Abstract:
Objective To compare the efficiency of questionnaire survey and fecal occult blood test in colorectal cancer screening among middle aged and elder rural residents in Daxing district, Beijing.
Methods With multistage random cluster sampling, we carried out colorectal cancer screening among 5 508 male and 6 534 female permanent rural residents aged 44 – 74 years from November 2018 to May 2019. Persons at a high risk of colorectal cancer among the residents were screened out based on the results of a face-to-face questionnaire survey and fecal occult blood test.
Results Univariate factor analysis indicated that smoking, alcohol drinking, and sedentary office work were the risk factors for being assessed at high risk of colorectal cancer based on the results of questionnaire survey and fecal occult blood test (all P < 0.05). Multivariate logistic regression analysis revealed that the participants suffering from ulcerative colitis and hemorrhoids were more likely to report risk factors of colorectal cancer in questionnaire survey and to have positive results of fecal occult blood test (both P < 0.05).
Conclusion Questionnaire survey and fecal occult blood test are of great significance in colorectal cancer screening for identifying persons at high colorectal cancer risk.