2015年天津市东丽区华明街60～74岁居民大便潜血情况与影响因素

Status of fecal occult blood and its influencing factors among residents aged 60-74 years old in Huaming Street of Dongli District in Tianjin

目的了解天津市东丽区华明街2015年60~74岁居民大便潜血阳性率,并对影响大便潜血阳性的相关因素进行分析。方法采用单纯随机抽样的方法对辖区内的60~74岁居民进行抽样、问卷调查、采集大便并建立数据库,利用SAS 9.3进行数据的分析。结果共调查4 110名研究对象,有效问卷4 022份,其中进行大便潜血检查的2 996人。2 996人中大便潜血阳性82人,阳性率为2.74%。经logistic多因素回归分析,阑尾炎或阑尾手术史(OR=2.77,95%CI=1.24~6.17)是大便潜血阳性的促进因素。结论天津市东丽区华明街2015年60~74岁居民大便潜血阳性率较低,但仍应加强健康教育,对于影响因素加以重视,达到预防大肠癌的目的。

[Objective] To understand the positive rate of fecal occult blood among residents aged 60-74 years old in Huaming Street of Dongli District in Tianjin in 2015, analyze its influencing factors. [Methods] The residents aged 60-74 years old were selected by the method of simple random sampling, to perform the questionnaire survey, the stool samples were collected to establish a database, and the data were analyzed by using the SAS9.3. [Results] There were 4 022 effective questionnaires from 4 110 research objects. The fecal occult blood test was performed in 2 996 people, 82 were positive with the positive rate of 2.74%. The multivariate logistic regression analysis showed that appendicitis or an appendectomy history （OR=2.77, 95%CI=1.24-6.17） was the promotive factor for positive result of fecal occult blood test. [ Conclusion] The positive rate of fecal occult blood is low among residents aged 60-74 years old in Huaming Street of Dongli District in Tianjin. However, it is necessary to strengthen the health education and pay attention to the influencing factors, to achieve the goal of prevention of colorectal cancer.