苏北农民胃癌主要影响因素及防治知识现状  

Status of the main influencing factors and prevention knowledge about gastric cancer among peasants in northern Jiangsu province

作　　者：王慧[1] 黄水平[1] 李海朋[1] 

机构地区：[1]徐州医学院公共卫生学院,江苏徐州221004

出　　处：《现代预防医学》2013年第23期4362-4365,4368,共5页Modern Preventive Medicine

基　　金：江苏省科技厅社会发展项目(BE2011647)

摘　　要：目的了解苏北地区农村居民胃癌主要影响因素的流行现状及胃癌防治知识的掌握情况,为胃癌的筛查和干预提供理论依据。方法采用分层整群抽样的方法,随机抽取苏北地区12个农村,现场对35~70岁的人群进行个案调查。结果 3 584例调查对象,胃癌保护因素不足,危险因素普遍存在,胃癌防治知识知晓率偏低,共计8项18分的知识调查,知识得分的中位数仅为2分,低分段人群占74.33%;多因素有序结果的累积优势Logistic回归分析显示:年龄、文化程度、健康教育、家庭月均收入、胃炎病史、胃癌家族史等6个因素差异有统计学意义(P﹤0.05),是影响个人得分高低的因素。结论苏北地区农村居民罹患胃癌的风险较高,胃癌防治知识匮乏,政府及有关部门应该从多角度、多层面出发,大力开展人群胃癌筛查工作,加强健康宣教力度,从而保障人民的生命和健康安全。OBJECTIVE To explore the status of the main influencing factors and prevention knowledge about gastric cancer among peasants in northern Jiangsu province, and provide the theory basis for gastric cancer screening and intervention. METHODS Drew 12 villages at random by stratified cluster sampling method, individual survey was carried out about to 35- 70 crowd of gastric cancer. RESULTS In 3 584 persons, protection factors of gastric cancer were insufficient, risk factors were widespread. Awareness rate was low, total of 8 questions and 18 points, medieln was 2 points, low score group was up to 74.33%, multiple factors of ordinal Logistic regression showed statistical s^gnificanee was in age, standard of culture, health education, monthly income, farnily history of gastric cancer （ P 〈 0.05 ）. CONCLUSION Peasants have high risk of suffering gastric cancer, and they are lack of the prevention and control knowledge about gastric cancer, government and relevant departments should strengthen health education and guarantee people＇s safety of life and health from various angles and multiple levels.

关 键 词：农村居民 胃癌 影响因素 防治知识 

分 类 号：R735.2[医药卫生—肿瘤]