摘要
目的分析2015—2017年中国城市早诊早治项目地区居民肿瘤早发现意识现况及相关因素。方法采用横断面调查的方法,于2015—2017年以2015年度"城市癌症早诊早治项目"覆盖的16个项目省份为研究现场,采用整群及方便抽样的方法,将年龄≥18岁、能够理解调查程序的居民纳入研究。共纳入32257名研究对象,社区居民、癌症风险评估/筛查干预人群、现患癌症患者及职业人群分别有15524、8016、2289、6428名。采用自制的调查问卷收集人口、社会经济学指标、自我患癌风险评价、是否定期参加体检等信息,并采用多因素logistic回归模型分析近5年未定期体检者体检意愿的相关因素。结果研究对象中自评具有患病风险、不具有患病风险、不清楚者分别占27.54%、45.48%和26.98%;其中自评具有患癌风险者考虑体检的比例占79.84%。近5年参加定期体检、未定期体检者分别占65.43%和34.56%。多因素logistics回归模型分析结果显示,离婚人群、中部和东部的受访者的参加定期体检的意愿更为积极(P值均<0.05);2014年家庭年收入在2.0万元~3.9万元者、4.0万元~5.9万元者、职业人群、社区居民、现患癌症患者、自评无患癌风险人群及不清楚自己患癌风险者参加体检的意愿较低(P值均<0.05)。结论2015—2017年中国城市早诊早治项目地区居民肿瘤早发现意识较好;婚姻状况、家庭收入、人群分组、自我患病风险评价与近5年未定期参加体检者定期参加体检的意愿相关。
Objective To understand the consciousness of the cancer early detection among urban residents and identify the influencing factors from 2015 to 2017.Methods A cross-sectional survey was conducted in 16 provinces covered by the Cancer Screening Program in Urban China from 2015 to 2017.A total of 32257 local residents aged≥18 years old who could understand the investigation procedure were included in the study by using the cluster sampling method and convenient sampling method.All local residents were categorized into four groups,which contained 15524 community residents,8016 cancer risk assessment/screening population,2289 cancer patients and 6428 occupational population,respectively.Self-designed questionnaires were used to collect population,socioeconomic indicators,self-cancer risk assessment,regular participation in physical examination and other information.The multivariate logistic regression model was used to identify the factors of people who had not regularly participated in the regular physical examination in the past five years.Results The self-assessment results of 32357 residents showed that there were 27.54%(8882)of total study population with self-reported cancer risk,45.48%(14671)without cancer risk and 26.98%(8704)with unclear judgement on their own cancer risk.Among population with cancer risk,79.84%(7091)considered physical examination accounted.In the past five years,there were 21105(65.43%)residents participated in regular physical examination and 11148(34.56%)participated in non-scheduled one,respectively.The multivariate logistic regression analysis showed that compared with unmarried and western region residents,divorced,middle and eastern region residents had a stronger consciousness to participate in the regular physical examination(P<0.05).Compare with residents with annual household income less than 20000 CNY in 2014,cancer risk assessment/screening intervention population,and self-assessment with cancer risk,residents with annual household income between 20000 CNY and 59000 CNY in 2014,occupational population,community residents,cancer patients,self-reported cancer-free risk,and self-assessment with unclear judgement of cancer risk were less likely to participate in the regular physical examination(all P values<0.05).Conclusion From 2015 to 2017,the Chinese urban residents had a acceptable consciousness of the cancer early detection.The marital status,annual household income,population group and self-assessment of cancer risk were related to the consciousness of the cancer early detection of people who had not participated in the regular physical examination in the past five years.
