中国城市男性前列腺癌认知水平调查

An Investigation of Prostate Cancer Knowledge Among Chinese City Men

目的:调查我国城市前列腺癌易患人群目前对该疾病的认知水平及态度,以了解现状并提出改进建议。方法:2007年10月我们在全国17个城市通过发放调查问卷方式调查城市易患男性基本情况、对前列腺癌基本情况的认知、对前列腺癌症状的认知、对前列腺癌危险因素的认知、对前列腺癌治疗和治疗结果的认识以及对前列腺癌诊疗的态度6个方面进行了前列腺癌及其危险因素认知水平调查。并比较分析了受教育程度对这些结果的影响。结果:本研究共发放问卷1700份,其中收到有效可评价问卷376(22.1%)份。被调查者平均年龄(67.1±10.1)岁。其中接受过初中以上教育的占80.1%。在前列腺癌基本情况的认知程度方面,有92.6%的被调查者回答听说过前列腺癌,但只有45.5%回答知道它是什么。受教育程度不同在此方面有显著差异。最常见的获取前列腺癌知识的途径有媒体(43.3%)、就诊过程(25.2%)和宣传册(10.1%)。有32.7%的被调查者认为"父亲患前列腺癌是前列腺癌的危险因素"。有82.2%的被调查者知道外科手术可以用来治疗前列腺癌,但只有8.9%的被调查者知道激素治疗也是治疗前列腺癌的一种方法。对治疗的认识状况方面,受初中以上教育的被调查者对前列腺癌治疗的态度更积极,也更容易接受治疗产生的不良反应。受教育程度对就诊态度的影响没有显著性差异。结论:目前我国城市易患人群中前列腺癌的总体认知水平较低。通过加强宣传改善这种状况,将改善我国前列腺癌的早期诊治率。

Objective： To investigate the knowledge and the attitude toward prostate cancer （PCa） among Chinese city men and raise some suggestions for the improvement of the present state. Methods ： In October 2007, a questionnaire investigation was conducted among males in 17 Chinese cities on the knowledge of PCa in the following 6 aspects ： general state of PCa susceptible city men, basic knowledge, risk factors, symptoms, management and outcome, and attitude toward the treatment of PCa. The influences of education on their scores were analyzed and compared. Results ： We distributed 1 700 copies of the questionnaire and collected 376 （22.1% ） valid ones. The subjects averaged 67.1 ± 10.1 years of age, 80.1% with junior high school education and above. As for the basic knowledge of PCa, 92.6% of them admitted heating of it, but only 45.5% knew what it was, with statistically significant differences among men of different educations. The most common accesses to PCa knowledge were media （ 43.3% ）, hospital consultation （25.2%） and health booklets （ 10.1% ）. Of the total number of subjects, 32.7% regarded ＂ Father has prostate cancer＂ as a risk factor, 82.2% knew that PCa could be treated by surgery, but only 8.9% knew that ＂hormonotherapy has an important role in PCa treatment＂. More positive attitudes toward PCa treatment and its consequence were found among those with higher education. Conclusion： PCa susceptible men in Chinese cities have insufficient knowledge on the disease. Strengthened education in this aspect can improve the present state and promote early diagnosis and treatment of prostate cancer.