辽宁省县区居民子宫颈癌筛查意愿情况调查分析及预测模型构建  

Investigation and analysis of cervical cancer screening willingness of residents in counties and districts of Liaoning Province and construction of prediction model

作　　者：朱博 刘运泳 李爽[2] 于慧会 李哲[3] 王大遒[4] 王丹波 郝维杰 ZHU Bo;LIU Yun-yong;LI Shuang;YU Hui-hui;LI Zhe;WANG Da-qiu;WANG Dan-bo;HAO Wei-jie(Cancer Hospital of China Medical University/Liaoning Cancer Hospital,Shenyang 110042,China)

机构地区：[1]中国医科大学肿瘤医院/辽宁省肿瘤医院,辽宁沈阳110042 [2]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,辽宁沈阳110005 [3]中国医科大学附属第一医院,辽宁沈阳110001 [4]辽宁中医药大学护理学院,辽宁沈阳110001 [5]本溪满族自治县第一人民医院,辽宁本溪117100

出　　处：《中国实用妇科与产科杂志》2022年第4期451-454,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2017YFC0114204)。

摘　　要：目的 分析辽宁省县区居民子宫颈癌筛查意愿现状及其相关影响因素,并构建子宫颈癌筛查意愿的预测模型。方法 于2018年4—9月,采用分层随机整群抽样的方法,选取辽宁省9个县区的居民进行问卷调查,分别为沈阳市沈河区和铁西区、法库县、鞍山市立山区、本溪市本溪县、抚顺市清原县、盘锦市兴隆台区、北镇市、庄河市。利用描述性统计、χ2检验和logistic回归模型分析居民子宫颈癌筛查意愿的现状及其影响因素。结果 共调查5491人,有筛查意愿者为2100人,占38.24%。年龄、学历和是否参加过子宫颈癌筛查是居民子宫颈癌筛查意愿的影响因素。与30~39岁年龄组比较,50~59岁和60~69岁年龄组的比值比(OR)分别为0.68(95%CI 0.57~0.81)和0.59(95%CI 0.49~0.71),高龄组筛查意愿降低;高学历组筛查意愿更强,OR为1.23(95%CI 1.04~1.46);既往有筛查史者的筛查意愿更高,OR为5.97(95%CI 5.18~6.90)。基于以上结果构建子宫颈癌筛查意愿的预测模型,模型的C指数为0.709(95%CI 0.650~0.768),ROC曲线下面积为0.709,该模型具有良好的辨识度和准确性。结论 辽宁省县区居民参与子宫颈癌筛查的意愿受到多种因素的影响,通过构建预测模型,便于指导医生对人群制定出更有针对性的干预措施,提升居民参与子宫颈癌筛查意愿,扩大人群子宫颈癌筛查覆盖面。Objective To analyze the status of cervical screening willingness of residents in Liaoning Province and its related factors,and construct the prediction model of cervical cancer screening willingness.Methods The residents in nine counties(Shenhe and Tiexi district in Shenyang,Faku County,Lishan district in Anshan,Benxi County in Benxi,Qingyuan County in Fushun,Xinglongtai district in Panjin,Beizhen and Zhuanghe)in Liaoning Province were selected by stratified random cluster sampling to complete a questionnaire survey. Descriptive analysis,χ^(2) test and logistic regression model were used to analyze the status and factors of residents’ willingness to receive cervical cancer screening.Results A total of 5491 people were investigated,2100 of whom were willing to participate in cervical cancer screening,accounting for 38.24%. Age,education background and whether they had participated in cervical cancer screening were the factors of residents’ willingness of cervical cancer screening. Compared with 30-39 age group,the odds ratio(OR)in 50-59 and 60-69 age groups were 0.68(95%CI0.57-0.81)and 0.59(95% CI 0.49-0.71). With the increase of age,the willingness of cervical cancer screening gradually decreased. The higher education group had the higher willingness,with OR being 1.23(95%CI 1.04-1.46). The people who had participated in cervical cancer screening were more willing to receive screening,with the OR being 5.97(95%CI 5.18-6.90). Based on the above results,the prediction model of cervical cancer screening willingness was constructed. The C index of the model was 0.709(95%CI 0.650-0.768),and the area under the ROC curve was 0.709. The model had good identification and accuracy.Conclusion The willingness of residents in Liaoning Province to participate in cervical cancer screening is affected by many factors. By building a prediction model,it is easy to guide doctors to formulate more targeted intervention measures for the population,improve the willingness of residents to participate in cervical cancer screening,

关 键 词：子宫颈癌 筛查 意愿 影响因素 

分 类 号：R711.74[医药卫生—妇产科学]