guidelines/fulltext/126/index.html (eri┼čim tarihi:10.11.2017)

Hardcastle, J. D., Chamberlain, J. O., Robinson, M. H., Moss, S. M., Amar, S. S., Balfour, T. W., ...& Mangham, C. M. (1996). Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. The Lancet, 348(9040), 1472-1477.

Hewitson, P., Glasziou, P., Watson, E., Towler, B., & Irwig, L. (2008). Cochrane systematic review of colorectal cancer screening using the fecal occult blood test (hemoccult): an update. The American journal of gastroenterology, 103(6), 1541.

Kronborg, O., Fenger, C., Olsen, J., J├Şrgensen, O. D., & S├Şndergaard, O. (1996). Randomised study of screening for colorectal cancer with faecal-occult-blood test. The Lancet, 348(9040), 1467-1471.

Mandel, J. S., Church, T. R., Bond, J. H., Ederer, F., Geisser, M. S., Mongin, S. J., ... & Schuman, L. M. (2000). The effect of fecal occult-blood screening on the incidence of colorectal cancer. New England Journal of Medicine, 343(22), 1603-1607.

Mandel, J. S., Bond, J. H., Church, T. R., Snover, D. C., Bradley, G. M., Schuman, L. M., & Ederer, F. (1993). Reducing mortality from colorectal cancer by screening for fecal occult blood. New England Journal of Medicine, 328(19), 1365-1371.

Shaukat, A., Mongin, S. J., Geisser, M. S., Lederle, F. A., Bond, J. H., Mandel, J. S., & Church, T. R. (2013). Long-term mortality after screening for colorectal cancer. New England Journal of Medicine, 369(12), 1106-1114.

European Code Against Cancer (2012). Eri┼čim adresi: http://ec.europa.eu/health-eu/doc/cancercode_en.pdf (eri┼čim tarihi : 10.10.2015)

Lin, J. S., Piper, M. A., Perdue, L. A., Rutter, C. M., Webber, E. M., O'Connor, E., ... & Whitlock, E. P. (2016). Screening for colorectal cancer: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 315(23), 2576-2594.

T├╝rkiye Sa─čl─▒k Bakanl─▒─č─▒ (2012). "Kolorektal Kanser Tarama Program─▒ Ulusal Standartlar─▒", Eri┼čim adresi: http://kanser.gov.tr/Dosya/tarama/kolorektal.pdf (eri┼čim tarihi:20.20.2016)

T├╝rkiye Sa─čl─▒k Bakanl─▒─č─▒ (2013). T├╝rkiye Halk Sa─čl─▒─č─▒ Kurumu, Kanser Daire Ba┼čkanl─▒─č─▒. Eri┼čim adresi: http://kanser. gov. tr/index. php/dairefaaliyetleri/kanser-kayitciligi/108-t% C3% BCrkiyede-kanser-kayitcigi (eri┼čim tarihi:20.10.2016)

Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., ... & Bray, F. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International journal of cancer, 136(5).

Knudsen, A. B., Zauber, A. G., Rutter, C. M., Naber, S. K., Doria-Rose, V. P., Pabiniak, C., ... & Kuntz, K. M. (2016). Estimation of benefits, burden, and harms of colorectal cancer screening strategies: modeling study for the US Preventive Services Task Force. Jama, 315(23), 2595-2609.

Greiner, K. A., Born, W., Nollen, N., & Ahluwalia, J. S. (2005). Knowledge and perceptions of colorectal cancer screening among urban African Americans. Journal of general internal medicine, 20(11), 977-983.

Woudstra, A. J., Dekker, E., EssinkÔÇÉBot, M. L., & Suurmond, J. (2016). Knowledge, attitudes and beliefs regarding colorectal cancer screening among ethnic minority groups in the Netherlands-a qualitative study. Health Expectations, 19(6), 1312-1323.

