2015—2017年中国城市居民肿瘤预防意识健康素养及相关因素分析  

Study on the health literacy and related factors of the cancer prevention consciousness among urban residents in China from 2015 to 2017

作　　者：刘成成 石春雷[2] 石菊芳 毛阿燕[3] 黄慧瑶 董佩[3] 白方舟 陈韵思 王德斌[5] 刘国祥[6] 廖先珍[7] 白亚娜[8] 孙晓杰[9] 任建松 杨莉[10] 魏东华[11] 宋冰冰[12] 雷海科 刘玉琴[14] 张永贞[15] 任思颖[16] 周金意[17] 王家林[18] 龚继勇[18] 于连政[19] 刘运泳[20] 朱琳[21] 郭兰伟 王悠清 贺宇彤[24] 娄培安[25] 蔡波[26] 孙校华[27] 吴寿岭[28] 齐啸 张凯 李霓 徐望红[31] 邱五七[3] 代敏 陈万青 Liu Chengcheng;Shi Chunlei;Shi Jufang;Mao Ayan;Huang Huiyuo;Dong Pei;Bai Fangzhou;Chen Yunsi;Wang Debin;Liu Guoxiang;Liao Xianzhen;Bai Yana;Sun Xiaojie;Ren Jiansong;Yang Li;Wei Donghua;Song Bingbing;Lei Haihe;Liu Yuqin;Zhang Yongzhen;Ren Siying;Zhou Jinyi;Wang Jialin;Gong Jiyong;Yu Lianzheng;Liu Yunyong;Zhu Lin;Guo Lanwei;Wang Youging;He Yutong;Lou Peian;Cai Bo;Sun Xiaohua;Wu Shouling;Qi Xiao;Zhang Kai;Li Ni;Xu Wanghong;Qiu Wuqi;Dai Min;Chen Wanqing(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;Department of Disease Control and Prevention,Xuzhou Center for Disease Control and Prevention,Xuzhou 221006,China;Department of Public Health Strategy Research,Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100020,China;Clinical Trials Center,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing]00020,China;Health Management College,Anhui Medical University,Hefei 230032,China;School of Public Health,Harbin Medical University,Harbin 150081,China;The Department of Cancer Prevention and Control,Hunan Provincial Cancer Hospital,Changsha 410006,China;School of Public Health,Lanzhou University,Lanzhou 730000,China;Scholl of Health Care Management,Shandong University,Jinan 250012,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;l2The 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 Epide

机构地区：[1]国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院癌症早诊早治办公室,北京100021 [2]徐州市疾病预防控制中心疾病预防控制科,221006 [3]中国医学科学院医学信息研究所公共卫生战略情报研究室,北京100020 [4]国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院药物临床试验研究中心,北京100020 [5]安徽医科大学卫生管理学院,合肥230032 [6]哈尔滨医科大学公共卫生学院,150081 [7]湖南省肿瘤医院肿瘤防治办公室,长沙410006 [8]兰州大学公共卫生学院,730000 [9]山东大学卫生管理学院,济南250012 [10]广西医科大学公共卫生学院,南宁530021 [11]安徽省肿瘤医院防癌科,合肥230032 [12]哈尔滨医科大学附属肿瘤医院肿瘤防治办公室,150081 [13]重庆大学附属肿瘤医院重庆市肿瘤研究所重庆市肿瘤医院肿瘤防治办公室,400030 [14]广甘肃省肿瘤医院流行病研究中心,兰州730050 [15]山西省肿瘤医院流行病室,太原030013 [16]云南省疾病预防控制中心慢性非传染性疾病防制所,昆明650118 [17]江苏省疾病预防控制中心慢性非传染性疾病防制所,南京210009 [18]山东省肿瘤医院肿瘤防治办公室,济南250117 [19]辽宁省疾病预防控制中心慢性非传染性疾病防制所,沈阳110005 [20]辽宁省肿瘤医院肿瘤防治办公室,沈阳110042 [21]广新疆医科大学附属肿瘤医院肿瘤防治研究所,乌鲁木齐830011 [22]郑州大学附属肿瘤医院河南省肿瘤医院肿瘤防治研究办公室,450008 [23]中国科学院大学附属肿瘤医院浙江省肿瘤医院肿瘤防治科,税州310022 [24]河北医科大学第四医院肿瘤研究所肿瘤防治办公室,石家庄050011 [25]徐州市疾病预防控制中心慢性非传染性疾病控制科,221006 [26]南通市疾病预防控制中心健康教育与慢性病防制科,226000 [27]宁波市第二医院内分泌科,315010 [28]开滦�

出　　处：《中华预防医学杂志》2020年第1期47-53,共7页Chinese Journal of Preventive Medicine

基　　金：中国医学科学院医学与健康科技创新工程项目(2017-I2M-1-006、2019-I2M-2-004);国家自然科学基金(81773521、8197121078);中国医学科学院中央级公益性科研院所基本科研业务费青年医学人才奖励项目(2018RC330001);重大慢性非传染性疾病防控专项(2017YFC1308700);国家重大公共卫生服务项目城市癌症早诊早治项目。

摘　　要：目的了解2015—2017年中国城市居民肿瘤预防意识健康素养水平及相关因素。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。问卷收集一般人口学特征及针对9种常见致癌因素(吸烟、饮酒、纤维类食物、饮食过烫腌制食品或嚼食槟榔、幽门螺杆菌、霉变食物、乙型肝炎感染、雌激素、锻炼)的预防意识,采用多因素logistic回归模型分析肿瘤预防意识的相关因素。结果研究对象中具备肿瘤预防意识者占77.4%,4类亚组人群分别为77.4%、79.9%、77.2%和74.5%。针对9种危险因素预防意识正确回答率为55.2%~93.0%。多因素logistic回归模型分析结果显示,癌症风险评估/筛查干预人群和现患癌症患者、初中及以上学历者、共同生活家庭人口数≥3名者的肿瘤预防意识健康素养较高(P值均<0.05);男性、高年龄组(≥40岁)、企业人员/工人和公司职员等、中部和西部地区的人群肿瘤预防意识健康素养较低(P值均<0.05)。结论中国城市居民肿瘤预防意识健康素养水平有待进一步提高;癌症筛查干预、性别、年龄、文化程度、职业、共同生活家庭人口数和地区等与肿瘤预防意识健康素养有关联。Objective To understand the health literacy and relevant factors of cancer prevention consciousness in Chinese urban residents 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 self-designed questionnaire was used to collect the information of demographic characteristics and cancer prevention consciousness focusing on nine common risk factors,including smoking,alcohol,fiber food,food in hot temperature or pickled food,chewing betel nut,helicobacter pylori,moldy food,hepatitis B infection,estrogen,and exercise.The logistic regression model was adopted to identify the influencing factors.Results The overall health literacy of the cancer prevention consciousness was 77.4%(24980 participants),with 77.4%(12018 participants),79.9%(6406 participants),77.2%(1766 participants)and 74.5%(4709 participants)in each group(P<0.001).The correct response rates for nine risk factors ranged from 55.2%to 93.0%.The multivariate logistic regression analysis showed that compared with community residents,people with primary school level education or below,and the number of people living together in the family<3,the cancer risk assessment/screening intervention population,cancer patients,those with junior high school level educationor above and the number of people living in the family≥3 had better health literacy of the cancer prevention consciousness(all P values<0.05).Compared with females,39 years old and below,government-affiliated institutions or civil servants,from the eastern region,males,older than 40 years,company or e

关 键 词：肿瘤 健康素养 横断面研究 预防意识 城市居民 

分 类 号：R73[医药卫生—肿瘤]