健康知识讲座前后上海市社区居民肿瘤防治知识知晓率比较分析

Awareness of Cancer Prevention and Control before and after Health Lectures among Community Residents in Shanghai

[目的]了解肿瘤防治知识讲座前后,上海市社区居民的肿瘤防治知识知晓率变化情况。[方法]在上海市随机选取5个区500例居民开展知识讲座。知识讲座由肿瘤防治专家就肿瘤早期症状、相关危险因素和预防肿瘤生活方式等内容进行集中授课,知识讲座选择在周末进行。专家授课前和授课结束后半小时内采用相同的调查问卷由经统一培训的调查员进行调查。调查内容包括居民基本情况、肿瘤防治知识、相关危险因素和预防措施等。共有490例居民参加了知识讲座,其中获得485例居民的二次问卷调查结果,作为分析样本。[结果]知识讲座后,社区居民对肿瘤早期症状(78.0%v.s 89.8%,P<0.001)、肿瘤危险因素(77.3%v.s 86.6%,P<0.001)和预防肿瘤的生活方式(88.7%v.s 92.6%,P=0.036)等知识的知晓率均有提高,尤其是对于提高女性(肿瘤早期症状知晓率80.1%v.s 91.0%、肿瘤危险因素知晓率80.0%v.s 87.2%、预防肿瘤的生活方式知晓率89.8%v.s 94.1%)、30岁^(肿瘤早期症状知晓率77.8%v.s 89.3%、肿瘤危险因素知晓率77.8%v.s 85.5%)、高中(肿瘤早期症状知晓率76.2%v.s 91.9%、肿瘤危险因素知晓率75.7%v.s 87.4%、预防肿瘤的生活方式知晓率88.7%v.s 95.3%)和大专及以上(肿瘤早期症状知晓率85.2%v.s 95.2%、肿瘤危险因素知晓率81.3%v.s 90.9%)人群的知晓率水平尤为明显(P<0.05)。[结论]健康知识讲座后社区居民的肿瘤防治知识知晓率水平有明显提高。

[Objective] To understand the change in awareness of cancer prevention and control before and after health lectures among community residents.[Methods] Five hundred residents from five communities were randomly selected and organized to attend designed health lectures.The lectures were given by invited experts of cancer prevention on weekend with topics of early symptoms, risk factors, and cancer-preventive lifestyle.The participants were asked to fill out the same questionnaires by trained investigators to compare the change of awareness before and 30 minutes after the lectures.Totally 490 community residents attended the lectures, and 485 residents completed two requested questionnaires.[Results] After the lectures, the residents＇ awareness of early symptoms（78.0% v.s 89.8%, P 0.001）, risk factors of cancer（77.3% v.s 86.6%, P 0.001）, and lifestyle to prevent cancer（88.7% v.s 92.6%, P=0.036） were significantly improved, especially among the females（early cancer symptoms, 80.1% v.s 91.0%; risk factors of cancer, 80.0% v.s 87.2%; lifestyle to prevent cancer, 89.8% v.s 94.1%）, being aged 30- years（early cancer symptoms, 77.8% v.s 89.3%; risk factors of cancer, 77.8% v.s 85.5%）, and holding an education level of senior high school（early cancer symptoms, 76.2% v.s 91.9%; risk factors of cancer, 75.7% v.s 87.4%; lifestyle to prevent cancer, 88.7% v.s 95.3%） or junior college（early cancer symptoms, 85.2% v.s 95.2%; risk factors of cancer, 81.3% v.s 90.9%）（P 0.05）.[Conclusion] The awareness of cancer prevention and control among the community residents are greatly improved after related health lectures.