- 作者：M. Dolores Perea ; Gemma Casta?o-Vinyals ; Jone M. Altzibar ; Nieves Ascunce ; V¨ªctor Moreno ; Adonina Tardon ; Marina Poll¨¢n ; Maria Sala ; en nombre de los investigadores del MCC-Spain
- 关键词：Detecció ; n precoz del cá ; ncer ; Cribado poblacional ; Estilo de vida ; Comorbilidad ; Factores de riesgo ; Mamografí ; a ; Antí ; geno especí ; fico de pró ; stata
- 刊名：Gaceta Sanitaria
- 出版年：2012
- 出版时间：July-August, 2012
- 年：2012
- 卷：26
- 期：4
- 页码：301-310
- 全文大小：245 K
Objectives
To estimate the prevalence of screening practices in the population controls of the multi-case control study (MCC-Spain) study and to evaluate its association with lifestyles.
Methods
We carried out a cross-sectional analysis of 1505 population controls of the MCC-Spain study, aged 20-85, enrolled from 2008-2010 in five areas of Spain. The prevalence of screening tests in the last 5 years was estimated and its association with lifestyles was assessed using logistic regression models.
Results
The most prevalent tests were mammography (98.2 % , age 50-69 years) and cytology (94.5 % , age 25-65 years) in women and prostate-specific antigen in men (71.5 % , age 50 or over). Participation in fecal occult blood testing was lower (11.2 % and 16.2 % in women and men aged 50-74, respectively). Eating at least three pieces of fruit and vegetables per day was associated with higher participation in mammography (ORa: 5.24, 95 % CI: 1.96-14.07). In men, overweight-obesity was linked to higher participation in prostate-specific antigen testing (ORa: 1.88; 95 % CI: 1.15-3.08). In general, the presence of comorbidities was associated with utilization of cancer screening tests.
Conclusions
The prevalence of screening practices was high for breast, cervical and prostate cancer and was low for colorectal cancer. No common lifestyle patterns were associated with participation, although differences were found by sex and type of screening test. These results may be useful to guide further studies on screening practices and review possible inefficiencies.