摘要
目的分析2015—2017年中国城市居民早诊断意识现状及其相关因素。方法采用横断面调查的方法,于2015—2017年以2015年度城市癌症早诊早治项目覆盖的16个项目省份为研究现场,采用整群及方便抽样的方法,将年龄≥18岁、能够理解调查程序的居民纳入研究。共纳入32257名研究对象,社区居民、癌症风险评估/筛查干预人群、现患癌症患者及职业人群分别有15524、8016、2289、6428名。采用自制的调查问卷收集一般人口学特征、早诊断意识(假如自己体检查出异常结果的情况后是否去医院确诊、假如亲人或好朋友体检中查出异常结果的情况后是否会建议其及时确诊)等信息,采用多因素非条件logistic回归模型分析早诊断意识的相关因素。结果假如自己体检查出异常结果的情况,89.29%(28802名)对象选择进一步就医寻求确诊;假如亲人或好朋友体检查出异常结果的情况,89.55%(28886名)对象建议对方及时确诊。多因素非条件logistic回归模型分析结果显示,相对于事业单位人员/公务员、2014年家庭年总收入2.0万元以下、西部地区及癌症风险评估/筛查干预人群,公司职员,2014年家庭年总收入4.0万元及以上者,东部和中部地区人群,更倾向于去医院进一步确诊;而无业人员和社区居民倾向于不去医院确诊(P值均<0.05)。结论2015—2017年中国城市居民的肿瘤早诊断意识整体较好,职业、家庭年总收入、地区和人群分组是早诊断意识的相关因素。
Objective To understand the consciousness of the cancer early diagnosis among urban residents and identify the related factors from 2015 to 2017.Methods A cross-sectional survey was conducted in 16 provinces covered by the Cancer Screening Program in Urban China from 2015 to 2017.A total of 32257 local residents aged≥18 years old who could understand the investigation procedure were included in the study by using the cluster sampling method and convenient sampling method.All local residents were categorized into four groups,which contained 15524 community residents,8016 cancer risk assessment/screening population,2289 cancer patients and 6428 occupational population,respectively.The general demographic characteristics,the consciousness of the cancer early diagnosis(whether people would have a willingness or encourage their relatives/friends to confirm the abnormal results once which were detected from the physical examination)and other information were collected by using the self-designed questionnaire.The non-conditional logistic regression model was used to identify the relateol factors related to the consciousness of the cancer early diagnosis.Results As for residents with abnormal result from the physical examination,89.29%(28802)of residents would choose to seek medical treatment for further diagnosis.If their relatives/friends had abnormal results from the physical examination,89.55%(28886)of residents would encourage their relatives/friends to confirm the diagnosis in time.The non-conditional logistic regression model analysis showed that compared with the public institution staff/civil servants,annual household income less than 20000 CNY,the western region and the cancer risk assessment/screening intervention population,the company staff,annual household income about 40000 CNY and more,and the residents from the middle and eastern region had a stronger consciousness to seek further diagnosis;while the unemployed residents and community residents were less likely to seek further diagnosis(P<0.05).Conclusions From 2015 to 2017,the Chinese urban residents had a good consciousness of the cancer early diagnosis.Occupation,annual household income,residential region and population group were related to the consciousness of the cancer early diagnosis.
