2015—2017年中国城市居民对肿瘤防治知识的需求、获取途径及相关因素分析  

Analysis on the demand,access and related factors of cancer prevention and treatment knowledge among urban residents in China from 2015 to 2017

作　　者：王坤 刘成成 毛阿燕[1] 石菊芳 董佩[1] 黄慧瑶 王德斌[4] 刘国祥[5] 廖先珍[6] 白亚娜[7] 孙晓杰 任建松 杨莉[9] 魏东华[10] 宋冰冰[11] 雷海科 刘玉琴[13] 张永贞[14] 任思颖[15] 周金意[16] 王家林[17] 龚继勇[17] 于连政[18] 刘运泳[19] 朱琳[20] 郭兰伟 王悠清 贺宇彤[23] 娄培安[24] 蔡波[25] 孙校华[26] 吴寿岭 齐啸 张凯 李霓 陈万青 邱五七[1] 代敏 Wang Kun;Liu Chengcheng;Mao Ayan;Shi Jufang;Dong Pei;Huang Huiyao;Wang Debin;Liu Guoxiang;Liao Xianzhen;Bai Yana;Sun Xiaojie;Ren Jiansong;Yang Li;Wei Donghua;Song Bingbing;Lei Haike;Liu Yuqin;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;Chen Wanqing;Qiu Wuqi;Dai Min(Department of Public Health Strategy Research,Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100020,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 Center,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,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;School 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;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 030013,China;Institute for Chronic and Non-communicable Disease Prevention and Control,Yunnan Center for

机构地区：[1]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 [2]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 [3]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,北京100021 [4]安徽医科大学卫生管理学院,合肥230032 [5]哈尔滨医科大学公共卫生学院,150081 [6]湖南省肿瘤医院肿瘤防治办公室,长沙410006 [7]兰州大学公共卫生学院,730000 [8]山东大学医药卫生管理学院,济南250012 [9]广西医科大学公共卫生学院,南宁530021 [10]安徽省肿瘤医院防癌科,合肥230032 [11]哈尔滨医科大学附属肿瘤医院肿瘤防治办公室,150081 [12]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 [13]甘肃省肿瘤医院肿瘤流行病研究中心,兰州730050 [14]山西省肿瘤医院流行病室,太原030013 [15]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 [16]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 [17]山东省肿瘤医院肿瘤防治办公室,济南250117 [18]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 [19]辽宁省肿瘤医院肿瘤防治办公室,沈阳110042 [20]新疆医科大学附属肿瘤医院肿瘤防治研究所,乌鲁木齐830011 [21]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 [22]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,杭州310022 [23]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 [24]徐州市疾病预防控制中心慢性非传染性疾病控制科,221006 [25]南通市疾病预防控制中心健康教育与慢性病防制科,226000 [26]宁波市第二医院内分泌科,315010 [27]开溧总医院心血管内科,唐山063000 [28]唐山人民医院�

出　　处：《中华预防医学杂志》2020年第1期84-91,共8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)。

摘　　要：目的分析2015—2017年中国城市居民对肿瘤防治知识的需求情况、获取途径及相关因素。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32257名,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、肿瘤防治知识需求情况、获取途径及影响其态度的原因等资料。以χ2检验分析不同特征研究对象肿瘤预防知识需求率的差异;采用logistic回归模型分析肿瘤防治知识的相关因素。结果研究对象整体对肿瘤防治知识的需求率为79.5%,在肿瘤患病的诱因、症状表现、诊断方法防治知识方面,职业人群的需求率最高(P值均<0.001),分别为66.8%、71.0%、20.8%,在治疗方法和治疗费用防治知识方面,现患癌症患者的需求率最高,分别为45.9%和21.9%。肿瘤防治知识获取途径排在前三位的分别为"广播或电视(69.5%)""书报、海报或宣传册(44.7%)"和"家人朋友(33.8%)"。与事业单位人员/公务员、未婚/同居/离婚/丧偶及其他、2014年家庭年收入<2.0万元人民币、东部地区、未被诊断过癌症、自评有患癌风险人群相比,企业人员/工人、已婚、2014年家庭年收入6.0万~14.9万元、中部地区、患有癌症、自评不清楚自身是否有患癌风险的人群对肿瘤防治知识需求意愿相对较高(P值均<0.05)。结论2015—2017年我国城市居民肿瘤防治知识需求率较高,肿瘤防治知识主要获取途径为广播或电视;职业、婚姻状况、家庭年收入、区域、健康状态、患病风险是肿瘤防治需求情况的主要相关因素。Objective To investigate the demand and access to the cancer prevention and treatment knowledge and related factors among urban residents in China 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 general demographic characteristics,the demand and access to cancer prevention and treatment knowledge,and the influencing factors of the attitude.The Chi-square test was used to analyze the difference of the demand of the cancer prevention knowledge among different groups and the corresponding factors of the cancer prevention and treatment knowledge were analyzed by using the logistic regression model.Results The proportion of residents who need the cancer prevention and treatment knowledge was 79.5%.The demand rate of the inducement,symptom and diagnosis methods of cancer in the occupational population was highest,about 66.8%,71.0%and 20.8%,respectively.The demand rate of treatment methods and cost in current cancer patients was the highest,about the 45.9%and 21.9%,respectively.The top three sources to acquire the cancer prevention and treatment knowledge were"broadcast or television"(69.5%),"books,newspapers,posters or brochures"(44.7%)and"family and friends"(33.8%).The multivariate analysis showed that compared with public institution personnel/civil servants,unmarried/cohabiting/divorced/widowed and others,annual household income less than 20000 CNY,from the eastern region,people without cancer diagnosis and people with self-assessment of can

关 键 词：肿瘤 健康素养 因素分析 统计学 

分 类 号：R730[医药卫生—肿瘤]