德阳地区妇女“两癌”防治知识知晓现状及影响因素分析  

Knowledge status of prevention and treatment of breast cancer and cervical cancer among women in Deyang and its influencing factors

作　　者：孙娟[1] 卢怡[1] 王小为[1] SUN Juan;LU Yi;WANG Xiao-wei(Deyang People's Hospital,Deyang 618000,China)

机构地区：[1]德阳市人民医院,四川德阳618000

出　　处：《华南预防医学》2021年第4期473-477,共5页South China Journal of Preventive Medicine

摘　　要：目的调查德阳地区妇女乳腺癌和宫颈癌(简称"两癌")防治知识的掌握情况,探讨影响女性"两癌"防治知识认知的相关因素,为更好地开展"两癌"筛查工作提供参考依据。方法采用分层整群抽样方法于2019年6—9月抽取德阳市妇女作为研究对象进行"两癌"防治知识知晓情况现场问卷调查,采用描述流行病学分析方法进行分析,并采用单、多因素分析方法对"两癌"防治知识知晓影响因素进行分析。结果共对1 835名德阳市女性居民进行分析,年龄20~69岁,平均(42.36±5.22)岁。文化程度以初中(653人,35.59%)和高中(634人,34.55%)为主。城镇居民占60.60%。职业以企事业职工为主(594人,32.37%)。"两癌"防治知识的总均分为(23.6±5.3)分,总知晓率为49.30%。答对"两癌"防治知识问卷60%以上题的有878人,了解率为47.85%。年龄越大(OR=0.730)的女性居民"两癌"防治知识了解的可能性较小,文化程度越高(OR=2.787)、居住地在城镇(OR=5.512)、职业为企事业单位职工或个体户(OR=5.124、1.713)、家庭人均月收入越高(OR=2.298)、乳腺疾病史(OR=1.775)和妇科疾病史(OR=1.320)是女性"两癌"防治知识了解率的促进因素。结论德阳市适龄妇女"两癌"防治知识的掌握情况不佳,应重点针对高龄、文化程度低、农村地区的低收入女性人群加强"两癌"健康知识宣传教育工作。Objective To investigate the status of women’s knowledge of prevention and treatment(KPT)of breast cancer and cervical cancer(referred to as"two cancers")in Deyang,and to explore the related factors,so as to provide reference for better screening of"two cancers".Methods The stratified cluster sampling method was adopted to select women from Deyang City as the research object to conduct an on-site questionnaire survey on the KPT of"two cancers"from June to September 2019. The descriptive epidemiological analysis method was used to analyze,and univariateand multivariateanalysis were used to analyze the factors affecting the KPT of"two cancers". Results A total of 1 835 female residents in Deyang City were analyzed,aged 20-69 years old,with an average age of(42.36±5.22)years. The educational level was mainly in junior high school(653,35.59%)and senior high school(634,34.55%). Urban residents accounted for 60.60%. The main occupation was enterprise workers(594,32.37%).The average total score of KPT of"two cancers"was(23.6 ± 5.3),and the total awareness rate was 49.30%. There were 878 people who answered more than 60% of the"two cancers"prevention knowledge questionnaire correctly,and the understanding rate was 47.85%. The older female residents(OR=0.730)were less likely to understand the KPT of"two cancers". The higher education level(OR=2.787),urban residents(OR=5.512),and their occupations were employees of enterprises and institutions or self-employed(OR=5.124,1.713),higher per capita monthly household income(OR=2.298),history of breast disease(OR=1.775),and history of gynecological disease(OR=1.320)were facilitating factors in understanding the KPT of"two cancers"among women. Conclusion The women in Deyang City have low scores of KPT of"two cancers". We should focus on the elderly,low education level and low-income women in rural areas to strengthen the publicity and education of health knowledgeof"two cancers".

关 键 词：乳腺癌 宫颈癌 防治知识 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]