江苏省徐州市居民对粪便免疫化学检测新型技术接受度与支付意愿调查研究

Survey on Acceptance and Willingness to Pay for A Novel Fecal Immunochemical Test in the Population in Xuzhou of Jiangsu

[目的]调查徐州市居民对粪便免疫化学检测新型技术(FIT)的接受度及支付意愿。[方法]选择2022年5月至2022年6月在徐州市参与结直肠癌筛查的50~74岁无症状社区居民作为研究对象,使用资格审核表评价研究对象的入组资格。通过问卷调查获得一般人口学特征及其对FIT的接受度和支付意愿。利用Stata 16软件对接受度与支付意愿相关因素进行单因素与多因素分析。[结果]共纳入统计分析1264人。在接受度方面,居民对新型FIT技术总体主观接受度为97.47%(1232/1264),其中“完全可以接受者”41.46%(524/1264),“还算可以接受者”56.01%(708/1264)。多因素分析显示,个体户或自由职业者、个人年收入在3万元及以上、家庭年收入在6万元及以上者更容易接受新型FIT,女性、年龄在65~74岁、退休人员、家里有需抚养人口的人群、家庭年医疗支出在1万元及以上以及新型农村合作医疗者较难接受新型FIT。在支付意愿方面,79.43%(1004/1264)的受访者愿意为新型FIT支付一定费用,其中47.41%(476/1004)的受访者愿意支付额度小于100元;而20.57%(260/1264)不愿承担任何费用。多因素分析显示,退休人员支付意愿较强,而女性、年龄在65~74岁、家里有需要抚养人口的人群、家庭年医疗支出大于1万元及以上以及新型农村合作医疗者缺乏支付意愿。[结论]居民对新型FIT技术的接受度及支付意愿均较高,职业、家庭抚养人口数、家庭年医疗支出和个人医保状况可能与接受度及支付意愿有关联。

[Purpose]To survey the acceptance and willingness to pay for a novel fecal immunochemical test(FIT)in colorectal cancer screening among residents in Xuzhou.[Methods]A community-dwelling residents aged 50~74 years in Xuzhou who participated in colorectal cancer screening were randomly selected to participate a questionnaire survey,which was conducted from May 2022 to June 2022.The questionnaire contained general demographic characteristics of participants and their acceptance of FIT and willingness to pay for it.Univariate and multivariate Logistic analyses were used to investigate factors associated with acceptance and willingness to pay and Stata 16 software was applied for data analysis.[Results]A total of 1264 questionnaire were included in the analysis.Of all the participants,97.47%(1232/1264)accepted the new FIT,including 41.46%(524/1264)totally accepted and 56.01%(708/1264)substantially accepted.Multivariate analysis showed that self-employed or freelancers,personal income in 30000 Yuan and above,family income in 60000 Yuan and above were more likely to accept the new FIT;while women,people aged 65~74,retirees,family need to be raised,family medical spending in 10000Yuan and above and the new rural cooperative medical insurance beneficiaries were difficult to accept the new FIT.In terms of willingness to pay,79.43%(1004/1264)of respondents were willing to pay for the new FIT,47.41%of whom(476/1004)were willing to pay less than 100Yuan;20.57%(260/1264)were unwilling to pay any expenses.Multivariate analysis showed that retirees had strong willingness to pay,while women,people aged 65~74,family need to be raised,the annual medical expenditure of more than 10000 Yuan,and the new rural cooperative medical beneficiaries lacked willingness to pay.[Conclusion]The acceptance and willingness to pay for the new FIT for colorectal cancer screening is relatively high in community-dwelling residents of Xuzhou.Occupation,family members to raise,annual medical expenditure in the household and medical insurance status may be related to the acceptance and willingness to pay.