2013年上海市青浦区白鹤镇社区卫生服务中心大肠癌筛查流行病学特征分析

Epidemiological Characteristics of Colorectal Cancer Screening in Baihe Community Health Service Center,Qingpu District,Shanghai in 2013

目的通过分析上海市青浦区白鹤镇社区居民大肠癌筛查结果,为制定大肠癌预防控制策略提供依据。方法2013年,对符合筛查条件、自愿参加的白鹤镇居民开展大肠癌初筛和复查、筛查项目主要为危险度评估、大便隐血检测(FOBT)和肠镜。结果白鹤镇共筛查10183人,初筛阳性为995人(9.77%)、初筛阳性肠镜受检率为20.48%,logistics回归分析,文化程度和一级亲属肠癌史为大肠癌初筛阳性人群肠镜检为主要影响因素。结论进一步做好50-59岁人群的宣传发动、重点对文化程度低、亲属没有肠癌史的居民做好健康教育、并分级分类对于复查人员进行补贴或奖励,提升初筛阳性肠镜受检率,提高大肠癌的早发现率。

Objective By analyzing the results of colorectal cancer screening in Baihe Town,Qingpu District,Shanghaio provide basis for the development of colorectal cancer prevention and control strategy.Methods In 2013,the first screening and reexamination of colorectal cancer were carried out for the residents of Baihe Town who met the screening conditions and participated in the screening voluntarily.The screening projects mainly included risk assessment,fecal occult blood test(FOBT)and enteroscopy.Results A total of 10183 people were screened in Baihe Town.995(9.77%)of them were positive in the first screening,and 20.48%of them were positive in the first screening.Conclusion It will further promote the promotion of the 50-59-year-old population,focus on health education for the residents with low education level and no history of colorectal cancer among their relatives,and provide subsidies or rewards for the reexaminers by classification,so as to improve the rate of screening positive colonoscopy and the early detection rate of colorectal cancer.