温岭市妇女乳腺癌和宫颈癌筛查率及相关危险因素分析

Analysis of screening rates and related risk factors of breast cancer and cervical cancer of women in Wenling

目的了解温岭市妇女参加乳腺癌和宫颈癌(简称两癌)筛查情况,分析相关危险因素,为今后开展两癌筛查工作提供参考。方法采取多阶段分层抽样的方法,2015年选取温岭市180名妇女为调查对象进行问卷调查和体格检查,收集并整理调查对象年龄、经济状况和健康行为等相关资料,分析调查对象的两癌筛查情况,采用Logistic回归分析其危险因素。结果共发放180份调查问卷,全部回收,有效率为100%。乳腺癌筛查率为23.3%(42/180),宫颈癌筛查率为17.2%(31/180)。单因素分析显示,不同年龄、居住地、文化程度和饮酒情况的女性之间乳腺癌、宫颈癌筛查率差异有统计学意义(P<0.05)。多因素分析显示,年龄高、文化程度低是乳腺癌的危险因素;年龄高、文化程度低和饮酒是宫颈癌的危险因素。结论加强对两癌筛查的重视程度和积极开展健康教育对保障妇女健康具有重要意义。

Objective To understand the screening situation of women＇s participation in breast cancer and cervical cancer （hereinafter referred to as ＂two cancer＂） in Wenling and analyze the related risk factors, in order to provide reference for screening work of ＂two cancer＂ in the near future. Methods According to multi stage stratified sampling method, 180 women in Wenling in 2015 were selected as the research object, they were conducted the questionnaire survey and physical examination, their age, economic status, health behavior and other related information were collected and collated, the screening situation of ＂two cancer＂ were analyzed and the risk factors were analyzed by logistic regression. Results A total of 180 questionnaires were distributed to the survey, all of them were received, the effective rate was 100%. The screening rate of breast cancer was 23.3%（42/180）, and the screening rate of cervical cancer was 17.2% （31/180）. The single factor analysis showed that there were significant differences in the screening rate of breast cancer and cervical cancer among women with different age, residence, education level and drinking status （P 〈 0.05）. Multivariate analysis showed that high age and low educational level were the risk factors of screening rate of breast cancer, while High age, low educational level and drinking status were the risk factors of screening rate of cervical cancer. Conclusion It is significance to strengthen the importance of the ＂two cancer＂ screening and actively carry out health education to protect womenls health.