2021年西宁市汉族居民癌症筛查现状与筛查意愿分析  

Cancer screening status and the willingness for cancer screening of residents with Han nationality in Xining city of Qinghai

作　　者：王青青 万绍平[1] 闫国福 王志学 赵思佳 马永莲 张亚玲 樊新海 赵春梅 WANG Qing-qing;WAN Shao-ping;YAN Guo-fu;WANG Zhi-xue;ZHAO Si-jia;MA Yong-lian;ZHANG Ya-ling;FAN Xin-hai;ZHAO Chun-mei(Sichuan Cancer Hospital&Institute,Cancer Prevention Research Center,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川省肿瘤医院研究所肿瘤预防研究中心,四川成都610041 [2]青海省第五人民医院(青海省肿瘤医院)健康管理中心

出　　处：《中国预防医学杂志》2022年第3期191-195,共5页Chinese Preventive Medicine

基　　金：四川省科技厅项目(2021YFQ0032)。

摘　　要：目的 了解西宁市汉族居民癌症筛查现状及筛查意愿,为当地相关部门及全国其他类似地区制定、完善癌症筛查策略以及推广癌症筛查提供参考依据。方法 2021年6—8月在西宁市5个社区卫生服务中心方便抽取827名汉族居民,收集调查对象的基本情况、近5年体检情况、癌症筛查情况、癌症筛查意愿及其不考虑筛查的原因等内容。采用χ^(2)检验进行居民癌症筛查行为影响因素的单因素分析,多因素logistic回归模型分析汉族居民癌症筛查行为与筛查意愿的影响因素。结果 共收集703份有效问卷,有效率为85.00%。37.27%的居民近5年做过癌症筛查,女性(OR=1.91,95%CI:1.35~2.72)、≥40岁(OR=3.28,95%CI:1.98~5.44;OR=2.50,95%CI:1.32~4.72)、初中及以上文化程度(OR=2.50,95%CI:1.24~5.05;OR=7.47,95%CI:3.64~15.33;OR=9.37,95%CI:4.30~20.40)的居民癌症筛查率较高。53.06%的居民具有癌症筛查意愿,≥60岁(OR=0.24,95%CI:0.15~0.39)、近5年做过体检(OR=0.47,95%CI:0.30~0.74)的居民癌症筛查意愿更低。居民不考虑癌症筛查的主要原因是“觉得身体没出现症状,没必要”(56.52%)。结论 西宁市汉族居民癌症筛查率与癌症筛查意愿均较低。政府、医疗机构、个人应共同推动癌症早诊早治工作,扩大癌症筛查覆盖范围,加强癌症筛查健康教育,强化癌症筛查意识,从而提升居民癌症筛查服务利用率。Objective To understand the current status of cancer screening and willingness for cancer screening among Han residents in Xining,and to provide reference for the formulation of cancer screening strategies.Methods 827 Han residents were recruited from 5 community health service centers in Xining using convenient sampling method from June to August 2021.A questionnaire survey was conducted to collect basic information,physical examination in recent 5 years,cancer screening,cancer screening willingness and the reasons for not having cancer screening.χ~2 Test and logistic regression model were used to analyze the influencing factors of cancer screening behavior and screening willingness of Han residents.Results A total of 703(85.00%) valid questionnaires were collected.Only 37.27% respondents had cancer screening in recent 5 years.Female residents(OR=1.91,95%CI:1.35-2.72),residents aged 40 years and over(OR=3.28,95%CI:1.98-5.44;OR=2.50,95%CI:1.32-4.72) and residents with junior high school education or above(OR=2.50,95%CI:1.24-5.05;OR=7.47,95%CI:3.64-15.33;OR=9.37,95%CI:4.30-20.40) were more likely to have cancer screening.53.06% of the residents expressed their willingness for cancer screening.Residents aged 60and over(OR=0.24,95%CI:0.15-0.39)and those received physical examination in recent 5years(OR=0.47,95%CI:0.30-0.74)were less willing to have cancer screening.The main reason for not having cancer screening was due to the thought of“no symptoms,no need”(56.52%). Conclusions Both the cancer screening rate and the willingness of Han residents for cancer screening in Xining city are relatively low.The local government,medical institutions and individuals should jointly work on the early diagnosis and treatment of cancer,expand the coverage of cancer screening,strengthen health education on cancer screening,and strengthen the awareness of cancer screening,so as to improve the utilization of cancer screening services.

关 键 词：癌症筛查 意愿 影响因素 

分 类 号：R730.1[医药卫生—肿瘤]