作者
毛阿燕
石菊芳
邱五七
刘成成
董佩
黄慧瑶
王坤
王德斌
刘国祥
廖先珍
白亚娜
孙晓杰
任建松
杨莉
魏东华
宋冰冰
雷海科
刘玉琴
张永贞
任思颖
周金意
王家林
龚继勇
于连政
刘运泳
朱琳
郭兰伟
王悠清
贺宇彤
娄培安
蔡波
孙校华
吴寿岭
齐啸
张凯
李霓
代敏
陈万青
Mao Ayan;Shi Jufang;Qiu Wuqi;Liu Chengcheng;Dong Pei;Huang Huiyao;Wang Kun;Wang Debin;Liu Guoxiang;Liao Xianzhen;Bai Yana;Sun Xiaojie;Ren Jiansong;Yang Li;Wei Donghua;Song Bingbing;Lei Haike;Liu Yuqin;Zhang Yongzhen;Ren Siying;Zhou Jinyi;Wang Jialin;Gong Jiyong;Yu Lianzheng;Liu Yunyong;Zhu Lin;Guo Lanwei;Wang Youqing;He Yutong;Lou Peian;Cai Bo;Sun Xiaohua;Wu Shouling;Qi Xiao;Zhang Kai;Li Ni;Dai Min;Chen Wanting(Department of Public Health Strategy Research,Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100020,China;Office of Cancer Screening,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Clinical Trials Center,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Health Management College,Anhui Medical University,Hefei 230032,China;School of Public Health,Harbin Medical University,Harbin 150081,China;The Department of Cancer Prevention and Control,Hunan Provincial Cancer Hospital,Changsha 410006,China;School of Public Health,Lanzhou University,Lanzhou 730000,China;School of Health Care Management,Shandong University,Jinan 250012,China;School of Public Health,Guangxi Medical University,Nanning 530021,China;Department of Medical Examination for Cancer Prevention,Anhui Provincial Cancer Hospital,Hefei 230032,China;The Department of Cancer Prevention and Control,Affiliated Cancer Hospital of Harbin Medical University,Harbin 150081,China;Department of Cancer Research and Control,Chongqing University Cancer Hospital/Chongqing Cancer Institute/Chongqing Cancer Hospital,Chongqing 400030,China;Department of Cancer Epidemiology,Gansu Provincial Cancer Hospital,Lanzhou 730050,China;Department of Epidemiology,Shanxi Provincial Center Hospital,Taiyiian 030013,China;Institute for Chronic and Non-communicable Disease Prevention and Control,Yunnan Center for Disease Prevention and Control,Kunming 650118,China;Department of Chronic Disease Control,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;The Department of Cancer Prevention and Control,Shandong Tumor Hospital,Jinan 250117,China;Institute for Chronic and Non-communicable Disease Prevention and Control,Liaoning Provincial Center for Disease Control and Prevention,Shenyang 110005,China;The Department of Cancer Prevention and Control,Liaoning Cancer Hospital&Institute,Shenyang 110042,China;Cancer Research Institute,Affiliated Cancer Hospital of Xinjiang Medical Universityy Urumqi 830011,China;Office for Cancer Control and Research,Henan Cancer Hospital/The Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China;Department of Cancer Prevention,Cancer Hospital of University of Chinese Academy of Sciences/Zhejiang Cancer Hospital,Hangzhou 310022,China;The Department of Cancer Prevention and Control,Cancer Institute,The Fourth Affiliated Hospital of Hebei Medical University,Shijiazhuang 05001U China;Department of Control and Prevention of Chronic Non-communicable Diseases,Xuzhou Center for Disease Control and Prevention,Xuzhou 221006,China;Department of Health Education and Chronic Disease Control,Nantong Center for Disease Control and Prevention,Nantong 226000,China;Endocrine Department,Ningbo NO.2 Hospital,Ningbo 315010,China;Department of Cardiovascular Diseases,Kailuan General Hospital,Tangshan 063000,China;Office of Cancer Screening,Tangshan People’s Hospital,Tangshan 063001,China;Department of Medical Examination for Cancer Preventionf National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2020年第1期54-61,共8页
Chinese Journal of Preventive Medicine
基金
国家重大公共卫生服务项目城市癌症早诊早治项目
国家重点研发计划(2017YFC0910100、2018YFC1313100)
北京城市癌症早诊早治项目卫生经济学评价
中国医学科学院医学与健康科技创新工程项目(2016-12M-2-004、2017-I2M-1-006、2019-I2M-2-004)
国家自然科学基金(81773521、8197121078)。
关键词
肿瘤
健康素养
横断面研究
早发现
城市居民
Neoplasms
Health literacy
Cross-sectional
Weaker detection
Urban population
作者简介
毛阿燕和石菊芳对本文有同等贡献;通信作者:邱五七,Email:qiu.wuqi@imicams.ac.cn;通信作者:陈万青,Email:chenwq@cicams.ac.cn。