作者
程萱
董佩
石菊芳
邱五七
刘成成
王坤
黄慧瑶
白亚娜
孙晓杰
王德斌
刘国祥
廖先珍
杨莉
魏东华
宋冰冰
雷海科
刘玉琴
张永贞
任思颖
周金意
王家林
龚继勇
于连政
刘运泳
朱琳
郭兰伟
王悠清
贺宇彤
娄培安
蔡波
孙校华
吴寿岭
齐啸
张凯
李霓
任建松
陈万青
代敏
毛阿燕
Cheng Xuan;Dong Pei;Shi Jufang;Qiu Wuqi;Liu Chengcheng;Wang Kun;Huang Huiyao;Bai Yana;Sun Xiaojie;Wang Debin;Liu Guoxiang;Liao Xianzhen;Yang Li;Wei Donghua;Song Bingbing;Lei Haike;Liu Yiujin;Zhang Yongzhen;Ren Siying;Zhou Jinyi;Wang Jialin;Gong Jiyong;Yu Lianzheng;Liu Yunyong;Zhu Lin;Guo Lanwei;Wang Youqing;He Yutong;Lou Peian;Cai Bo;Sun Xiaohua;Wu Shouling;Qi Xiao;Zhang Kai;Li Ni;Ren Jiansong;Chen Wanqing;Dai Min;Mao Ayan(Administrative Office,Peking Union Medical College Hospital,Beijing 100730,China;Department of Public Health Strategy Research,Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100021,China;Office of Cancer Screening,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Clinical Trials Centerf National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;School of Public Health,Lanzhou University,Laruhou 730000,China;School of Health Care Management,Shandong University,Jinan 250012,China;Health Management College,Anhui Medical University,Hefei 230032,China;School of Public Health,Harbin Medical Universityf Harbin 1500819 China;The Department of Cancer Prevention and Control,Hunan Provincial Cancer Hospital,Changsha 410006,China;School of Public Health,Guangxi Medical University,Nanning 530021,China;Department of Medical Examination for Cancer Prevention,Anhui Provincial Cancer Hospital,Hefei 230032,China;The Department of Cancer Prevention and Control,Affiliated Cancer Hospital of Harbin Medical University,Harbin 150081,China;Department of Cancer Research and Control,Chongqing University Cancer Hospital/Chongqing Cancer Institute/Chongqing Cancer Hospital,Chongqing 400030,China;Department of Cancer Epidemiology,Gansu Provincial Cancer Hospital,Lanzhou 730050,China;Department of Epidemiology,Shanxi Provincial Center Hospital,Taiyuan 030013y China;Institute for Chronic and Non-communicable Disease Prevention and Control,Yunnan Center for Disease Prevention and Control,Kunming 650118,Chirm;Department of Chronic Disease Control,Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;The Department of Cancer Prevention and Control,Shandong Tumor Hospital,Jinan 250117,China;Institute for Chronic and Non-communicable Disease Prevention and Control,Liaoning Provincial Center for Disease Control and Prevention,Shenyang 110005,China;The Department of Cancer Prevention and Control,Liaoning Cancer Hospital&Institutey Shenyang 110042,China;Cancer Research Institute,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi 830011,China;Office for Cancer Control and Research,Henan Cancer H ospital/The Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China;Department of Cancer Prevention,Cancer hospital of University of Chinese Academy of Sciences/Zhejiang Cancer Hospital,Hangzhou 310022,China;The Department of Cancer Prevention and Control,Cancer Institute,The Fourth Affiliated Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Control and Prevention of Chronic Non-communicable Diseases,Xuzhou Center for Disease Control and Prevention,Xuzhou 221006,China;Department of Health Education and Chronic Disease Control,Nantong Center for Disease Control and Prevention,Nantong 226000,China;Endocrine Department,Ningbo NO.2 Hospital,Ningbo 315010,China;Department of Cardiovascular Diseases,Kailuan General Hospital,Tangshan 063000,China;Office of Cancer Screening,Tangshan People's Hospital,Tangshan 063001,China;Department of Medical Examination for Cancer Prevention,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2020年第1期62-68,共7页
Chinese Journal of Preventive Medicine
基金
国家重大公共卫生服务项目城市癌症早诊早治项目
国家重点研发计划(2017YFC0910100)
北京城市癌症早诊早治项目卫生经济学评价
中国医学科学院医学与健康科技创新工程项目(2017-I2M-1-006)。
关键词
肿瘤
健康素养
横断面研究
早诊断
Neoplasms
Health literacy
Cross-sectional
Early diagnosis