2016—2018年郑州市结直肠癌高危人群无痛结直肠镜筛查依从率分析  

Analysis of Compliance of Painless Colonoscopy Screening Among High Risk Groups of Colorectal Cancer in Zhengzhou from 2016 to 2018

作　　者：王晓翠 曹旸[1] 郭磊 张春明[1] 许迎喜 师卫翔 李培培 乔炳礼[1] 孟可 姜伟 WANG Xiao-cui;CAO Yang;GUO Lei;ZHANG Chong-ming;XU Ying-xi;SHI Wei-xiang;LI Pei-pei;QIAO Bing-li;MENG Ke;JIANG Wei(Zhengzhou Third People’s Hospital/Zhengzhou Cancer Hospital/Henan University Cancer Hospital/Zhengzhou Cancer Diagnosis and Treatment Quality Control Center/Zhengzhou Cancer Prevention and Treatment Office/Zhengzhou Cancer Center,Zhengzhou 450000,China;Zhengzhou Municipal Health Committee,Zhengzhou 450000,China)

机构地区：[1]郑州市第三人民医院/郑州市肿瘤医院/河南大学肿瘤医院/郑州市肿瘤诊疗质量控制中心/郑州市肿瘤防治办公室/郑州市癌症中心,河南郑州450000 [2]郑州市卫生健康委员会,河南郑州450000

出　　处：《肿瘤学杂志》2021年第8期628-635,共8页Journal of Chinese Oncology

基　　金：2016—2018郑州市民生实事项目。

摘　　要：[目的]分析郑州市结直肠癌高危人群的无痛结肠镜筛查依从率及其相关影响因素。[方法]以2016—2018年郑州市结直肠癌早期筛查项目中,结直肠癌高危人群19115名为基础,进行数据分析。运用单因素方差分析、χ^(2)检验比较不同人口学特征人群无痛结肠镜筛查依从率差异,采用多因素Logistic回归模型分析与无痛结肠镜筛查依从率相关的因素。[结果]19115名结直肠癌高危人群中,参与无痛结直肠镜检查4490人,依从率为23.49%。多因素Logistic回归分析结果显示:与女性相比,男性(OR=1.351,95%CI:1.07~1.70)更易接受无痛结直肠镜筛查;与60~75岁的人群相比,50~60岁(OR=1.744,95%CI:1.39~2.18)以及40~50岁(OR=1.422,95%CI:1.09~1.85)人群更易接受无痛结直肠镜;与"大学及以上学历"人群相比,未受教育(OR=3.175,95%CI:1.56~6.45)、小学(OR=3.173,95%CI:2.08~4.83)、初中(OR=1.714,95%CI:1.24~2.37)人群更易接受无痛结肠镜检查;与"不饮酒"者相比,经常饮酒的人群(OR=0.526,95%CI:0.33~0.83)更易接受无痛结肠镜检查;与"较长时间处于精神压力"相比,没有此状态的人(OR=1.194,95%CI:1.11~1.29)更易接受无痛结肠镜检查;与"无癌症家族史"人群相比,有癌症家族史的人群(OR=1.419,95%CI:1.17~1.73)更易接受无痛结肠镜检查。[结论]结肠癌高危人群无痛结直肠镜筛查依从率较低。性别、年龄、文化程度、癌症家族史、饮酒史是影响无痛结肠镜筛查依从率的重要因素。[Objective]To evaluate the compliance rate of painless colonoscopy screening in high risk population of colorectal cancer in Zhengzhou City and its related factors.[Methods]A total of 19115 subjects with high risk of colorectal cancer identified from colorectal screening programs in Zhengzhou city from 2016 to 2018 were included in the analysis.Chi square test and ANOVA was used to compare the differences in the compliance rate of painless colonoscopy screening among subjects with different demographic characteristics.Multivariate logistic regression was used to analyze the factors related to the compliance rate of painless colonoscopy screening.[Results]Among 19115 subjects with high risk of colorectal cancer,4490 underwent painless colonoscopy examination with a compliance rate of23.49%.Multivariate logistic regression analysis showed that:compared with women,men(OR=1.351,95%CI:1.07~1.70)were more likely to accept painless colonoscopy;compared with people aged 60~75,people aged 50~60(OR=1.744,95%CI:1.39~2.18)and people aged 40~50(OR=1.422,95%CI:1.09~1.85)were more likely to accept painless colonoscopy;compared with people with“university degree or above”,people without education(OR=3.175,95%CI:1.09~1.85),with primary school educating(OR=3.173,95%CI:2.08~4.83)and with junior high school education(OR=1.714,95%CI:1.24~2.37)were more likely to accept painless colonoscopy;compared with“non drinkers”,regular drinkers(OR=0.526,95%CI:0.33~0.83)were not likely to accept painless colonoscopy;Compared with“long-term mental stress”,people with no mental stress(OR=1.194,95%CI:0.33~0.83)were more likely to accept painless colonoscopy;compared with those without family history of cancer,those with family history of cancer(OR=1.419,95%CI:1.17~1.73)were more likely to receive painless colonoscopy.[Conclusion]The compliance rate of painless colonoscopy screening in high-risk groups in Zhengzhou city is low.Gender,age,education level,family history of cancer and drinking history are the important factors influencing t

关 键 词：结直肠肿瘤 筛查 无痛结直肠镜 依从率 郑州 

分 类 号：R735.34[医药卫生—肿瘤]