Titre :
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Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults. (2004)
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Auteurs :
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Ann CHAO ;
Eugenia-E CALLE ;
Vilma COKKINIDES ;
Cari-J CONNELL ;
Eric-J JACOBS ;
Michael-J THUN
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 10, 2004)
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Pagination :
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1775-1781
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Langues:
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Anglais
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Mots-clés :
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Dépistage
;
Endoscopie
;
Adulte
;
Homme
;
Etats Unis
;
Amérique
;
Appareil digestif
;
Intestin
;
Amérique du Nord
;
Côlon
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Résumé :
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[BDSP. Notice produite par INIST-CNRS BkYOR0xn. Diffusion soumise à autorisation]. Objectives : We examined the prevalence of endoscopy (sigmoidoscopy or colonoscopy) by indication and by demographic and lifestyle factors. Methods : We analyzed cross-sectional data collected in 1997 from participants aged 50 years and older in the Cancer Prevention Study (CPS) II Nutrition Cohort. Results : Fifty-eight percent of men and 51% of women reported ever having undergone endoscopy ; only 42% of men and 31% of women reported endoscopy for screening rather than for disease diagnosis or follow-up. Prevalence varied by demographic and lifestyle factors. Conclusions : Efforts to increase colorectal cancer screening need to target women, all persons aged 50-64 years, and those with colorectal cancer risk factors. Future studies should distinguish endoscopy for screening from procedures for disease diagnosis and follow-up to avoid overestimating screening compliance.
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