【摘 要】
：
目的 从知信行理论和社区参与理论视角了解农村居民大肠癌筛查的参与意愿和行为,探讨农村居民大肠癌筛查参与意愿的相关影响因素,构建农村居民大肠癌筛查参与行为影响因素的理论框架.[方法]于2014年3月采用整群抽样的方法,对北京市韩村河镇两个村的村民进行入户访问式问卷调查,了解其大肠癌筛查的知识信念和社区相关因素的现况,利用描述性分析、Spearman秩相关系数、列联系数、logistic回归等统计方法
【机 构】
：
首都医科大学卫生管理与教育学院,北京,100069 中国医学科学院肿瘤医院内镜科,北京,10002
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目的 从知信行理论和社区参与理论视角了解农村居民大肠癌筛查的参与意愿和行为,探讨农村居民大肠癌筛查参与意愿的相关影响因素,构建农村居民大肠癌筛查参与行为影响因素的理论框架.[方法]于2014年3月采用整群抽样的方法,对北京市韩村河镇两个村的村民进行入户访问式问卷调查,了解其大肠癌筛查的知识信念和社区相关因素的现况,利用描述性分析、Spearman秩相关系数、列联系数、logistic回归等统计方法进行统计学分析.[结果]在愿意接受调查的村民中,仅有38.61％的村民听过大肠癌,2.40％的村民曾经参加过大肠癌筛查,87.30％的人表明如果时间地点合适则愿意参加免费的大肠癌筛查.村民大肠癌筛查的知识与信念、信念与参与意愿之间存在正向弱相关(P＜0.05),但知识与筛查意愿之间的相关性无显著性统计学意义(P＞0.05).社区依赖、邻里交谈、邻里互助等社区因素与参与意愿存在正相关关系(P＜0.05).logistic回归分析表明婚姻、收入、信念、社区依赖、邻里互助是大肠癌筛查参与意愿的影响因素.[结论]对于农村居民而言,知识信念因素以及社区依赖、邻里互助等社区因素均对其大肠癌筛查参与意愿和行为有影响.
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