重庆市居民癌症防治核心知识知晓情况调查分析

Investigation and analysis of awareness of core knowledge about cancer prevention and treatment in Chongqing residents

目的了解重庆市居民癌症防治核心知识知晓情况及影响因素,为制定癌症防治健康教育策略提供科学依据。方法于2021年9月,采用多阶段分层抽样方法从重庆市9个区(县)抽取15~69岁常住居民11066人为调查对象进行癌症防治核心知识问卷调查。采用SPSS 24.0统计软件进行χ^(2)检验和多因素logistic回归分析。结果重庆市居民总体癌症防治核心知识知晓率为59.7%,按照性别、年龄、户口类型加权后知晓率依次为59.5%、59.7%、60.0%。居民在癌症的认知、预防、早诊早治、管理和康复5个维度的知晓率依次为58.0%、58.3%、61.2%、64.0%和53.6%。多因素logistic回归分析结果显示,男性(OR=0.751)、高龄(与15~29岁相比,60~69岁的OR值为0.587)、少数民族(OR=0.647)、文化程度较低(与大专及以上相比,高中或中专或技校、初中、小学及以下的OR值分别为0.713、0.533、0.632)、农村户口(OR=0.681)、职业为非机关事业单位(与机关事业单位相比,工农业劳动者、专业技术人员、其他职业的OR值分别为0.663、0.694、0.677)以及居住在主城区(OR=0.571)居民的癌症防治核心知识知晓率较低,年龄为30~44岁(与15~29岁相比,OR值为1.243)、以前或现在吸烟(OR=1.229)、有癌症家族史(OR=1.180)、参加过癌症筛查项目或防癌体检(OR=1.478)居民的癌症防治核心知识知晓率较高,均有统计学意义(P<0.05)。结论重庆市居民癌症防治核心知识知晓率还有待提升,要重点加强男性、高龄、少数民族、文化程度较低、农村户口、居住在主城区的居民癌症防治核心知识健康教育。

Objective To understand the awareness of core knowledge about cancer prevention and treatment in Chongqing residents,and provide the scientific basis for formulating health education strategies.Methods In September 2021,a total of 11066 residents(15-69 years old)were selected by multistage stratified sampling method from nine districts of Chongqing as the subjects.The investigation of awareness of core knowledge about cancer prevention and treatment was performed with the questionnaire.The χ^(2) test was used to analyze the data.The multiple factors logistic regression was used to analyze the influencing factors.The used software was SPSS 24.0.Results The awareness rate of the core knowledge about cancer prevention and treatment among Chongqing residents was 59.7%,after weighted by gender,age and household type,the awareness rates were59.5%,59.7%and 60.0%,respectively.The awareness rates of residents in five dimensions of cancer cognition,prevention,early diagnosis and treatment,management and rehabilitation were 58.0%,58.3%,61.2%,64.0%and 53.6%,respectively.The multiple factors logistic regression show that the male(OR=0.751),old age(60-69 years old OR=0.578,as compared with 15-29 years old),ethnic minorities(OR=0.647),lower education level(compared with college or above,the OR values of senior high school or technical secondary school or technical school,junior high school,primary school and below were 0.713,0.533 and 0.632,respectively),rural household registration(OR=0.681),occupation in non government public institutions(compared with government public institutions,the OR values of workers and peasants,professional technicians,residents with other occupations were 0.663,0.694 and 0.677,respectively)and living in main urban area of Chongqing(OR=0.571)were negatively related with the awareness rate of core knowledge about cancer prevention and treatment;30-44 years old(compared with 15-29 years old,the OR value was 1.243),previous or current smoking(OR=1.229),family history of cancer(OR=1.180),participating in cancer screening programs or cancer prevention physical examination(OR=1.478)were positively related with the awareness rate of core knowledge about cancer prevention and treatment(P 0.05).Conclusion The awareness rate of the core knowledge about cancer prevention and treatment in Chongqing residents needs to be improved.It is necessary to strengthen the health education of the core knowledge about cancer prevention and treatment among the males,elderly,ethnic minorities,low educational,rural residents and residents living in main urban area of Chongqing.