ปัจจัยที่มีความสัมพันธ์กับผลบวกจากการตรวจคัดกรองมะเร็งลำไส้ใหญ่และไส้ตรง ด้วยการตรวจหาเลือดแฝงในอุจจาระของประชาชน อายุ 50-70 ปี อำเภอห้วยเม็ก จังหวัดกาฬสินธุ์
Year: 2025
Type: article
Study design: Observational Study
Abstract: This analytical Case-control study aimed to investigate the factors associated with positive results from colorectal cancer screening by fecal immunochemical test among people aged 50-70 years in Huaimek district, Kalasin province. The sample group consisted of 141 people in the case group and 282 people in the control group. Data were collected using a structured questionnaire, which underwent Content validity assessment by three experts, yielding item-objective congruence (IOC) values between 0.67 and 1. The questionnaire was pilot-tested in 30 individuals with similar characteristics to the study population, demonstrating high reliability with Cronbach’s alpha coefficients of 0.90 for health behaviors and 0.94 for health literacy. Descriptive statistics included frequency, percentage, mean, standard deviation, and range, while inferential statistics were analyzed using multiple logistic regression at a significance level of 0.05. The results showed that the factors significantly associated with positive results from colorectal cancer screening by fecal immunochemical test (p-value <0.05) were history of abnormal gastrointestinal symptoms (ORadj = 2.19, 95% CI: 1.19-4.05, p-value = 0.011), inadequate and problematic health literacy regarding access to colorectal cancer information (ORadj = 1.81, 95% CI: 1.08-3.05, p-value = 0.023), as well as inadequate and problematic health literacy regarding the application of health information in self-care (ORadj = 2.14, 95% CI: 1.20-3.83, p-value = 0.010). It could be suggested that the current guidelines should be revised to mandate at least annual FIT screening for individuals at heightened risk. In parallel, proactive community-level health literacy initiatives must be intensified by creating user-friendly, actionable educational resources and by expanding accessible channels through which the public can readily consult qualified health professionals.
Authors: Srimungkhun, Suchawadee, Chanaboon, Sutin
Language: Thai
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220168636