Le, T. D., Carney, P. A., Lee-Lin, F., Leung, H., Lau, C., Mori, M., ... & Lieberman, D. A. (2011). Differences in Knowledge, Attitudes, Beliefs, and Perceived Risks Regarding Colorectal Cancer Screening Among Chinese, Korean, and Vietnamese Sub-Groups. Gastroenterology, 140(5), S-21.

Arnold, C. L., Rademaker, A., Liu, D., & Davis, T. C. (2017). Changes in colorectal cancer screening knowledge, behavior, beliefs, self-efficacy, and barriers among community health clinic patients after a health literacy intervention. Journal of community medicine & health education, 7(1).

Seeff, L. C., Nadel, M. R., Klabunde, C. N., Thompson, T., Shapiro, J. A., Vernon, S. W., & Coates, R. J. (2004). Patterns and predictors of colorectal cancer test use in the adult US population. Cancer, 100(10), 2093-2103.

Weber, M. F., Banks, E., Ward, R., & Sitas, F. (2008). Population characteristics related to colorectal cancer testing in New South Wales, Australia: results from the 45 and Up Study cohort. Journal of Medical Screening, 15(3), 137-142.

Oliver, J. S., Ewell, P., Nicholls, K., Chapman, K., & Ford, S. A. (2016, January). Differences in Colorectal Cancer Risk Knowledge Among Alabamians: Screening Implications. In Oncology nursing forum (Vol. 43, No. 1).

Huxley, R. R., AnsaryÔÇÉMoghaddam, A., Clifton, P., Czernichow, S., Parr, C. L., & Woodward, M. (2009). The impact of dietary and lifestyle risk factors on risk of colorectal cancer: a quantitative overview of the epidemiological evidence. International journal of cancer, 125(1), 171-180.

Lu, X., Holt, C. L., Chen, J. C., Le, D., Chen, J., Kim, G. Y., ... & Lee, S. (2016). Is colorectal cancer a western disease? Role of knowledge and influence of misconception on colorectal cancer screening among Chinese and Korean Americans: A mixed methods study. Asian Pacific journal of cancer prevention: APJCP, 17(11), 4885.

Garcia-Alonso, F. J., Tejero, M. H., Cambrod├│n, D. B., & Bermejo, F. (2017). Knowledge acquired, satisfaction attained and attitudes towards shared decision making in colorectal cancer screening. Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology, 30(1), 76.

Rees, G., Martin, P. R., & Macrae, F. A. (2008). Screening participation in individuals with a family history of colorectal cancer: a review. European journal of cancer care, 17(3), 221-232.

Juon, H. S., Guo, J., Kim, J., & Lee, S. (2017). Predictors of Colorectal Cancer Knowledge and Screening Among Asian Americans Aged 50-75 years old. Journal of racial and ethnic health disparities, 1-8.

McKinney, S. Y., & Palmer, R. C. (2014). The Influence of gender on colorectal cancer knowledge, screening intention, perceived risk and worry among African Americans in South Florida. Journal of community health, 39(2), 230-238.

Holden, D. J., Jonas, D. E., Porterfield, D. S., Reuland, D., & Harris, R. (2010). Systematic review: enhancing the use and quality of colorectal cancer screening. Annals of internal medicine, 152(10), 668-676.

Ma, G. X., Wang, M. Q., Toubbeh, J., Tan, Y., Shive, S., & Wu, D. (2012). Factors associated with colorectal cancer screening among Cambodians, Vietnamese, Koreans and Chinese living in the United States. North American journal of medicine & science, 5(1), 1.

Warner, E. L., Bodson, J., Mooney, R., Lai, D., Samadder, N. J., & Kepka, D. (2017). Latinas' Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing. Journal of immigrant and minority health, 1-10.

Flowers, L., Noel-Miller, C., & Okrent, D. (2013). Colonoscopy screening after the Affordable Care Act: Cost barriers persist for Medicare beneficiaries.

Jones, R. M., Devers, K. J., Kuzel, A. J., & Woolf, S. H. (2010). Patient-reported barriers to colorectal cancer screening: a mixed-methods analysis. American journal of preventive medicine, 38(5), 508-516.


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